CMS Consultant-LSCS - The Joint Commission
Oakbrook Terrace, IL
About the Job
Overview
GENERAL SUMMARY
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 health 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 JCR Central Office staff to generate leads, develop proposals, and pursue consultation and custom education engagements.
Responsibilities
PRINCIPAL DUTIES AND RESPONSIBILITIES
1. Provide exceptional on- and off-site consultation and education to U.S. healthcare organizations or other clients, emphasizing practical approaches 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 as technical assistance in general healthcare operations improvement.
2. Identifies the unique needs of JCR client organizations and tailors the CMS consulting services/engagements (type, scope, etc) accordingly. Develops CMS educational materials for use in field education, custom education, Continuous Survey Readiness educational conferences, or client educational updates when requested. Responsible for new CMS business development (to a defined expectation) inclusive of client relationship management, lead generation, assistance in proposal development, and sale of JCR products and services. Maintains and grows client relationships through ongoing communications and a systematic process for client follow-up.
3. If requested to perform as Team Leader, leads a team of CMS consultants to deliver a client engagement that is comprehensive, achieves client expectations, and is successful at executing all contracted deliverables in a timely and quality manner. In this capacity articulates all interventions with the Managing Consultant and appropriate Client Services Manager at JCR Central Office and completes all necessary follow up activities for client.
4. Prepares well-articulated and focused written consultation reports based on information obtained from the on-site consultation. Utilizes the CMS Form 2567: Statement of Deficiencies and Plan of Correction report format and the Principles of Documentation. Obtains feedback from JCR clients regarding the quality of services and deliverables and actively makes improvements therein.
5. Promotes JCR products and services through public speaking engagements and representation at high profile national conferences/meetings/conventions and/or at JCR sponsored seminars and conferences as requested. Writes and/or reviews papers/chapters/case studies/articles for publication or for JCR journals or newsletters, as requested.
6. Actively participates in professional development activities, such as the Annual Invitational Training Conference, webinars, audio conferences, and other relevant education programs and keeps abreast of current federal regulations and CMS guidelines as well as JC and JCR policies, products, services, standards, and survey process as well as consultative skills as appropriate. Proactively executes on a continuous development plan through the pursuit of performance discussions, feedback, and learning opportunities for growth.
7. Participates on committees, task forces, and/or teams in the design, testing, evaluation, and redesign of JCR-s consulting and education products and services, business processes, and various initiatives as assigned. Actively shares innovations, creative strategies and experiences with colleagues. Develops educational materials for use in revenue generating opportunities when requested.
8. Demonstrates a high level of professionalism and integrity in all aspects of one-s work, inclusive of the timely and accurate submission of engagement deliverables, time tracking, expense reimbursement, sales justification, and other necessary operational details required for the consulting position. Models a spirit of quality and collaboration across JCR services and with all colleagues. Participates in the training and mentoring of consultants when requested.
Qualifications
KNOWLEDGE, SKILLS AND ABILITIES REQUIRED
Education and Experience :
1. 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.
2. 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.
3. 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.
4. 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.
5. Experience in an accredited health care organization preferred.
Skills and Abilities :
1. 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.
2. 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.
3. 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.
4. 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.
5. 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.
6. The written and verbal communication skills necessary to effectively deliver information and ideas in proposals, position papers, and presentations.
7. A keen business acumen and ability to effectively influence and collaborate with stakeholders of all levels (frontline to C-Suite) within client organizations.
8. Ability to continually improve oneself through professional development and other identified opportunities for growth.
9. Willingness and ability to travel on a continual basis and to adapt to varying situations and cultures.
10. 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.
11. 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._
Job Locations _US-IL-Oakbrook Terrace | US-Nationwide_
Job ID _2024-6568_
# of Openings _1_
Category _Field Representative (Surveyor/Consultant)_
+ Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.
+ Please view Equal Employment Opportunity Posters provided by OFCCP here.
+ The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
+ This Organization Participates in E-Verify. Click here for more information.
GENERAL SUMMARY
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 health 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 JCR Central Office staff to generate leads, develop proposals, and pursue consultation and custom education engagements.
Responsibilities
PRINCIPAL DUTIES AND RESPONSIBILITIES
1. Provide exceptional on- and off-site consultation and education to U.S. healthcare organizations or other clients, emphasizing practical approaches 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 as technical assistance in general healthcare operations improvement.
2. Identifies the unique needs of JCR client organizations and tailors the CMS consulting services/engagements (type, scope, etc) accordingly. Develops CMS educational materials for use in field education, custom education, Continuous Survey Readiness educational conferences, or client educational updates when requested. Responsible for new CMS business development (to a defined expectation) inclusive of client relationship management, lead generation, assistance in proposal development, and sale of JCR products and services. Maintains and grows client relationships through ongoing communications and a systematic process for client follow-up.
3. If requested to perform as Team Leader, leads a team of CMS consultants to deliver a client engagement that is comprehensive, achieves client expectations, and is successful at executing all contracted deliverables in a timely and quality manner. In this capacity articulates all interventions with the Managing Consultant and appropriate Client Services Manager at JCR Central Office and completes all necessary follow up activities for client.
4. Prepares well-articulated and focused written consultation reports based on information obtained from the on-site consultation. Utilizes the CMS Form 2567: Statement of Deficiencies and Plan of Correction report format and the Principles of Documentation. Obtains feedback from JCR clients regarding the quality of services and deliverables and actively makes improvements therein.
5. Promotes JCR products and services through public speaking engagements and representation at high profile national conferences/meetings/conventions and/or at JCR sponsored seminars and conferences as requested. Writes and/or reviews papers/chapters/case studies/articles for publication or for JCR journals or newsletters, as requested.
6. Actively participates in professional development activities, such as the Annual Invitational Training Conference, webinars, audio conferences, and other relevant education programs and keeps abreast of current federal regulations and CMS guidelines as well as JC and JCR policies, products, services, standards, and survey process as well as consultative skills as appropriate. Proactively executes on a continuous development plan through the pursuit of performance discussions, feedback, and learning opportunities for growth.
7. Participates on committees, task forces, and/or teams in the design, testing, evaluation, and redesign of JCR-s consulting and education products and services, business processes, and various initiatives as assigned. Actively shares innovations, creative strategies and experiences with colleagues. Develops educational materials for use in revenue generating opportunities when requested.
8. Demonstrates a high level of professionalism and integrity in all aspects of one-s work, inclusive of the timely and accurate submission of engagement deliverables, time tracking, expense reimbursement, sales justification, and other necessary operational details required for the consulting position. Models a spirit of quality and collaboration across JCR services and with all colleagues. Participates in the training and mentoring of consultants when requested.
Qualifications
KNOWLEDGE, SKILLS AND ABILITIES REQUIRED
Education and Experience :
1. 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.
2. 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.
3. 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.
4. 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.
5. Experience in an accredited health care organization preferred.
Skills and Abilities :
1. 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.
2. 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.
3. 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.
4. 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.
5. 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.
6. The written and verbal communication skills necessary to effectively deliver information and ideas in proposals, position papers, and presentations.
7. A keen business acumen and ability to effectively influence and collaborate with stakeholders of all levels (frontline to C-Suite) within client organizations.
8. Ability to continually improve oneself through professional development and other identified opportunities for growth.
9. Willingness and ability to travel on a continual basis and to adapt to varying situations and cultures.
10. 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.
11. 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._
Job Locations _US-IL-Oakbrook Terrace | US-Nationwide_
Job ID _2024-6568_
# of Openings _1_
Category _Field Representative (Surveyor/Consultant)_
+ Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.
+ Please view Equal Employment Opportunity Posters provided by OFCCP here.
+ The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
+ This Organization Participates in E-Verify. Click here for more information.
Source : The Joint Commission
