TJC Clinical Consultant

As a TJC Clinical Consultant for a staffing company focusing on compliance, ensure that the temporary clinical staff placed by the firm(s) and the firm's internal operations meet the stringent standards set by The Joint Commission. This role is vital for our staffing companies to maintain TJC certification and signifies a commitment to quality and patient safety. This role is crucial for our staffing firm(s) to maintain the Joint Commission's Health Care Staffing Services Certification, which signals a commitment to quality and patient safety to potential clients.

Accreditation Readiness & Compliance:

• Developing and implementing policies and procedures to ensure adherence to TJC and CMS standards for temporary clinical staff and staffing firm operations.
• Conducting mock surveys and gap analyses to identify areas needing improvement and prepare the firm and its placed staff for TJC surveys.
• Collaborating with firm staff to develop and implement corrective action plans to address any deficiencies found.
• Staying up-to-date with current TJC and CMS compliance requirements and regulations, as well as relevant state and federal laws affecting healthcare staffing.

Personnel File & Credentialing Review:

• Ensuring the completeness and accuracy of personnel files for all placed clinical staff, including verifying credentials, licenses, and background checks.
• Reviewing contracts and formal agreements with healthcare organizations to ensure TJC compliance regarding the responsibilities and oversight of placed staff.
• Confirming compliance with the organization's processes for monitoring the professional performance and skills of placed practitioners.

Performance Measurement & Quality Improvement:

• Implementing and monitoring a set of standardized performance measures specific to per diem and travel temporary clinical staff, as required by TJC certification.
• Analyzing performance data, identifying trends, and developing strategies for continuous improvement in areas like patient safety and care quality.
• Generating reports and providing feedback to the staffing firm and client healthcare organizations on compliance status and performance metrics.

Training & Education:

• Providing education and training to the staffing firm's employees on TJC standards, compliance requirements, and best practices for placing qualified healthcare professionals.
• Potentially educating client organizations on their responsibilities and expectations related to TJC compliance for temporary staff.

• Seasoned nursing or other clinical healthcare professional with a strong background in regulatory compliance and accreditation.
• 10+ years of experience, including prior roles as a Joint Commission, ACHC, or DNV surveyor, is highly desirable.
• Excellent communicator with the ability to convey technical regulations clearly and concisely.
• Honed analytical and assessment skills.
• Self-motivated, able to work independently, and collaborate effectively with others.

Kukulu LLC

Kukulu is a premier provider of healthcare workers to various military treatment facilities across the United States. With a corporate office in Honolulu, Hawaii and recruiting office in San Antonio, Texas we specialize in providing skilled, trained and highly successful healthcare workers, including RNs, CRNAs, Physicians, LPN/LVN, Licensed Social Workers, and many more.

We have a strong focus on providing our government customers with quality and superior service.

Kukulu is an equal opportunity employer and Minorities, Females, Veterans, and Disabled persons are encouraged to apply. For further information, please click the link below to view the EEO Is The Law poster.

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.

Only qualified individuals who are being considered will be contacted for an interview.