Regional Clinical Specialist

The Regional Clinical Specialist will serve as an advisor, trainer, educator and auditor and will assist and support the facility Administrator, Director of Nursing, Medicare Coordinator and Assessment Nurses. The Regional Clinical Specialist is responsible for reviewing the operational systems of the facility, the maintenance of records and personnel to promote adequate level of care to facility residents. The Regional Clinical Specialist will review Medicare and Medicaid claims for appropriate reimbursement. The Regional Clinical Specialist is there to assist with the hiring of managers in an advisory capacity only.

This position supports locations in the greater Houston area and Beaumont. Candidates must reside within one of these locations.

• Promote effective interdisciplinary communication and collaboration among facility leadership, clinical staff, and corporate support teams.
• Meet with the Administrator or designee upon arrival at each facility to communicate the purpose of the visit and provide updates to the Administrator, Director of Nursing, Coordinator, Assessment Nurse, and other pertinent staff regarding findings throughout the visit.
• Communicate findings and recommendations with the Administrator, Director of Nursing, or designee at the conclusion of each visit. Assist the facility in developing, implementing, and following up on Plans of Correction to address identified deficiencies. Plans of Correction must include observations, record reviews, and interviews, as applicable.
• Prepare and distribute written reports documenting findings and recommendations to QA Consultants, the Director of Nursing, Administrator, and other relevant facility staff.
• Review consultant reports, regulatory reports (e.g., Form CMS-2567, Quality Monitoring reports, and Quality Indicators), facility quality assurance reports, Simple CFS reports, and resident clinical records to evaluate compliance and identify opportunities for improvement.
• Review Reimbursement Binders and supporting documentation to promote accurate reimbursement and regulatory compliance.
• Participate in corporate quality assurance initiatives and quarterly Policy/Forms/QA Committee meetings, contributing to the development, review, and revision of facility policies and procedures to support regulatory compliance and best practices.
• Provide training and education to Medicare Coordinators, Assessment Nurses, and other pertinent facility staff. Research and recommend effective training methods, materials, and resources.
• Assist with the evacuation of residents during emergency situations, as necessary.
• Support resident well-being and quality of care through initiatives that promote positive resident outcomes and census growth.
• Support staff recruitment, training, development, and retention to strengthen facility teams.
• Participate in mock surveys.
• Perform other duties as assigned by the supervisor.

• Bachelor’s degree preferred
• Must possess a current Texas RN license
• Experience in a skilled nursing facility is required

Physical Job Requirements:

Lifting 1–25 lbs - Frequent
Lifting 25-50 lbs – Occasionally
Lifting 50+ lbs - Rarely

Carrying 1–25 lbs - Frequent
Carrying 25–50 lbs – Occasionally
Carrying 50+ lbs – Rarely

Pushing / Pulling 1–25 lbs - Frequent
Pushing / Pulling 25-50 lbs – Occasionally
Pushing / Pulling 50+ lbs – Rarely

Sliding / Transferring 1–50 lbs - Frequent
Sliding / Transferring 25-50 lbs – Occasionally
Sliding /Transferring 50+ lbs – Rarely
Standing / Walking / Reaching – Frequent
Sitting – Occasionally
Balancing / Climbing – Occasionally
Crouching / Crawling – Rarely
Speaking / Hearing / Seeing - Frequently
Turning / Twisting / Leaning / Stooping / Kneeling – Frequently
Driving – Frequently