Director of Skilled Nursing Regulatory & Compliance

Teton.ai

3d•Remote

About The Position

Teton is seeking a senior authority on federal and state skilled nursing facility (SNF) regulation to translate regulatory knowledge across all 50 states into its product. The role will help ensure Teton's platform supports operators in meeting Requirements of Participation, performing well on surveys, and protecting residents. The Director will work across product, clinical, legal, and customer teams, shaping product development, how insights are positioned, and how operators use Teton to remain survey-ready. The Director will interpret federal and state regulation for product development, advise on compliant deployment of in-room sensing and AI, support client compliance outcomes, and build internal regulatory expertise. The position is remote in the US, with estimated travel of 10% as needed for client meetings.

Requirements

At least 5 years of direct involvement in compliance and regulatory oversight for skilled nursing facilities, ideally at the regional or national level for a multi-state operator.
Expert, current knowledge of 42 CFR Part 483, SOM Appendix PP, F-tags, the long-term care survey process, and enforcement remedies.
Working knowledge of state SNF licensure and regulatory requirements across multiple states, including differences in state survey agency practices.
Track record of leading survey readiness, Plans of Correction, mock surveys, and compliance programs across a portfolio of facilities.
Familiarity with incident and abuse reporting, resident rights, HIPAA, and OIG compliance program guidance for nursing facilities.
Ability to explain complex regulations clearly to clinicians, engineers, and executives.

Nice To Haves

Active RN license or Nursing Home Administrator (NHA) license.
Compliance certification such as CHC, CHC-LTC, or CHPC.
Former state surveyor or CMS experience.
Experience translating regulatory knowledge into technology, including working with product or engineering teams, defining requirements, or reviewing software or AI features.
Client-facing experience in a consulting, health tech, or software vendor role serving SNF operators.
Knowledge of electronic monitoring, camera, and privacy laws in long-term care settings.

Responsibilities

Serve as Teton's subject-matter expert on 42 CFR Part 483, the State Operations Manual Appendix PP, F-tags, and the long-term care survey process.
Build and maintain a state-by-state view of SNF licensure rules, staffing requirements, incident reporting, resident rights, privacy and monitoring regulations, and state survey practices.
Map platform observations—including falls, supervision, rounding, call response, behaviors, and staffing patterns—to applicable regulations and supported F-tags.
Define compliance requirements with product, data science, and engineering teams; review features and validate that outputs support regulatory obligations.
Track CMS rule changes, survey guidance updates, minimum staffing developments, and state legislative and regulatory changes, and turn them into roadmap input.
Advise on deployment of in-room sensing and AI in each state, including resident consent, privacy, electronic monitoring laws, and HIPAA.
Partner with legal and security teams on policies, documentation, and contract language related to SNF regulation.
Ensure Teton's documentation and insights can withstand scrutiny from surveyors, state agencies, and auditors.
Help SNF operators' compliance officers, administrators, Directors of Nursing, and regional leaders use Teton to stay survey-ready and support Plans of Correction.
Quantify impact on survey results, deficiency citations, incident reporting, quality measures, and Five-Star health inspection ratings.
Represent Teton at industry events and with clients, asset owners, regulators, and partners as a credible compliance voice.
Train commercial, customer success, and product teams on SNF regulation and survey fundamentals.
Create state compliance playbooks and a repeatable process for launching Teton in new states.