Clinical Quality & Regulatory Consultant

Job Summary

The Clinical Quality & Regulatory Consultant partners with skilled nursing facilities, long-term care organizations, and post-acute providers to improve quality, strengthen compliance, and prepare for regulatory surveys. This role combines consultative support, staff education, and regulatory expertise to guide facilities in achieving sustainable improvements. The consultant supports leadership and frontline staff by providing mock surveys, QAPI coaching, policy and process reviews, risk analysis, and high-risk incident response, with a focus on building confidence and compliance culture.

Essential Duties and Responsibilities

• Conduct mock surveys using CMS / state protocols, providing constructive feedback, staff interviews, and real-time coaching.
• Perform observations and record reviews (care plans, QAPI documentation, policies, incident reports) to identify compliance risks and teach staff how surveyors evaluate facilities.
• Lead educational debriefings and staff in-services, celebrating strengths and addressing compliance gaps in plain language.
• Support QAPI program development, including root cause analysis (RCA), data tracking, corrective action plans, and follow-up reviews.
• Provide consultative guidance on clinical quality improvement, including infection control, falls prevention, wound care, medication management, and other high-risk areas.
• Assist with policy and procedure development, review, and alignment with regulatory requirements.
• Conduct risk assessments and incident reviews, supporting facilities in developing sustainable corrective strategies.
• Partner with facility leadership on process improvement initiatives to reduce deficiencies, improve outcomes, and strengthen compliance culture.
• Deliver written reports and recommendations that are practical, measurable, and sustainable.
• Stay current on CMS regulations, QSO memos, and state survey protocols, bringing timely updates and best practices to clients.

Knowledge, Skills & Abilities

Education, Experience, & Licensing Requirements

Education

Experience

Travel Requirements

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

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