The Office of Inspector General (OIG) performs many varied functions for the Cabinet for Health and Family
Services. OIG has six Divisions, Division of Regulated Child Care, Division of Health Care, Certificate of
Need, KY Health Information Exchange, and Division of Audits and Investigations. These Divisions cover a wide
variety of job tasks and duties in varied settings throughout Kentucky, which include inspecting and licensing
childcare and healthcare facilities and services, and conducting investigations of complaints in those
facilities, as well as conducting Medicaid fraud and other types of complaints for the Cabinet.
This position provides assistance to the public regarding allegations of regulatory violations in licensed,
certified or registered health care facilities. Guides casework and acts as liaison for the public and
health care facilities. Specializes in providing oversight of the public complaint process. The duties of the
position include providing a public service by receiving, screening, processing and triaging reports received
of regulatory violations, often involving abuse and neglect including death of individuals receiving care in
licensed health care facilities.
The Citizen Assistance Specialist also analyzes and reviews complaint summaries for specifics and detailed
information, ensures that allegations are investigated appropriately, and that deficiency determination is
made based on Federal and State regulations. Confers with other Branch Complaint Coordinators to alleviate
programmatic deficiencies and ensure process consistency in all Branches. Selected candidate must pass the
Standard Minimum Qualification Test from the Centers for Medicare and Medicaid and obtain certification within 6
months of employment.
If you are a professional, self-motivated, positive person with a desire to use your administrative and people
skills to improve healthcare in Kentucky, and you desire to work with a team of dedicated professionals who
believe in their mission, we would love to welcome you to our OIG family!
Responsibilities include but are not limited to the following:
- Provides a public service by receiving, screening, processing and triaging reports of individuals
receiving care in licensed health care facilities.
- Analyzes and reviews complaint summaries for specifics and detailed information.
- Ensures allegations are investigated appropriately, and that deficiency determination is made based on
Federal and State regulations.
- Confers with other Branch Complaint Coordinators to alleviate programmatic deficiencies and ensure
process consistency in all Branches.
- Conducts quality improvement reviews and reports to ensure complaints are submitted timely.
- Participates in Federal and State oversight communications related to performance standards regarding
the complaint process.
- Involved in developing and initiating action plans to ensure quality measures are being met as set
forth by Federal and State regulatory authorities.
- Conducts complaint investigations and surveys as needed.
- Provides specialized skills and knowledge of the Federal and State regulatory requirements as an
integral part of the Division's success through review and processing of complaints.
- Performs other duties as assigned.
Skills and Expectations include but are not limited to the following:
- Background in health services is preferred to address the needs of our customers.
- Excellent interpersonal skills with the ability to communicate effectively and respectfully with people
of diverse backgrounds.
- Excellent verbal and written communication skills.
- Proficiency with use of computers and Microsoft Outlook, Word, and Excel programs for daily tasks.
- Highly organized individual and experience managing a large case load are preferred.
- Experience handling large caseloads.
- Healthcare experience is preferred.
The Cabinet for Health and Family Services (CHFS) participates in E-Verify and will provide the federal
government with your Form I-9 information to confirm that you are authorized to work in U.S. CHFS will only
use E-Verify once you have accepted a job offer and completed the Form I-9.
For more information on E-Verify, or if you believe that CHFS has violated its E-Verify responsibilities,
please contact Department of Homeland Security (DHS) at 888-897-7781 or
https://www.e-verify.gov/
