teton - Director of Skilled Nursing Regulatory & Compliance
Requirements
• 5+ years of direct involvement in compliance and regulatory oversight for skilled nursing facilities, ideally at the regional or national level for a multi-state operator. • Expert, current knowledge of 42 CFR Part 483, SOM Appendix PP, F-tags, the LTC survey process and enforcement remedies. • Working knowledge of state SNF licensure and regulatory requirements across multiple states, and how state survey agencies differ in practice. • Track record of leading survey readiness, Plans of Correction, mock surveys and compliance programs across a portfolio of facilities. • Familiarity with incident and abuse reporting, resident rights, HIPAA and OIG compliance program guidance for nursing facilities. • Clear communicator who can explain complex regulations to clinicians, engineers and executives alike. • Active RN license, or a Nursing Home Administrator (NHA) license. • Compliance certification such as CHC, CHC-LTC or CHPC. • Former state surveyor or CMS experience. • Experience translating regulatory knowledge into technology: working with product or engineering teams, defining requirements, or reviewing software or AI features. • Client-facing experience in a consulting, health tech or software vendor role serving SNF operators. • Knowledge of electronic monitoring, camera and privacy laws in long-term care settings.
Responsibilities
• Translate regulation into product • Serve as Teton's subject-matter expert on 42 CFR Part 483 (Requirements of Participation), the State Operations Manual Appendix PP, F-tags and the long-term care survey process. • Build and maintain a state-by-state view of SNF licensure rules, staffing requirements, incident reporting, resident rights, privacy and monitoring regulations, and state survey practices. • Map what Teton's platform observes (falls, supervision, rounding, call response, behaviors, staffing patterns) to the regulations and F-tags it supports, such as accidents and supervision, quality of care, and sufficient staffing. • Define compliance requirements with product, data science and engineering; review features and validate that outputs support, and never undermine, regulatory obligations. • Track CMS rule changes, survey guidance updates, minimum staffing developments, and state legislative and regulatory changes, and turn them into roadmap input. • Protect Teton and our clients • Advise on how in-room sensing and AI must be deployed in each state, including resident consent, privacy, electronic monitoring laws and HIPAA. • Partner with legal and security on policies, documentation and contract language tied to SNF regulation. • Make sure Teton's documentation and insights hold up to surveyor, state agency and auditor scrutiny. • Drive client outcomes • Help SNF operators' compliance officers, administrators, DONs and regional leaders use Teton to stay survey-ready and support Plans of Correction. • Quantify impact on survey results, deficiency citations, incident reporting, quality measures and Five-Star health inspection ratings. • Represent Teton at industry events and with clients, asset owners, regulators and partners as a credible compliance voice. • Build internal capability • Train Teton's commercial, customer success and product teams on SNF regulation and survey fundamentals. • Create state compliance playbooks and a repeatable process for launching Teton in new states.
Benefits
• Define how AI supports regulatory compliance in skilled nursing, as the first senior leader in this function. • Direct influence on product strategy at a fast-growing, venture-backed company. • A mission that matters: safer residents, less burden for caregivers, more predictable operations for operators. • Competitive salary, equity and benefits.
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