The successful candidate provides on-site/off-site consultation, education and technical assistance in the provision of the Centers for Medicare & Medicaid Services (CMS) regulatory compliance, Federal laws and guidelines according to the State Operations Manual (SOM) applying survey protocols and risk-based methodology governing the operations for health care facilities. Maintains active/current knowledge of health care trends and nationally recognized best practices to develop solutions and consult with health care organizations for compliance with the CMS 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 educational engagements.
Comprehensive working knowledge of the CMS regulations, all conditions of participation (COPs), statements of deficiency (SODs), plans of correction (POCs) and risk-based methodology. Utilize critical thinking skills to research, collect, organize, interpret, and communicate a large volume of information from multiple sources (e.g. observations, interviews and document reviews) to assess the health care provider's ability to comply with State and Federal statutes and regulations. A keen business acumen and ability to effectively influence and collaborate with stakeholders of all levels (frontline to C-Suite) within client organizations. Willingness and ability to travel on a continual basis and to adapt to varying situations and cultures.
Bachelor's degree or higher as a Registered Nurse (RN). Background in nursing and experience as a CMS State and/or Federal surveyor with 3 - 5 or more years' experience surveying acute care hospitals and at least one other facility type (CAH, ambulatory care, dialysis, psychiatric, LTC (skilled), etc.) is required. Experience in a health care consulting role is highly desirable. Experience in reviewing complaints, immediate jeopardy (IJ), validation, statements of deficiency and plans of correction with the ability to advise organizations accordingly in the development of an action plan to meet regulatory compliance. Willingness to work independently, act as team leader or as a member of a collaborative team is imperative. Extensive knowledge and experience in application of risk-based methodology 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. This position requires the ability to provide a rapid response to facilities in crisis or a 24-hour response time for survey preparation and travel to a domestic destination (the United States and its territories). Travel can also include car rental and driving to remote locations. Ability to lift 25 pounds, climb stairs and work in settings in which infectious diseases are present. Public speaking, webinar presentations and Joint commission Yellow Belt Certification is required within two years of hire.
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