Location:

Pembroke Pines, Florida

Summary:

Leads activities and resources for Quality, performance improvement, patient safety and compliance with Accreditation & Licensure to ensure alignment with the mission, and pillars of the Memorial Healthcare System. Responsible for overseeing all quality improvement and driving quality results for the area of responsibility.

Responsibilities:

Leads or participates in key quality and safety activities to ensure that all federal, state, NCQA, Joint Commission and payor requirements are met including but not limited to, such as Code 15 reviews, Root Cause Analyses, FMEA's, QI registries or other activities as appropriate.Takes a leadership role in educating staff and physicians on key safety and quality issues. Acts as a resource as needed related to compliance with regulatory/accreditation standards.Assesses and reports quality indicator outcomes as appropriate to the facility and line of service. Designs education as needed to enable areas of responsibility to utilize and quality data.Develops and implements initiatives that ensure compliance with regulatory agencies as well as Accrediting bodies as appropriate per line of service, such the Joint Commission, ACHA, CARF, DCF or any other appropriate agency. Ensures continual readiness for Accreditation surveys.

Competencies:

Business Acumen, Concern for Quality, Develop Relationships, Lead Through Vision, Manage Performance

Education and Certification Requirements:

Accredited Program (Required)Registered Nurse License (RN LICENSE) - State of Florida (FL)

Additional Job Information:

Complexity of Work: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Must have experience in interpreting the healthcare regulations for accreditation, licensure or other regulatory agencies. Required Work Experience: 3 years experience in healthcare or managed care quality depending on area of responsibility. **If RN, then requires Florida state license as a Registered Nurse (RN) Additional Education Info: Nursing Degree or Bachelor's degree or in a Related Field

Working Conditions and Physical Requirements:

•  Bending and Stooping = 60%
•  Climbing = 0%
•  Keyboard Entry = 80%
•  Kneeling = 0%
•  Lifting/Carrying Patients 35 Pounds or Greater = 0%
•  Lifting or Carrying 0 - 25 lbs Non-Patient = 60%
•  Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0%
•  Lifting or Carrying > 75 lbs Non-Patient = 0%
•  Pushing or Pulling 0 - 25 lbs Non-Patient = 60%
•  Pushing or Pulling 26 - 75 lbs Non-Patient = 0%
•  Pushing or Pulling > 75 lbs Non-Patient = 0%
•  Reaching = 60%
•  Repetitive Movement Foot/Leg = 0%
•  Repetitive Movement Hand/Arm = 80%
•  Running = 0%
•  Sitting = 80%
•  Squatting = 0%
•  Standing = 80%
•  Walking = 80%
•  Audible Speech = 80%
•  Hearing Acuity = 80%
•  Smelling Acuity = 0%
•  Taste Discrimination = 0%
•  Depth Perception = 80%
•  Distinguish Color = 80%
•  Seeing - Far = 80%
•  Seeing - Near = 80%
•  Bio hazardous Waste = 0%
•  Biological Hazards - Respiratory = 0%
•  Biological Hazards - Skin or Ingestion = 0%
•  Blood and/or Bodily Fluids = 0%
•  Communicable Diseases and/or Pathogens = 0%
•  Asbestos = 0%
•  Cytotoxic Chemicals = 0%
•  Dust = 60%
•  Gas/Vapors/Fumes = 0%
•  Hazardous Chemicals = 0%
•  Hazardous Medication = 0%
•  Latex = 60%
•  Computer Monitor = 80%
•  Domestic Animals = 0%
•  Extreme Heat/Cold = 0%
•  Fire Risk = 0%
•  Hazardous Noise = 0%
•  Heating Devices = 0%
•  Hypoxia = 0%
•  Laser/High Intensity Lights = 0%
•  Magnetic Fields = 0%
•  Moving Mechanical Parts = 0%
•  Needles/Sharp Objects = 0%
•  Potential Electric Shock = 0%
•  Potential for Physical Assault = 0%
•  Radiation = 0%
•  Sudden Decompression During Flights = 0%
•  Unprotected Heights = 0%
•  Wet or Slippery Surfaces = 0%

Shift:

Primarily for office workers - not eligible for shift differential

Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.

Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process.