Director of Skilled Nursing – Regulatory & Compliance

This is a fully remote position, open to applicants in United States.

📋 Description

• Act as Teton's expert on 42 CFR Part 483, the State Operations Manual Appendix PP, F-tags, and the long-term care survey process.

• Develop and maintain a comprehensive state-by-state overview of SNF licensure regulations, staffing requirements, incident reporting, resident rights, privacy, monitoring regulations, and state survey practices.

• Correlate platform observations such as falls, supervision, rounding, call response, behaviors, and staffing trends with relevant regulations and F-tags.

• Establish compliance requirements in collaboration with product, data science, and engineering teams; assess features and confirm regulatory compliance.

• Monitor CMS rule modifications, survey guidance updates, minimum staffing changes, and state legislative and regulatory developments for roadmap contributions.

• Provide guidance on the implementation of in-room sensing and AI technologies, addressing resident consent, privacy issues, electronic monitoring laws, and HIPAA compliance.

• Collaborate with legal and security teams on policies, documentation, and contractual language related to SNF regulations.

• Ensure that documentation and insights can withstand scrutiny from surveyors, state agencies, and auditors.

• Assist SNF operators in utilizing Teton to maintain survey readiness and support Plans of Correction.

• Measure the impact on survey outcomes, deficiency citations, incident reporting, quality metrics, and Five-Star health inspection ratings.

• Represent Teton at industry conferences and engagements with clients, asset owners, regulators, and partners.

• Educate commercial, customer success, and product teams on SNF regulations and survey principles.

• Develop state compliance playbooks and establish a repeatable process for Teton's launch in new states.

⛳️ Requirements

• Over 5 years of direct experience in compliance and regulatory oversight for skilled nursing facilities, preferably at the regional or national level with a multi-state operator.

• In-depth, current knowledge of 42 CFR Part 483, SOM Appendix PP, F-tags, the long-term care survey process, and enforcement remedies.

• Familiarity with state SNF licensure and regulatory requirements across various states, and an understanding of how state survey agencies operate differently.

• Proven experience in leading survey readiness initiatives, Plans of Correction, mock surveys, and compliance programs across a range of facilities.

• Knowledge of incident and abuse reporting, resident rights, HIPAA, and OIG compliance program guidelines for nursing facilities.

• Ability to communicate complex regulations clearly to clinicians, engineers, and executives.

• Active RN license or Nursing Home Administrator (NHA) license required.

• Compliance certification such as CHC, CHC-LTC, or CHPC is preferred.

• Previous experience as a state surveyor or with CMS.

• Experience in translating regulatory knowledge into technology, including collaboration with product or engineering teams, defining requirements, or evaluating software or AI functionalities.

• Client-facing experience in a consulting, health tech, or software vendor role serving SNF operators.

• Understanding of electronic monitoring, camera, and privacy laws in long-term care environments.

🏝️ Benefits

• Competitive salary.

• Equity opportunities.

• Comprehensive benefits.

• Direct impact on product strategy within a rapidly growing, venture-backed organization.

• Commitment to enhancing resident safety, reducing caregiver burdens, and ensuring more predictable operations for providers.