Registered Nurse/ Nurse Consultant I
Core
Conduct on-site surveys and office reviews to license and certify healthcare providers and suppliers for State Licensure and Medicare/Medicaid reimbursement programs.
Role type
Regulatory compliance nurse consultant
Builds
State licensure program participation and Medicare/Medicaid certification for healthcare facilities
Domain
Healthcare regulation and compliance
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Nursing process (assessment, planning, implementing, evaluation), Healthcare organization and management principles, State statutes and licensure rules, Federal standards for Medicare/Medicaid, Compliance investigation, Regulatory interpretation, Documentation
Preferred skills
Professional nursing principles, Intermediate computer skills (Windows, MS Office, data management), Survey and complaint investigation techniques
Responsibilities
Conduct standard surveys of healthcare facilities, Review documentation for compliance, Investigate complaints regarding facility standards, Determine compliance with State and Federal guidelines, Document compliance information, Assess provider participation in reimbursement programs