Reviewer-Orthopedic Disease Specific Care

Overview

Field Representatives, with minimal direction or supervision, survey and/or review health care organizations throughout the United States. Field Representatives apply sophisticated analysis skills and inductive reasoning skills to determine a health care organization's degree of compliance with applicable standards and functionality of care delivery systems. Field Representatives to apply their knowledge to assess risk points in organizations. Field Representatives must have the credentials, professional demeanor, and expertise to earn the respect of the health care organizations' staff and leadership. They must be able to employ advanced communication skills to engage health care organization staff in interactive dialogues on a broad array of health care issues in order to assess compliance and to identify opportunities for improving compliance. Field Representatives must have superior written communication skills to prepare detailed, accurate management reports that clearly link individual standards deficiencies with potential systems vulnerabilities and related organization risk points. Field Representatives must be able to professionally and effectively communicate survey results to health care organization leadership in a constructive and collegial style. They must possess sound understanding of High Reliability, Robust Process Improvement and Culture of Safety. They must be able to utilize their time effectively and efficiently by employing RPI tools in their daily activities. Field Representatives must be able to work effectively and collaboratively as a team member. Field Representatives are also required to participate in other Joint Commission activities as assigned.

Responsibilities

 Position Accountabilities:

• Ability to analyze and synthesize survey/review findings to provide conclusions, recommendations and educational opportunities.
• Ability to connect PRINCIPAL DUTIES AND RESPONSIBILITIES: Field Representatives must be able to perform the following essential job duties and functions:
  • Learn, understand, retain, explain and objectively apply Joint Commission standards, which includes continual updating and retraining about state-of-the-art care, processes and technologies that are approved by the Joint Commission's Board of Commissioners.
  • Maintain current knowledge of, apply and follow:
  • Joint Commission policies and procedures to ensure that its mission is achieved.
  • Relevant, contemporary knowledge in professional field of expertise; and
  • Applicable regulations pertinent to the survey.
  • Exercise independent judgment to conduct a thorough evaluation of assigned services and programs that meet accreditation and certification eligibility criteria, including without limitation the following:
  • Review and evaluate pre-survey/pre-review information and conduct all pre-survey/pre- review activities. This includes using organization-specific information and selecting appropriate patient records to identify diverse patient populations, diagnoses and experiences.
  • Conduct a thorough analysis of risk to patients, staff and/or visits within care delivery systems
  • Thoroughly evaluate patient care environments to assess health care organizations' operations and standards compliance.
  • Interview staff and patients to determine health care organizations' level of compliance with Joint Commission standards.
  • Detect and interpret environmental cues of relevance to the evaluation of health care organizations' operations and standards.
  • Conduct a thorough and credible evaluation of assigned services that meet life safety requirements, environment of care and emergency management standards, as necessitated by the type of survey assignment.
  • Accurately place all identified risk points in/on the SAFER matrix.
• In response to patient-centered evaluation activities, analyze policies, procedures, meeting minutes, clinical standards, protocols, patient records, employee records, committee reports, to assess the level of compliance with Joint Commission standards, implementation of policies, evidence of performance improvement, and quality and safety of care.
• Using Joint Commission's established survey/review process, exercise independent judgment and discretion as follows:
  • Participate in and conduct required on-site activities, including without limitation inspections, required conferences, tours and interviews with staff.
  • Review and interpret all data submitted by the organization.
  • Document observations in a thorough, accurate manner utilizing applicable survey technology. Uses MST application in real-time and finalizes reports in a timely manner each day.
  • Provide appropriate documentation to guide health care organization improvement activities, including a comprehensive rationale for any observations.
  • Link each observation to potential system-level vulnerabilities and opportunities for organizational improvements in patient care and safety.
  • Educate the organization during surveys or reviews concerning potential risks to patients, staff and/or visitors when identified, clarify opportunities for improvement, and remedial action required.
  • Provide ample opportunity for discussion and clarification of potential findings to allow organizations to provide evidence of compliance or to reach an understanding of the organizational risk.
  • As appropriate, offer examples of best practices relating to identified opportunities for improvement, recommend publications and other Joint Commission resources that clarify standards and / or demonstrate compliance with standards.
  • Report survey/review findings in a complete, accurate, understandable, and timely manner.
• Interpret and explain the intent of standards to each health care organization's personnel in a detailed, constructive, professional manner, and audience centered. This often includes the ability to communicate negative information in a constructive manner.
• Exercise appropriate judgment to seek assistance from others, including Central Office, the Field Director on call, the program specific Field Director, the Standards Interpretation Group, or the Accreditation and Certification Operations leadership as appropriate.
• Assist the Central Office in responding to standards interpretation questions from the field, analysis of periodic performance reviews, evidence of standards compliance reports, complaints, and Medicare out-of-compliance reports.
• Collaborate in a productive manner with colleagues to ensure that the mission of the Joint Commission is achieved, including conducting interactive evaluation sessions with staff on high-profile issues in health care and offering relevant consultation where improvement is needed.
• Provide regular and timely attendance.
• Travel extensively, including travel on weekends, always of the day/night, and sometimes without prior notice, travel by automobile and on airplanes of all sizes, and travel in all weather conditions. Field representatives must be able travel to all types of airports and in whatever type of ground transportation is necessary to enable them to timely perform their duties.
• Follow customers' safety policies when on site, including following requested safety measures (e.g., wearing appropriate protective clothing or equipment) provided that such policies are not in conflict with Joint Commission policies.
• Complete all applicable administrative responsibilities, including:
  • Accurate peer evaluations;
  • Staff education and development programs;
  • Preparation for on-site survey/review;
  • Interactions with Standards Interpretation Group; and
  • Participation in meetings with and presentations to Accreditation Committee as requested.
• Perform other duties as assigned, including, but not limited to:
  • Participate in special projects.
  • Assist in developing, writing and testing standards, scoring guidelines and the survey and review processes, and provide recommendations for improvement.
  • Serve on corporate committees, such as the Surveyor Advisory Committee.
  • Perform team leader responsibilities when designated as team leader.
  • Serve as faculty for field representative education and/or field education programs.
  • Conduct surveys and reviews in all accreditation/certification programs, across all settings.
  • Serve as a preceptor for field representatives and adheres to the behavioral objectives in the course agreement.
  • Serve as mentor for on-going field representative development.

Qualifications

Field Representatives must have the following essential knowledge, credentials, characteristics and abilities:

Education:

• Physicians must have a degree of Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.).
• Nurses must have graduated from an approved school of nursing and have a master’s degree in an appropriate discipline.
• Other health care practitioners must have an advanced degree (Master's or Doctorate) in their related field. (PA, OT, PT)

Certification/Licensure:

• Clinicians performing any aspect of accreditation, certification, or verification reviews and surveys must have an active license, registration, and/or certification, as applicable to the, without any disciplinary action at the time of hire and throughout their employment with The Joint Commission.
• Certification requirement: You must hold a CPHQ certification (Certified Professional in Healthcare Quality) through National Association for Healthcare Quality (NAHQ) at time of hire or attain by December 31, 2028.

General Knowledge and Experience:

• Five years of recent experience, including 3 years of direct clinical experience in orthopedics, and 2 years of accreditation or certification leadership or senior management experience. Recent experience as a consultant to health care organizations may be considered.
• Contemporary knowledge of and experience in health care operations, clinical practice, use of performance improvement methods to assess organizational performance, and current research and trends relative to health care practices.
• Experience in an accredited health care organization is preferred.
• Experience, including direct involvement, in healthcare accreditation surveys preferred.
• Knowledge of Joint Commission standards and direct involvement with a minimum of two Joint Commission surveys preferred.
• Involvement in or familiarity with the Disease Specific Care Certification programs for Orthopedics

Physical Abilities:

• Must be able to observe, in real time and without slowing or otherwise interrupting the progress of all applicable types of ongoing health care treatment (e.g., including emergency treatment, treatment during weather and other extreme situations, etc.).
• Standing for long periods of time, walking lengthy distances, lifting, climbing, stooping, pulling, and pushing in order to adequately inspect and observe all medical facilities, equipment and procedures, such as emergency exit procedures, remote storage facilities, any areas where cleanliness may affect the possibility of infection, medical equipment, etc., including the following activities:
  • walking up and down stairways (e.g., to test escape routes, assess safety of emergency exits, regulatory compliance, etc.);
  • removing obstructed covers or impediments to equipment or other mechanical areas;
  • examining small and often dirty printed labels and print on equipment.
• Must be able to engage in extensive travel as set forth above, including driving a car to remote locations, flying on small airplanes and into small airports, traveling in all types of weather conditions, etc.
• Must be able to work in settings in which dust, allergens, and infectious diseases are present.

Availability:

• Participates in all on-line, webinar and face-to-face training including New Field Representative Orientation on-site at Central Office as required.
• Completion of up to six surveys with a preceptor in order to demonstrate an understanding of the Joint Commission's standards and their interpretation, survey and review processes, survey and review technologies, presentation techniques, general policies and procedures, and organization structure.
• Ongoing participation in continuing education activities, including those sponsored by the Joint Commission, (e.g., conferences, in-person meetings, teleconferences, self-directed learning activities, distance learning programs, and special conferences).
• Must be available as required by the demands of any applicable employment status, whether full-time, part-time, or intermittent, which standards are subject to change from time to time.
• Weekend travel, when required by assignments or situations.

We are currently hiring for part - time positions. Part-time positions:   Must be available to work 2 weeks (.48 FTE) or 3 weeks (.7 FTE) per month.  We also will consider intermittent (.14 FTE - 3 consecutive days every month, after orientation).  All positions require 100% domestic travel.

***We are currently hiring for our next orientation class scheduled for February 2, 2026.

The Joint Commission offers a comprehensive benefits package. For an overview of our benefits package, please visit our Joint Commission Career Page

This job description is intended to describe the general nature and level of work performed by an employee assigned to this position.  The description is not an exhaustive list of all duties, responsibilities, knowledge, skills and abilities, and working conditions associated with this position.  All requirements are subject to possible modification due to business needs and/or reasonable accommodations for individuals with disabilities.

Min

USD $112,000.00/year

Max

USD $112,000.00/year