Under the direction of the Director of Accreditation the Hospice Site Visitor plans, organizes, coordinates and conducts hospice and community based health care organization accreditation site visits in accordance with CHAP Standards of Excellence. Accreditation activities are executed in accordance with CHAP Policies and Procedures governing the hospice accreditation process. The CHAP Site Visitor ensures the protection of the confidentiality of all related site visit information except as otherwise required by law.
Represent CHAP in a professional manner
Report availability to CHAP Scheduler in established time-frame
Confirm travel arrangements in a timely manner.
Prepare for assignments as appropriate:
Review hospice agency self-study to assist in planning visit
Collaborate with team members
Complete site visit requirements and documentation, within CHAP hospice standards and Federal/CMS guidelines, in an organized, accurate, and timely manner
Site visit documentation is accurate, correct and complete, with appropriate standard citation and detailed reference to relevant evidence for the purpose of accreditation, validation; monitoring of hospice facilities; and complaint investigations
Provide technical assistance to providers regarding CHAP Hospice Standards, CMS and other requirements.
Submit required site visit documentation within required time frame
Demonstrate knowledge and application of CHAP hospice accreditation process, Standards of Excellence, State and/or Federal Regulations
Provide clarification, verification and quantification of hospice site visit findings
Participate in scheduled CHAP meetings in-service training and continuing education programs
Work independently and/or with a team of other surveyors
Performs other functions as assigned
Education, Training, and Experience
Knowledge of hospice specialty area; inspection, investigation and regulatory methods; medical terminology and coding; and the principles and operation of health care administration.
Five (5) years experience in middle to upper management position in a health care field in at least one hospice program or service accredited by Community Health Accreditation Partner (CHAP).
Bachelor’s Degree in Nursing required. Master’s Degree preferred.
Active RN license, or applicable license, to practice in home state, where required by discipline.
Superior analytical, consultative, conflict resolution, mediation, written and verbal articulation skills.
Effective critical thinking aptitude with the ability to apply and interpret CHAP Standards and Federal CMS regulations to inspections and/or evaluations of assigned sites.
Ability to work effectively as part of the accreditation team.
Successful completion of the CHAP site visitor orientation program which includes: didactic classroom, competency testing and mentored site visit.
Exceptional organizational and time management skills.
Ability to travel independently.
Excellent interpersonal skills.
Expert level proficiency with computer skills and office applications.
Requires availability of a minimum of ten site visit days per month, exclusive of travel.
This part time per diem position requires full time independent travel by air or car or other means. Due to the nature of this job, lifting of materials and equipment of up to 25 pounds is required. Extended periods of sitting/standing are required.
Speaking in fluent English is required as are excellent writing skills for written correspondence. The candidate must be able to hear, see and comprehend written documents to effectively perform this job. Extensive work on a PC and telephone, at a desk, is required.
The physical demands and work environment that have been described is representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.
Internal Number: 1033
CHAP is an independent, nonprofit, accrediting body for community-based health care organizations, which accredits nine programs and services. As the oldest national community-based accrediting body with more than 8,300 sites currently accredited, our purpose is to define and advance the highest quality of community-based care.Through “deeming authority” granted by the Centers for Medicare and Medicaid Services (CMS), CHAP has the regulatory authority to survey agencies providing home health, hospice and home medical equipment services to determine if they meet the Medicare Conditions of Participation and CMS Quality Standards. MissionCHAP defines, verifies and advances the highest quality of home and community-based care through its standards, accreditation, education and research.VisionCHAP will be the standard bearer for excellence in health outcomes, person-centered care and the health of the community.CHAP provides accreditation services for the following:• Home Health (deemed and non-deemed) • Hospice (deemed and non-deemed) • Home Medical Equipment • Pharmacy • Private Duty Nursing • Infusion Therapy Nursing • Public Health • Community Nursing Centers • Supplemental Staffing Services