Job Overview
We are seeking a highly motivated and detail-oriented Joint Commission Readiness Consultant-RN to lead healthcare organizations through compliance and accreditation processes with the Joint Commission. This vital role involves assessing current practices, developing strategic plans, and ensuring that all clinical operations meet rigorous standards for quality, safety, and patient care. The ideal candidate will possess a strong nursing background, exceptional organizational skills, and a passion for elevating healthcare excellence. Join us to make a meaningful impact on patient outcomes and organizational performance!
Responsibilities
- Conduct comprehensive assessments of clinical settings to evaluate compliance with Joint Commission standards and NCQA guidelines.
- Develop tailored action plans to address gaps in policies, procedures, and clinical practices, ensuring readiness for accreditation surveys.
- Collaborate with multidisciplinary teams including nursing staff, physicians, administrative personnel, and quality improvement teams to implement best practices.
- Provide education and training on regulatory requirements, documentation standards, and safety protocols specific to various healthcare environments such as hospitals, outpatient clinics, long-term care facilities, and assisted living communities.
- Assist in preparing documentation, policies, and procedures necessary for successful accreditation surveys; facilitate mock surveys to simulate the process.
- Monitor ongoing compliance through audits, data analysis, and continuous quality improvement initiatives aligned with NCQA standards and other regulatory frameworks.
- Stay current with evolving healthcare regulations including HIPAA, infection control protocols, ICD coding updates (ICD-10/ICD-9), and other relevant legislation impacting accreditation.
Qualifications
- Registered Nurse (RN) license in good standing with active clinical experience in diverse settings such as acute care hospitals, critical care units (ICU/PICU), emergency rooms, or long-term care facilities.
- Demonstrated expertise in hospital medicine, emergency medicine, trauma medicine (Level I & II trauma centers), or specialized fields like cardiology or ophthalmology.
- Strong knowledge of healthcare quality standards including NCQA standards, infection control practices, HIPAA regulations, and medical documentation requirements.
- Experience working with EMR/EHR systems such as Epic, Cerner or Athenahealth is preferred.
- Familiarity with medical coding (ICD-10/ICD-9), CPT coding, laboratory procedures, specimen collection/processing, and aseptic techniques.
- Excellent communication skills for training staff and conducting assessments; ability to work collaboratively across disciplines.
- Proven ability to analyze complex clinical data and develop actionable improvement plans.
- Prior experience in hospital or post-acute care settings such as skilled nursing facilities or hospice is highly desirable. Join our team to lead healthcare organizations toward excellence! Your expertise will help ensure safe patient environments while advancing compliance initiatives that make a real difference in community health outcomes.
Job Type: Contract
Pay: $40.00 per hour
Expected hours: 10 per week
Work Location: Hybrid remote in Wilmington, DE 19805
