Provides on-site consultation, education and technical assistance in the provision of CMS content area (including all types of Federal surveys), federal laws, regulations, guidelines, the State Operations Manual ("SOM"), surveillance protocols and standards governing the operation for health care facilities. Maintains active/current knowledge of heath care trends and content and develops solutions to assist health care organizations to understand and comply with federal regulations and processes regarding the Medicare certification program and Federal survey methodology. Creatively approaches client organizations with solutions to improve the delivery of patient care and operations. Works with Joint Commission Resources ("JCR") Central Office staff to generate leads, develop proposals, and pursue consultation and custom education engagements.
Bachelor degree or higher in health care or a related field. Background in nursing within health care facilities is required. Ten or more years of recent experience in health care, with three to five years as a federal or state surveyor with experience conducting acute care hospital surveys required. Experience in a health care consulting role is highly desirable. Experience in reviewing complaints from the state and/or federal government and advising organizations accordingly and the ability to develop an action plan as a result of deficiencies cited due to a complaint, focus or validation survey. Extensive knowledge of and experience in health care operations, clinical practice, use of performance improvement methods to assess organizational performance, and current research and trends relative to health care practices. Experience in an accredited health care organization preferred. Ability to assist organizations prepare clear and concise reports such as the Plan of Correction utilizing the CMS Statement of Deficiency Report (CMS form 2567) in accordance with CMS Principles of Documentation. Have the ability to clearly link deficient practices with related CMS regulations and Joint Commission standards with potential systems vulnerabilities and related organization risk points. Willingness and ability to travel on a continual basis. Ability to lift 25 pounds, climb stairs, and work in settings in which infectious diseases are present. (2 FTE)