Tentative Classification Standards issued by the Division of Classification & Compensation are shared with the operating agencies of State government for their consideration and comment. Accordingly, this document that you are viewing is subject to change and will be issued in final form at the completion of the review period.


Occ. Code 5211700


area office director, M-3


New York State Department of Civil Service


Classification Standard




            Positions in this title series manage a major health care surveillance program or group of small programs in an area/regional office* within the Department of Health (DOH).  Incumbents of these positions manage program administration and staff supervision; coordinate, plan, and evaluate program activities and goals; plan and staff surveys of health care providers; teach surveillance techniques; and direct investigations including evaluating investigative materials and reports prepared by staff.


            These positions are classified only in the regional offices of the Department of Health.  All incumbents perform various duties and functions in conjunction with the overall operation of a location to which they are assigned.



            AREA OFFICE DIRECTOR:  management level; direct, coordinate, supervise, and manage day-to-day responsibilities of a DOH Regional Office regulatory and surveillance program.




            Health Systems Specialists work on survey or investigative teams and/or units involved with regional or statewide healthcare surveillance, medical review, audit, or regulatory activities; evaluate patient care, investigate complaints; make recommendations regarding licensure or certification; evaluate corrective measures; recommend and implement enforcement actions; and develop, review, recommend, and implement health care regulatory polices and procedures. 


            Consultant Nurses supervise large or multiple small survey teams of various health care professionals engaged in surveillance and licensing activities related to hospitals, nursing homes, adult homes, assisted living facilities, hospices, clinics, home care agencies, and other health care providers.  They conduct Medicaid audits and fraud investigations and may be involved in prior approval of Medicaid funded health care services.  They utilize their nursing clinical expertise to develop policies and procedures and survey/audit protocols.





Direct a regional surveillance and/or investigative program


·      Schedule surveys of providers to meet State and Federal requirements


·      Assign staff to survey or investigative teams


·      Review survey reports for quality and consistency


·      Recommend enforcement action when serious deficiencies are identified and forwarded to central office bureau director


·      Recommend licensure/certification of health care/facilities programs


·      Ensure regional consistency in the application of regulations


·      Ensure that all surveys and investigative activities comply with department policies and practices


·      Coordinate activities with other regional programs including development of statewide policies and practices to ensure statewide consistent application of laws and regulations


Develop and implement regional program policies, procedures and guidelines


·      Implement tracking systems to monitor operations and compliance with State and federal requirements


·      Establish program goals and objectives


·      Develop internal controls for program operations


·      Conduct periodic evaluations of program activities and prepare reports for regional and central office program directors including workload analysis



Plan and direct responses to emergencies


·      Work cooperatively with other state and local agencies in the development and implementation of disaster preparedness plans


·      Direct strike monitoring activities at affected facilities to insure patient care is not jeopardized


·      Work cooperatively with public health staff to investigate disease outbreaks in health care facilities


·      In cases of facility evacuations, coordinate with facility administrator to ensure that evacuation plans are properly implemented and assist facility administrator in identifying appropriate alternative placements for effect patients/residents


·      Serve as the Administrator on Duty to handle off hour and weekend emergencies


Supervise program staff


·      Provide staff training on new policies and procedures, regulations and program initiatives


·      Identify training needs and arrange for provision of training


·      Ensure staff performance evaluations are conducted in a timely manner


·      Participate in the review of grievances and disciplinary actions



Represent the State with outside organizations


·      Make presentations to health care providers, trade associations, local government and other groups to educate them on department policies and practices and state and federal requirements


·      Develop and maintain effective relationships with health care providers, other state agencies and Centers for Medicare and Medicaid Services (CMS)


·      Work with the Departments Public Affairs Office to respond to inquiries from the public, the media, and public organizations





Promotion:  one year of permanent competitive service as a Health Systems Specialist 4, Consultant Nurse (Hospital Nursing Services Administration), Consultant Nurse (Community Nursing & Home Health Services), Associate Medical Care Administrator, ICF/MR Survey Coordinator, Specialist in Adult Services 3, Principal Medical Conduct Investigator, Director of Adult Residential Care Regional Operations 1, Principal Ambulatory Care Program Analyst, or Hospital Administrator Consultant; or two years of permanent competitive service as a Health Systems Specialist 3, Community Nursing Services Consultant (HHS), Hospital Nursing Services Consultant, Regional Medical Care Administrator, Senior Public Health Social Work Consultant, Senior Nutrition Services Consultant, Principal Sanitarian, Standards Compliance Analyst 2, Associate Emergency Medical Care Representative, Associate Ambulatory Care Analyst, Specialist in Adult Services 2, Supervising Medical Conduct Investigator, or Pharmacy Consultant.


Date:  3/10


NOTE: Classification Standards illustrate the nature, extent and scope of duties and responsibilities of the classes they describe.  Standards cannot and do not include all of the work that might be appropriately performed by a class.  The minimum qualifications above are those which were required for appointment at the time the Classification Standard was written.  Please contact the Division of Staffing Services for current information on minimum qualification requirements for appointment or examination.