Quality Nurse Coordinator - Regulatory

TriStar Skyline Medical Center; Franklin (TN); On-site; USD 78,000 - 120,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

Paid time off

Education support

401(k) match

Job summary

TriStar Skyline Medical Center is seeking a Quality Coordinator to coordinate, implement, and improve core measure indicators per CMS guidelines. You will maintain policies, ensure timely updates, and oversee data flow for regulatory compliance across departments.

The role requires an RN with at least 5 years of clinical experience and Tennessee RN licensure, with regulatory background strongly preferred. You will support patient safety initiatives and prepare for surveys with cross-department

Qualifications

• RN Diploma or Associate’s Degree in Nursing required.
• Current licensure as an RN in Tennessee or compact state.
• 5 years of clinical RN experience required.
• Regulatory background strongly preferred.

Responsibilities

• Assure continual state of survey readiness.
• Review and communicate rules/regulations/standards changes.
• Develop and implement monitoring processes to track opportunities for improvement.
• Design and implement compliance strategies.
• Responsible for regulatory preparation for QRS and Joint Commission.
• Participate in the organization’s patient safety program.
• Report unannounced survey activity to CQPSO for reporting up to divisions.
• Assist with State, CM, and other surveys.
• Communicate opportunities for improvement at Nursing Leadership Council.
• Provide policy/procedure drafts to assure regulatory compliance.
• Provide reports of compliance quarterly to PI/Patient Safety Council.
• Disseminate new guidelines/regulations to departments.
• Educate staff to ensure goals are set, measured and met.

Skills

Regulatory knowledge

Education

RN Diploma or Associate’s Degree in Nursing

Job description

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized.

Job Summary and Qualifications

The Quality Coordinator is responsible for the coordination, implementation, improvement, and successful achievement/compliance of core measure indicators in accordance with CMS guidelines. The coordinator maintains and coordinates timely policies and procedures maintenance, review/revision, posting, and distribution. The Coordinator organizes and maintains systematic data collection and flow of information between departments and into applicable committees.

What you will do in this role:

• Assure continual state of survey readiness.
• Review and communicate rules/regulations/standards changes.
• Develop and implement monitoring processes to track opportunities for improvement.
• Design and implement compliance strategies.
• Responsible for regulatory preparation (applications, unit prep and follow-up) for QRS and Joint Commission.
• Participate in the organization’s patient safety program.
• Attend required training that supports job responsibilities.
• Report unannounced survey activity at the facility to the CQPSO for reporting up to appropriate HCA Division and corporate entities.
• Assist with State, CM, and other surveys.
• Communicate opportunities for improvement at Nursing Leadership Council.
• Provide policy/procedure drafts to assure regulatory compliance with standards/goals.
• Provide reports of compliance quarterly to the Performance Improvement/Patient Safety Council.
• Assist with other regulatory requirements (Leapfrog, FMEA, RCA’s) as required.
• Schedule meetings with managers and directors to review data relating to identification and evaluation of regulatory activities including unresolved or problematic issues.
• Organize and implement tracer methodology for evaluation of standards compliance at Main and Madison Campuses.
• Communicate with the Chief Quality & Patient Safety Officer, COO and CNO identified deviations from Standards noted during “mock” surveys or tracer activities and trending of area or standard specific deviations.
• Evaluate existing processes and systems for compliance with Joint Commission Standards, making recommendations for improvement.
• Communicate with workgroups, directors and managers in development of policies to meet Standards.
• Identify resources and support systems to correct deviations from identified Standards.
• Disseminate new guidelines/regulations to appropriate departments.
• Educate staff to ensure that goals are set, measured and met.

What qualifications you will need:

• RN Diploma or Associate’s Degree in Nursing required.
• Current licensure as a Registered Nurse (RN) in the state of Tennessee or compact state required.
• 5 years of clinical RN experience required.
• Regulatory background strongly preferred.

Benefits

TriStar Skyline Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefitsfor medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support,including free counseling and referral services
• Time away from workprograms for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education supportthrough tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefitsfor fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

TriStar Skyline Medical Center is a 350+ bed facility. We are Tennessee's first comprehensive stroke center, a state designated Level 1 Trauma Center and a national leader in neuroscience. In addition, we are equipped with 3 helipads, new ICU and Medical/Surgical floors, and burn care services. We offer a CARF accredited Inpatient Rehabilitation program, an Accredited Chest Pain Center with PCI and serves the North Nashville community as a leading provider of emergency heart care.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.