Regulatory Compliance
- Advising on CMS, HIPAA, OSHA, and Indiana Department of Health requirements.
- Performing compliance audits and internal assessments.
- Developing corrective action plans for identified deficiencies.
- Providing ongoing readiness for state and federal inspections.
Policy and Procedure Development
- Creating and revising operational and clinical policies.
- Aligning policy frameworks with accreditation and legal standards.
- Delivering staff training and documentation templates.
Accreditation Preparation and Support
- Full readiness assessments for Joint Commission, CARF, DNV, and state-level accreditation.
- Conducting mock surveys and reviewing documentation and policies.
- Developing corrective action plans and staff education sessions
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