Compliance - Accreditation and Licensure Specialist

Nuclear Care Partners•Grand Junction, CO

8d•$31 - $35•Onsite

About The Position

The Accreditation and Licensure Specialist supports Nuclear Care Partners’ compliance with relevant state and federal regulations, accreditation standards, and company policies and procedures. The role promotes a positive compliance culture through ethical conduct, clear communication, education, and consistent completion of duties. It is a non-exempt position reporting to the Vice President of Clinical Compliance. The specialist collaborates with departments and branch teams to prepare for surveys, meet licensure and accreditation standards, and respond to external surveyors. The role provides training and guidance on clinical documentation, state and ACHC standards, survey processes, policies, and compliance concerns. It independently conducts and documents annual ACHC mock surveys, tracks survey findings and plans of correction, monitors corrective actions, and contributes to audits, quality-management meetings, and quality improvement initiatives. The specialist also investigates patient complaints and grievances, maintains state health department licenses and timely applications and renewals, and participates in policy committees and other task forces. This is an onsite position with office hours from 8 AM to 5 PM MST. The hourly pay range is $31–$35, depending on previous experience.

Requirements

Minimum of 3 years of healthcare compliance or relevant experience.

Nice To Haves

Previous experience with external surveys or audit teams, state health departments, or accreditation surveyors is highly desired.
Certifications relevant to the job duties will be considered.
ACHC Home Care consultant certification is desired.
An associate or bachelor’s degree in a related field is preferred.

Responsibilities

Collaborate with departments and teams to manage survey preparedness and meet license and accreditation standards.
Promote a culture of compliance through ethical actions, work product, communication, education, and adherence to company policies and procedures.
Understand clinical documentation requirements related to state and ACHC standards and educate employees on clinical expectations.
Serve as a primary compliance resource for branch leaders and employees with questions or concerns about surveys, state or ACHC standards, quality, policies, or compliance.
Provide accurate, relevant, high-quality training on licensure and survey standards and processes to clinical and departmental audiences.
Support branch locations, leaders, and other departments during external state or ACHC surveys, including providing requested policies and assisting with surveyor questions.
Independently schedule, conduct, document, and report on annual ACHC mock surveys at all locations.
Track actual state, complaint, and ACHC surveys, including meaningful details, SOD, and POC.
Educate, support, and facilitate action plans or plans of correction for mock and actual state or ACHC surveys.
Monitor branch implementation of plans of correction and provide guidance.
Collaborate with Quality and Audit Specialists to identify elevated-risk audit areas or concerns related to ACHC accreditation or state standards, and review audit results.
Participate in and complete audits, including admission and quarterly audits, according to established standards and expectations.
Participate in branch-level quality management meetings, provide input on action-plan progress or new focus areas, and assist with QI/PI initiatives as needed.
Review and investigate patient complaints; ensure compliance with patient rights and policies; and track, resolve, and report patient grievances.
Track external and internal survey elements in the corporate compliance plan, track results, and routinely report them to the supervisor.
Support communication and education when policies or procedures change due to state or ACHC standards, with supervisor oversight.
Manage state health department licenses and ensure correct, timely application submissions, including new-state applications and renewals, with supervisor oversight.
Participate in the policy and procedure committee and help ensure policies meet state and ACHC standards.
Participate in task forces and committees as requested.
Perform other duties as assigned.