Schedule: Full time
Shift: Day (United States of America)
Address: 480 W Central Pkwy
City: Altamonte Springs
State: Florida
Postal Code: 32714
Job Description:Manages all processes related to regulatory and accreditation requirements, including The Joint Commission and CMS. Serves as the primary contact for The Joint Commission, CMS, and other regulatory partners. Collaborates with senior leadership to prepare presentations for various meetings. Acts as an internal consultant to medical staff, administration, and departments regarding compliance opportunities. Analyzes and interprets accreditation and regulatory opportunities to improve and sustain best practices. Manages regulatory websites to complete applications, surveys, and follow-up activities. Performs annual regulatory assessments and collaborates with stakeholders to facilitate improvements. Provides orientation and ongoing education on accreditation and regulatory requirements. Develops and implements plans for ongoing survey readiness in collaboration with quality staff and leadership. Supports clinical performance improvement initiatives and corporate clinical accountabilities. Serves as a liaison to hospital departments for ongoing accreditation and regulatory support. Manages and facilitates regulatory and accreditation committees and meetings. Performs other duties as assigned.
Knowledge, Skills, and Abilities: - Computer literate and proficient in - database management, Electronic Medical Record navigation [Required]
- Excellent Communication/Motivational skills. [Required]
Education: - Bachelor's of Nursing [Required]
- Master's [Preferred]
Field of Study: - Education in HealthCare Services Leadership and Management
- in Nursing.
- in Nursing or related healthcare field
Work Experience: - 2+ in quality and accreditation and regulatory management. [Required]
- Experience in Quality; Performance/Lean Improvement; Patient Safety and Human Factor analysis [Preferred]
- Experience in Statistical Data Analysis [Required]
- Performance Improvement such as Team Leader, Facilitator experience, Malcolm Baldrige and/or LEAN Six Sigma. [Required]
Additional Information: Licenses and Certifications: - Registered Nurse (RN) [Required] OR
- Certified Professional in Healthcare Quality (CPHQ) [Preferred]
- Certified Professional in Patient Safety (CPPS) [Preferred]
- Infection Control Certification (CIC) [Preferred]
- Licensed Practical Nurse (LPN) [Required]
- Healthcare Accreditation Certified Professional (HACP) [Preferred]
Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/23km2677
Pay Range:$83,699.48 - $155,693.55
