Regulatory Compliance Advisor
Genesis Healthcare Inc, Albuquerque, NM, United States
Overview
The Regulatory Compliance Advisor is responsible for overseeing regulatory compliance and the Quality Review process that supports compliance to state and federal regulations, as well as GHC policies and procedures. The role will oversee the process to ensure quality reviews are conducted at each center at least annually. This position collaborates with Market Advisors, Market Clinical Advisors, Center Leadership, food and nutrition services, rehab services, property management, and others to ensure their involvement in the compliance process.
Responsibilities
Collaborate with Market teams to create overall survey improvement plans and individual center survey improvement plans focused on past survey history, Quality Review results, leadership training needs, and a roadmap for completion of CEPs.
Establish priority centers based on Health Inspection ratings, SFF status, government oversight, special licenses, or other special circumstances.
Participate in Quality Reviews in the Market and ensure the Quality Review is scheduled no less than 90 days prior to the survey window opening.
Provide support during all Health inspections on site or remotely during the survey, ensuring the plan of correction is submitted timely and validating readiness for revisit.
Collaborate with Market Advisor, Clinical Advisor, or other designated Market team members to coordinate and select appropriate team members, sample selection, and inform the Center of the date and items needed for the Quality Review.
Ensure the approved Quality Review process and Critical Element Pathways are followed and support the Market team in assessing staff’s ability to identify issues.
Oversee that coaching is part of the Quality Review process for Center staff in survey management to build confidence and preparedness.
Ensure an informal exit review process is in place with Center staff so that corrections can begin immediately.
Ensure a process for delivering the Quality Review findings report to the Administrator within 10 days of the review.
Collaborate with others to identify resources/processes needed to assure action plan completion prior to the survey validation visit.
Schedule validation visits.
Provide feedback to the National team to keep the Quality Review process current with changing regulations.
Analyze the effectiveness of the Quality Review process by comparing results with actual survey findings.
Maintain knowledge of state and federal long‑term‑care regulations.
Be a resource for federal and state regulatory changes and inform Market team and Center leaders of regulatory changes.
Ensure processes are in place to evaluate Center staff ability to manage the survey process and interact with surveyors.
Prepare and present training sessions for Market related to survey process, regulatory guidelines, and other issues identified with the Market/National team.
Provide feedback on findings and recommend changes to policies, programs, or training.
Ensure survey information is entered into the regulatory tracking system.
Work with Market and National teams to:
Respond to critical events
Support clinical and operations practice
Provide leadership and direction on key clinical projects
Establish relationships with regional CMS staff and state survey agencies
Identify SFF Centers, SFF candidate centers, low Health Inspection Star ratings, and implement Focus Center calls
Collaborate with the Market Team to understand and improve quality outcomes for residents, families, and staff at designated centers.
Serve as resource expert on available resources including Team TSI, Compliance Store, AAPCN, Care Data Hub, and QSEP.
Meet with new NHA/DONs to review survey history and educate them on Genesis tools and resources related to regulatory compliance.
Other duties as assigned.
Qualifications
RN or Bachelor’s in a healthcare field preferred. Three to five years of experience in the long‑term‑care industry with preferred experience in regulatory compliance.
Understanding of long‑term‑care guidelines and regulations and knowledge of the state survey process.
Proficiency in observing resident care and the Center environment, reviewing charts, and other regulatory documentation.
Experience interpreting regulation and associated F‑tags and applying them to findings.
Knowledge of the CMS enforcement process related to surveys (e.g., CMPs, DPNAs).
Ability to travel extensively.
Salary
USD $150,000.00 - $160,000.00 /Yr.
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The Regulatory Compliance Advisor is responsible for overseeing regulatory compliance and the Quality Review process that supports compliance to state and federal regulations, as well as GHC policies and procedures. The role will oversee the process to ensure quality reviews are conducted at each center at least annually. This position collaborates with Market Advisors, Market Clinical Advisors, Center Leadership, food and nutrition services, rehab services, property management, and others to ensure their involvement in the compliance process.
Responsibilities
Collaborate with Market teams to create overall survey improvement plans and individual center survey improvement plans focused on past survey history, Quality Review results, leadership training needs, and a roadmap for completion of CEPs.
Establish priority centers based on Health Inspection ratings, SFF status, government oversight, special licenses, or other special circumstances.
Participate in Quality Reviews in the Market and ensure the Quality Review is scheduled no less than 90 days prior to the survey window opening.
Provide support during all Health inspections on site or remotely during the survey, ensuring the plan of correction is submitted timely and validating readiness for revisit.
Collaborate with Market Advisor, Clinical Advisor, or other designated Market team members to coordinate and select appropriate team members, sample selection, and inform the Center of the date and items needed for the Quality Review.
Ensure the approved Quality Review process and Critical Element Pathways are followed and support the Market team in assessing staff’s ability to identify issues.
Oversee that coaching is part of the Quality Review process for Center staff in survey management to build confidence and preparedness.
Ensure an informal exit review process is in place with Center staff so that corrections can begin immediately.
Ensure a process for delivering the Quality Review findings report to the Administrator within 10 days of the review.
Collaborate with others to identify resources/processes needed to assure action plan completion prior to the survey validation visit.
Schedule validation visits.
Provide feedback to the National team to keep the Quality Review process current with changing regulations.
Analyze the effectiveness of the Quality Review process by comparing results with actual survey findings.
Maintain knowledge of state and federal long‑term‑care regulations.
Be a resource for federal and state regulatory changes and inform Market team and Center leaders of regulatory changes.
Ensure processes are in place to evaluate Center staff ability to manage the survey process and interact with surveyors.
Prepare and present training sessions for Market related to survey process, regulatory guidelines, and other issues identified with the Market/National team.
Provide feedback on findings and recommend changes to policies, programs, or training.
Ensure survey information is entered into the regulatory tracking system.
Work with Market and National teams to:
Respond to critical events
Support clinical and operations practice
Provide leadership and direction on key clinical projects
Establish relationships with regional CMS staff and state survey agencies
Identify SFF Centers, SFF candidate centers, low Health Inspection Star ratings, and implement Focus Center calls
Collaborate with the Market Team to understand and improve quality outcomes for residents, families, and staff at designated centers.
Serve as resource expert on available resources including Team TSI, Compliance Store, AAPCN, Care Data Hub, and QSEP.
Meet with new NHA/DONs to review survey history and educate them on Genesis tools and resources related to regulatory compliance.
Other duties as assigned.
Qualifications
RN or Bachelor’s in a healthcare field preferred. Three to five years of experience in the long‑term‑care industry with preferred experience in regulatory compliance.
Understanding of long‑term‑care guidelines and regulations and knowledge of the state survey process.
Proficiency in observing resident care and the Center environment, reviewing charts, and other regulatory documentation.
Experience interpreting regulation and associated F‑tags and applying them to findings.
Knowledge of the CMS enforcement process related to surveys (e.g., CMPs, DPNAs).
Ability to travel extensively.
Salary
USD $150,000.00 - $160,000.00 /Yr.
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