Formulates and implements an action plan for issue resolution and presents problem Applications received without an SQ may be rejected. State of California-Health and Human Services Agency California Department of Public Health (CDPH) Licensing and Certification Program (L&C) Aide and Technician Certification Section (ATCS) MS 3301 P.O. endstream endobj 1555 0 obj <>/Metadata 119 0 R/OCProperties<>/OCGs[1573 0 R]>>/OpenAction 1556 0 R/Outlines 157 0 R/PageLayout/SinglePage/Pages 1546 0 R/StructTreeRoot 229 0 R/Type/Catalog/ViewerPreferences<>>> endobj 1556 0 obj <> endobj 1557 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/Properties<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1558 0 obj <>stream Applications received by U.S. MAIL after January 1, 2022 will NOT be accepted or returned, and the sender will need to resubmit their application via email or fax for it to be processed. Unable to find additional information on the provided term. TTY is a Telecommunications Device for the Deaf, and is reachable only from phones equipped with a TTY Device. State Oversight: CDPH Licensing and Certification (L&C) Headquartered in Sacramento, CA 18 district offices >600 health facility evaluator nurses (HFEN) Licenses facilities to operate in California, including General acute care hospitals (GACH) Skilled nursing facilities (SNF) Federal Oversight: Centers for Medicare and Medicaid Services (CMS) %PDF-1.6 % Application packages without this information will experience delayed processing times and your eligibility for this position may be impacted. \^{C2"AVo:NM gbXr*s9"=Dfa^\y#%L`1OO7n Teleworking may be available for this position, in accordance with CDPHs Telework Policy and Procedures. Any applications received thatdo not providea written response to theSQ will notbe scored/reviewed. 02. MS 0500 431 0 obj <> endobj for licensing and certification meet the State and Federal requirements. Sacramento, CA 95899-7377, For General Public Information: Unauthorized or improper use of this system may result in administrative disciplinary action and/or criminal penalties. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Electronic (Using your CalCareer Account), Note: documents in Portable Document Format (PDF) require Adobe Acrobat Reader 5.0 A completed State application (STD. 0 u__X#f"I mv|``3#T@ PMd Application packages without this information will experience delayed processing times and your eligibility for this position may be impacted. (916) 558-1784, COVID 19 Information Line: social security number, date of birth) from your documents prior to submission. Our survey teams also consider compliance with federal statutes if the facilities receive Medicare or Medi-Cal reimbursement. The Supplemental Questionnaire is a narrative writing that individually answers each of the questions below. Contact Us WARNING: This is a State of California computer system that is for official use by authorized users and is subject to being monitored and or restricted at any time. PO Box 997377 Reset 1581 0 obj <>stream 5. Share your form with others Send cdph form 5000 via email, link, or fax. What skills do you believe are most critical to be successful in this position? Resumes, letters, Statement of Qualifications, transcripts, degrees, your state application, cover letters and other materials. Applications received without an SQ may be rejected. NEW: Effective January 1, 2022, all training program applications and documents must . for assistance and a CDPH Human Resources Division staff member will contact you to assist with the online application process or. hmo0?n:D*+PR)xm$?C Training Program Name: NURSE ASSISTANT TRAINING PROGRAM SKILLS CHECK LIST to Default, Certificates, Licenses, Permits and Registrations, Registered Environmental Health Specialist, California Health Facilities Information Database, Chronic Disease Surveillance and Research, Division of Radiation Safety and Environmental Management, Center for Health Statistics and Informatics, Medical Marijuana Identification Card Program, Office of State Public Health Laboratory Director, Centers for Disease Control and Prevention. California Relay Service: 1-800-735-2929 (TTY), 1-800-735-2922 (Voice) Applications received without a clearly titled Supplemental Questionnaire may not be considered for this position. Individuals who are eligible for a Training and Development assignment may also be considered for this position(s). m=e}wdSY)Sa1n_W?P0;K^O B(xj*Jt\o5!@k2S#lMW~VMcS7N{W^:=gU=V=> should be submitted electronically via your CalCareers Account. In recruiting for team members, we welcome the unique contributions that you can bring to us and the work we do. The incumbent works under the direction of the Staff Services Manager I (SSM I). Box 997416 Sacramento, CA 95899-7416 (916) 327-2445 FAX (916) 324-0901 NURSE ASSISTANT ORIENTATION PROGRAM CONTENT We review, analyze, and evaluate requests for facility licensure, certification, andother license-associated transactions submitted by facility providers for approval. Licensing, Certification and Other Credentials; Certificates, Licenses, Permits and Registrations; Health Care Facility Licenses; Health Care Professionals; Laboratory; Medical Waste; . 1-833-4CA4ALL Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at www.CalCareers.ca.gov. . Adhere to the instructions below to fill out Cdph 5000a online quickly and easily: Benefit from DocHub, the most straightforward editor to promptly manage your documentation online! Box 997416 Sacramento, CA 95899-7416 PHONE: (916) 327-2445 FAX: (916) 324-0901 . zM/(g1j` "dgol pm%#MK1D2%ZEDIA8KG-{|z sMG'+js`GQD'We/A)GW 5Ev^Wwl>.'`+"UI/.A9aFG>d[bAJ}!=/OwF+pI[LUNf>U/dPT&t!Hu:.! For experience/education to qualify during the application screening process, and to ensure that minimum qualifications can be determined, applicants should include all employment history on the Employment Application (STD 678) and/or Resume, including detailed job descriptions,hours worked per week, andstart/end dates (MM/DD/YYYY). a hard copy application package may be submitted through an alternative method as explained in the How to Apply section below. 678) and any other relevant documents (e.g. The incumbent will be responsible for independently preparing documents and reports to support recommendations for approving/denying Initial and Change of Ownership (CHOW) applications for health facilities and providers of services statewide and complete all Report of Changes. It is an objective of the State of California to achieve a drug-free work place. The branch administers thelicensing and regulation of nursing home administrators (NHAs). %%EOF Simply copying and pasting your resume will also not be accepted. Submit a CDPH form 5000 for non-COVID-19 related requests to your local district office; Submit COVID-19 related requests to Centralized Program Flex Unit 01. (1-833-422-4255). MS 0500 Contact Us. Decrease, Reset Espaol, - We review, analyze, and evaluate requests for facility licensure, certification, and other license-associated transactions submitted by facility providers for approval. Reset hbbd```b``"@$s0;D2 $#K-+DU'`1d A&$r9*&F-@FQQl@ /B Describe your ability to handle multiple assignments at one time, prioritize your workload, and manage deadlines. %PDF-1.5 All California Department of Public Health (CDPH) employees perform work that is of the utmost importance, where each employee is important in supporting and promoting an environment of equity, diversity, and inclusivity, essential to the delivery of the department's mission. endstream endobj startxref social security number, date of birth) from your documents prior to submission. Applicants who do not submit the required items timely may not be considered for this job: Please see Supplemental Questionnaire instructions below at end of Posting. ^|=\L *C#.UBRI42D @r?BS'I,AR!&}tKt/}sgzE4Le~FIaqwY Js5!*gQTr/ ,YewvMKP{O%R* s$z,wBnrw[:Dgh'q0J4~qbaWhax< _GS Edit your cdph program flex form online. In recruiting for team members, we welcome the unique contributions that you can bring to us and the work we do. that are in compliance with licensing rules and can be found in the LSS Group Service Manual, . [H:+"yc" Job Posting: 1571 0 obj <>/Filter/FlateDecode/ID[<229AD8CC74FBF740881CE5C81D10DED6>]/Index[1554 28]/Info 1553 0 R/Length 96/Prev 530017/Root 1555 0 R/Size 1582/Type/XRef/W[1 3 1]>>stream 0 This position supports the California Department of Public Healths (CDPH) mission and strategic plan by acting as lead analyst and subject matter expert, independently performing a variety of the more complex technical analytical tasks related to the implementation of public and program policy, procedures, interpretation of State and Federal statutes, regulations, and legislation related to the Center for Health Care Quality (CHCQ) and reviewing provider applications requesting licensure and certification. 1511 0 obj <> endobj I..vy5E~U,/sTa?|[bi[6YE]e1z}/E mX"Tw\|V5:"w&o^cel~M;O:~ lsp%!\6%"Q3&gO\#D@|BiPQ8L ' {^&[]\5|;Pp! The request should be made at the time of contact to schedule the interview. The L&C Program is comprised of three branches: Centralized Applications Branch, Field Operations Branch, and Professional Certification Branch. Unauthorized or improper use of this system may . CHCQ also oversees the certification of nurse assistants, home health aides, hemodialysis technicians, and the licensing of nursing home administrators. You will find additional information about the job in the Duty Statement. Please let us know how you heard about our position by taking this brief survey: You will find the Minimum Requirements in the Class Specification. Please turn on JavaScript and try again. `a`zHs10iaCSovp9HY!zYJ 9A b0 M; The Associate Governmental Program Analyst (AGPA) will be responsible for enforcing licensing and certification standards in accordance with State, Federal, and local laws and regulations. SROA and surplus candidates should submit a copy of their letter with their application. endobj The Licensing and Certification(L&C) Program is responsible for regulatory oversight of licensed health care facilities and health care professionals to assess the safety, effectiveness, and quality of health carefor all Californians.
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