Patient Safety & Regulatory Compliance Lead

Cape Cod Healthcare Inc.; Hyannis (MA); On-site; USD 90,000 - 110,000; Full time

Job summary

Cape Cod Hospital seeks a Peer Review RN to develop, implement and facilitate processes for peer review of cases, track data and maintain files to ensure care delivered meets standards. The role provides consultative support to medical/legal affairs and leadership, applying clinical judgment to review plans of care and escalate concerns.

Responsibilities include regulatory readiness, mock surveys, document reviews and coordination with departmental leaders.

Qualifications

• Graduate of a school of nursing.
• BSN preferred.
• Three years perioperative/procedural nursing experience.
• Ability to work independently, prioritize work activities, and use time efficiently.
• Must possess excellent English usage, grammar, punctuation, and style.

Responsibilities

• Develop and facilitate peer review processes for case analysis.
• Track data and maintain regulatory files.
• Provide consultative guidance to medical/legal affairs and leadership.
• Interpret regulatory updates and ensure readiness for surveys and audits.
• Coordinate mock surveys, tracer activities, and chart reviews.

Skills

Communication skills

Time management

Regulatory knowledge

Education

BSN

Tools

EHR systems

Job description

Cape Cod Hospital seeks a Peer Review RN to develop, implement and facilitate processes for peer review of cases, track data and maintain files to ensure care delivered meets standards. The role provides consultative support to medical/legal affairs and leadership, applying clinical judgment to review plans of care and escalate concerns.

Responsibilities include regulatory readiness, mock surveys, document reviews and coordination with departmental leaders.