KNOWLEDGE, SKILLS AND ABILITIES REQUIRED
Education and Experience:
- Bachelor degree or higher in health care or a related field. Background in nursing, pharmacy, environmental health, sanitation, dietetics, rehabilitation, respiratory therapy, and laboratory settings within health care facilities is highly desirable.
- Ten or more years of recent experience in health care, with five years with five years as a federal or state surveyor. Experience in a health care consulting role is highly desirable.
- Experience in reviewing and examining 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.
Skills and Abilities:
- Comprehensive, knowledge and skills regarding federal surveys, compliant investigations and response to crisis situations in accordance with federal laws, regulations, guidelines, the State Operations Manual (SOM), surveillance protocols and standards governing the operation for health care facilities.
- Maintenance of active/current knowledge of state and federal health care- and discipline-specific trends and content, established solutions for the improvement of patient care, and all relevant JCR subject matter, methodologies, and product lines.
- Utilize critical thinking skills to research, collect, organize, interpret, and communicate a large volume of information from multiple sources (i.e. documentation, interview and record review) to assess the health care provider�s ability to comply with state and federal statutes and regulations.
- Ability to observe critically and recognize areas of non-compliance, problems, and discrepancies and apply systems analysis skills and inductive reasoning skills to determine health care organizations' degree of compliance with federal requirements and functionality of care delivery systems.
- 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.
- The written and verbal communication skills necessary to effectively deliver information and ideas in proposals, position papers, and presentations.
- A keen business acumen and ability to effectively influence and collaborate with stakeholders of all levels (frontline to C-Suite) within client organizations.
- Ability to continually improve oneself through professional development and other identified opportunities for growth.
- Willingness and ability to travel on a continual basis and to adapt to varying situations and cultures.
- Computer literacy in word processing, spreadsheets, database, and presentation software required. Ability to use the internet and web-based tools and resources such as Client Relationship Management and Consultant Knowledge Center required.
- Ability to lift 25 pounds, climb stairs and ladders, and work in settings in which infectious diseases are present.
This job description is intended to describe the general nature and level of work performed by an employee assigned to this position. The description is not an exhaustive list of all duties, responsibilities, knowledge, skills and abilities, and working conditions associated with this position. All requirements are subject to possible modification due to business needs and/or reasonable accommodations for individuals with disabilities.