Senior Nurse Consultant, Infection Prevention Compliance

Compliance Rapid Response Senior Nurse Consultant

The primary purpose of the Compliance Rapid Response Senior Nurse Consultant is to support long-term care centers in achieving and sustaining regulatory compliance by conducting mock surveys, identifying areas of risk, and guiding teams through proactive quality improvement. This role is critical in preparing facilities for state and federal inspections and ensuring delivery of high-quality, person-centered care.

Conduct Rapid Response aligned with CMS and state regulatory standards, including clinical, environmental, and life safety areas.

Review clinical documentation (MDS, care plans, assessments, medication administration records) for accuracy and compliance.

Coach and educate facility teams – including Administrators, Directors of Health Service, and Interdisciplinary teams on survey processes compliance expectations and documentation standards.

Assist with the development and implementation of Plans of Correction and ongoing Quality Assurance Performance Improvement strategies.

Monitor follow-up on previous survey deficiencies to ensure sustained compliance.

Provide real-time feedback, modeling, and mentoring during survey readiness walkthroughs.

Participate in regulatory readiness calls, trainings, and clinical leadership meetings.

Stay connected with CMS regulations, interpretive guidance, and best practices in long term care compliance.

Comprehensive understanding of CMS State Operations Manual, particularly F-tags.

Strong grasp of infection prevention and control, abuse prevention protocols, pressure injury staging, psychotropic medication monitoring and resident rights.

Familiarity with electronic health record and documentation best practices.

Training and facilitation skills to support knowledge transfer and behavior change.

Proficiency in preparing survey readiness tools, tracking systems, and summary reports.

Ability to foster a non-punitive, solutions-focused environment during mock survey (Compliance Verification).

Ability to work both independently and collaboratively across multiple facilities.

Ability to manage competing priorities and travel to various facilities as needed.

Graduate of an accredited educational institution with a degree in Nursing. Continuing education in regulatory compliance, infection control, or Quality Assurance Performance Improvement is a plus.

Minimum of 3-5 years of clinical experience in a long-term care or skilled nursing facility. At least 2 years of leadership experience (Director of Health Services, Assistant Director of Nursing, Quality Nurse, or Clinical Consultant). Prior experience conducting mock surveys or participation in state/federal survey processes (preferred). Familiarity with Plans of Correction, Quality Assurance Performance Improvement programs and compliance audits.

Must possess an active Registered Professional Nursing License (multi-state) • Infection Preventionist certification preferred, but not required • CPR Certification

Ability to analyze data, identify trends and implement improvement strategies • Strong understanding of care coordination, patient experience and quality improvement principles • Ability to lead and manage teams across multiple locations • Communication, leadership, and interpersonal skills

As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status.