UPCOMING JOB OPENING
HEALTHCARE COMPLIANCE SURVEYOR / CLINICAL QUALITY AUDITOR
IN Saint Paul, MN, USA!

Min Hourly Rate($): 60.00

Max Hourly Rate($): 60.00



Education:

RN or allied health professional with a background in healthcare compliance, clinical quality auditing, regulatory investigations, or facility inspections.



Required License/Certifications:

• Current licensure as a Registered Nurse (RN) or other qualified allied health professional.



Required Qualifications:

• Strong clinical healthcare knowledge, including patient/resident assessments, nursing practices, treatment standards, and clinical outcomes.

• Knowledge of healthcare regulatory compliance, state laws, and rules governing healthcare providers.

• Ability to evaluate clinical records, assess care practices, identify deficiencies, and determine compliance with applicable regulations.

• Strong analytical and critical-thinking skills with the ability to interpret regulatory requirements and make sound, defensible decisions.

• Excellent written communication skills, including experience preparing detailed reports, documenting findings, and supporting regulatory conclusions.

• Strong interviewing and investigative skills, with the ability to obtain accurate information from healthcare professionals, patients/residents, and other stakeholders.

• Proficiency using multiple software applications, electronic databases, and documentation systems.

• Ability to work independently, prioritize a demanding workload, and manage multiple assignments effectively.



Preferred Qualifications:

• Previous experience in healthcare compliance, clinical auditing, regulatory surveys, quality assurance, or healthcare investigations.

• Experience conducting onsite healthcare facility inspections, provider evaluations, or regulatory compliance reviews.

• Familiarity with state healthcare regulations, correction orders, deficiency reporting, and enforcement procedures.

• Experience working in long-term care, skilled nursing facilities, assisted living, home healthcare, or other regulated healthcare environments.

• Experience preparing documentation or providing testimony in administrative or legal proceedings.



Position Summary:

We are seeking an experienced Healthcare Compliance Surveyor / Clinical Quality Auditor to evaluate healthcare providers and ensure compliance with state laws, regulations, and established standards of care. This position is responsible for conducting provider audits, performing on-site evaluations, reviewing clinical practices, documenting findings, and providing consultation and guidance to promote quality patient and resident care.

The ideal candidate will have a strong clinical healthcare background, excellent analytical and documentation skills, and the ability to interpret and apply healthcare regulations in complex situations.



Key Responsibilities:

• Conduct comprehensive audits, surveys, and evaluations of healthcare providers to assess compliance with state laws, rules, and healthcare quality standards.

• Review clinical records, patient/resident information, and provider practices to evaluate quality of care and identify potential regulatory violations.

• Gather, analyze, and document findings to determine compliance levels and support regulatory decisions.

• Prepare detailed investigative reports, audit summaries, and documentation of deficiencies, corrective actions, and compliance determinations.

• Conduct announced and unannounced onsite visits to assess provider operations and verify compliance with previously issued correction orders.

• Interview healthcare providers, patients/residents, case managers, and other relevant individuals to gather information and evaluate care practices.

• Interpret and apply state healthcare regulations, nursing standards, and clinical guidelines when evaluating provider compliance.

• Provide consultation and guidance to healthcare providers regarding regulatory requirements and corrective actions.

• Participate in legal proceedings involving correction orders, regulatory violations, and penalty assessments, presenting findings and supporting documentation as needed.

• Manage multiple investigations, audits, and competing priorities while maintaining accurate records and meeting established deadlines.

• Perform additional duties as assigned.



Key Competencies:

• Clinical Judgment: Ability to evaluate patient/resident care and determine whether clinical practices meet established standards.

• Regulatory Interpretation: Ability to apply healthcare laws, rules, and regulations consistently and objectively.

• Investigation and Documentation: Strong attention to detail when gathering evidence, interviewing individuals, and preparing accurate reports.

• Communication: Ability to communicate professionally with healthcare providers, patients, regulatory personnel, and legal representatives.

• Independent Decision-Making: Demonstrated objectivity, sound judgment, self-motivation, and confidence when addressing complex or disputed findings.

• Adaptability: Ability to handle challenging interactions, changing priorities, and high-volume workloads while maintaining professionalism.

• **Only those lawfully authorized to work in the designated country associated with the position will be considered.**

• **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**