Qsource ยท 1 month ago
Clinical Quality & Regulatory Consultant
Cincinnati, OH
Full-time
Onsite
Senior Level
5+ years expQsource is a company that partners with skilled nursing facilities and long-term care organizations to enhance quality and compliance. The Clinical Quality & Regulatory Consultant is responsible for providing consultative support, conducting mock surveys, and guiding facilities in achieving sustainable improvements in quality and compliance.
ConsultingHealth CareNon ProfitQuality Assurance
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
Qualification
Required
High School diploma or equivalent required
Registered nurse license in good standing required
Prior experience as a State Surveyor, DON, Administrator, or Consultant required
Minimum of 5 years of experience in long-term care compliance, survey process, or quality improvement
RN, LNHA, or equivalent clinical/administrative background with survey and compliance experience
Skilled in root cause analysis (RCA), QAPI coaching, and staff development
In-depth knowledge of CMS F-Tags, QAPI, infection prevention, behavioral health requirements, and regulatory compliance
Strong educator and facilitator able to train, coach, and mentor staff at all levels
Proficient computer skills (MS Word, Excel, PowerPoint)
Excellent oral, written, and customer service-oriented communication skills
Excellent and demonstrated critical thinking ability
Excellent organizational skills with the ability to respond to and coordinate multiple activities simultaneously under short time frames
Customer service-oriented when working with internal and external customers
Consultative Coaching: Guides facilities through compliance in a positive, educational manner
Regulatory Expertise: Deep knowledge of CMS/state requirements and best practices
Quality & Risk Management: Skilled in identifying risks and building sustainable improvement strategies
Communication: Effective trainer and communicator across all staff levels
Ability to provide objective, constructive feedback that supports growth and improvement
Process Improvement: Uses RCA, audits, and QAPI to drive measurable outcomes
Strong educator and coach who can simplify regulations for frontline staff
Excellent communication and interpersonal skills; able to guide without intimidation
Travel of up to 50% is required to meet with clients and potential customers, attend industry events, and participate in in-person meetings or corporate functions as needed
Flexible working hours, including evenings and weekends, may be required based on customer needs and business demands
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
Employee will constantly communicate with others regarding employment-related information or instruction and must be able to exchange accurate information in these situations
This role requires constant use of standard office equipment, such as computers and telephones, to receive and share information
Employee must be able to read and interpret information displayed on a computer screen
Employee must be able to remain in a stationary position for extended periods of time
This role occasionally requires the employee to lift light objects up to 25 pounds
Preferred
Bachelor's degree in nursing, Healthcare Administration, or a related field
Company
Qsource
Qsource assists organizations and providers in improving healthcare quality and delivery with better patient outcomes and cost savings.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Mary-Lyn Baldauf
Chief Executive Officer
Ann Lewis
Chief Operating Officer
Company data provided by crunchbase