ResponsibilitiesCandidates must prepare to travel frequently to various locations, as on-site presence is critical to the role's responsibilities listed below.
Regional Operations Partnership
- Direct support of approximately 10-15 SCAH facilities or up to 2 regions
- Conduct routine meetings with regional operations leads to ensure coordination and communication of clinical-quality initiatives
- Present clinical data for regional MORs
- Participate in MAP process at the facility level
Accreditation and Regulatory Readiness Support
- Assist with access to NHSN, DPH regulatory reporting platforms, etc.
- Ensure access/use of SCT core compli Regulatory & Accreditation support platform
- Act as liaison with SCAH teammates in and outside group to consult and share resources, policies and tools and knowledge
- Forward new requirements, bills, etc. from compliance to facilities
- Assist with coordination of activities for facilities adopting MCN policy platform
Safety Event Management
- Assist/Activate Apparent Cause Analysis (ACA) Process
- Assist/Activate RCA process (3 mtgs) - provide guidance for entering and closing out RCA files
- Educate facility leaders on strong and sustainable action items to drive patient safety.
- Review all submitted variances to ensure appropriate classification and severity level assignment. Follow up with facility leaders to educate and support corrections.
- Provide guidance for state reportability and confirm completion where applicable.
- Assist as needed with compiling/analyzing safety event data.
- Consider events requiring potential safety event alerts/broader notification across system. Develop content for safety alerts.
Ongoing Quality and Performance Improvement
- Educate facility CLT on Insight Clinical Dashboards, PRA reports, clinical outcomes, CQI, etc. Provide reminders and periodic checks.
- Ensure facility CLT knowledge of yearly requirement for PI projects - provide education when applicable.
- Provide review and consult on facility Quality/PI/IC plans
- Provide guidance and education on setting up Quality Program/IC Program with access to clinical toolkits
- Assist with access to resources (successfully completed PI projects, educational material on ten-step process, etc.) and provide educational series as applicable
- Partner with Regional Quality Leaders to drive regional clinical quality engagement
CEO and Clinical Leadership Support
- Partnered/leveraged in the interview process for new clinical leaders and CEOs
- Provide support to DON/new Clinical Leader post-FLO with regular cadence of follow-ups and review of outstanding items
- Partner with facility leadership to address culture of safety opportunities and help identify action plans where needed to drive sustainable change
- Provide onsite support to help facility CLT navigate process improvement and drive teammate buy in.
- Field questions around building performance improvement plans for clinical teammates.
Qualifications- Leadership/supervisor experience with oversight of daily operations, managing relationships and change management in healthcare setting preferred.
- Licensed Registered Nurse with training and experience working in the ambulatory surgery center (ASC) industry preferred.
- Proficient in the use of select Microsoft Office applications; i.e., Word, Excel and PowerPoint or other database management applications.
- Requires public speaking skills and ability to deliver effective presentations and education to groups of clinicians and SCAH Leaders.
- Possess excellent written and oral communication skills.
USD $95,000.00/Yr. USD $120,000.00/Yr.