Federal Cms Surveyor Jobs (NOW HIRING)

The Clinical Operations Executive Assistant (LPN) to the Director of Nursing (DON) provides advanced administrative, clinical coordination, and regulatory support within a long-term care facility. This role is integral to ensuring compliance with New York State Department of Health (NYS DOH) and Centers for Medicare & Medicaid Services (CMS) requirements, including adherence to federal regulations under 42 CFR §483 (Requirements for Participation for Long-Term Care Facilities).

Acting as an extension of the DON, this position supports clinical oversight, survey readiness, quality improvement initiatives, and interdisciplinary communication to promote safe, effective, and resident-centered care.

• Provide high-level administrative and clinical support to the DON, including calendar management, regulatory meeting coordination including spearheading meeting minutes, and prioritization of clinical issues.
• Prepare and maintain survey-ready documentation, reports, policies, and meeting materials in accordance with NYS DOH and CMS standards.
• Maintain strict confidentiality in compliance with HIPAA regulations.
• Other duties as assigned

• Assist in ensuring ongoing compliance with CMS Conditions of Participation (42 CFR §483) and NYS DOH regulations for skilled nursing facilities.
• Coordinate and participate in survey preparedness activities, mock surveys, and plan of correction (POC) development.
• Track and monitor Statements of Deficiencies (Form CMS-2567) and ensure timely submission of corrective actions.
• Maintain documentation for audits, including infection control, staffing, and quality metrics.
• Other duties as assigned

• Support daily nursing operations, including staffing coordination to meet minimum staffing requirements and acuity needs.
• Assist in clinical audits (e.g., documentation, medication administration, infection control practices).
• Collaborate with unit managers to ensure compliance with care standards and documentation protocols.
• Other duties as assigned

• Support the facility’s QAPI program in alignment with CMS and NYS DOH requirements.
• Collect, track, and analyze quality indicators, including falls, pressure injuries, infections, and hospital readmissions.
• Assist in developing performance improvement plans and monitoring outcomes.
• Other duties as assigned

• Assist the Infection Preventionist and DON in maintaining compliance with infection control regulations, including CDC and CMS guidance.
• Track and report infection surveillance data and support outbreak management protocols.
• Other duties as assigned

• Serve as a liaison between the DON, interdisciplinary team members, physicians, residents, families, and external agencies.
• Support communication related to regulatory updates, policy changes, and clinical initiatives.
• Other duties as assigned

• Maintain accurate and up-to-date clinical and regulatory records.
• Generate reports related to staffing (e.g., PBJ reporting), incidents, and quality measures.
• Support electronic health record (EHR) documentation compliance and audits.
• Other duties as assigned

• Active and unrestricted Licensed Practical Nurse (LPN) license in the State of New York (required).
• Associate’s degree or higher in Nursing or Healthcare Administration preferred.

• Minimum 3–5 years of clinical experience in a skilled nursing facility or long-term care setting.
• Prior experience with regulatory compliance, survey processes, or quality improvement preferred.
• Experience supporting nursing leadership or working in a supervisory/administrative capacity strongly preferred.

• Strong working knowledge of CMS regulations (42 CFR §483) and NYS DOH requirements.
• Familiarity with survey processes, CMS-2567, and Plan of Correction (POC) development.
• Proficiency in EHR systems and Microsoft Office Suite.
• Excellent organizational, analytical, and communication skills.
• Ability to manage multiple priorities in a fast-paced, highly regulated environment.

• Long-term care/skilled nursing facility setting with frequent regulatory oversight.
• May require extended hours during NYS DOH or CMS surveys, audits, or outbreak situations.

• Reports directly to the Director of Nursing (DON).

• Regulatory and compliance-driven mindset
• Clinical knowledge applied to administrative functions
• Attention to detail and survey readiness focus
• Strong interpersonal and leadership support skills
• Ability to handle confidential and sensitive information