RN Director of Quality & Regulatory Compliance

AdventHealth; Killeen (TX); In loco; USD 100.000 - 187.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, Dental, Vision Insurance

Life & Disability Insurance

Paid Time Off from Day One

403-B Retirement Plan

4 Weeks 100% Paid Parental Leave

Career Development

Well-being Resources

Mental Health Resources and Support

Pet Benefits

Descrizione del lavoro

AdventHealth is seeking a leader to coordinate quality and regulatory activities, ensuring compliance with Joint Commission, AHCA and CMS standards. The role includes facilitating committees, guiding improvement initiatives, and educating staff on changes in regulations across care delivery.

The position emphasizes data analysis, teamwork, and strong communication to support patient safety and whole-person care across shifts in a fast-paced hospital setting.

Competenze

• Excellent verbal and written communication; ability to interact professionally
• Ability to work independently or in a team environment
• Good math skills with spreadsheets
• Ability to handle sensitive/confidential data
• Proficiency with Microsoft Excel, PowerPoint and Word; familiarity with Trove or similar DB
• Knowledge of Joint Commission standards and AHCA/CMS regulations
• Strong organizational skills and multitasking ability
• Education in Performance Improvement such as Lean Six Sigma a plus

Mansioni

• Facilitates committees, provides consultative support to clinical committees, PI teams, and regulatory groups
• Serves as a resource on professional standards and regulatory requirements
• Coordinates activities to prepare for Joint Commission, AHCA, CMS inspections and education
• Drives improvement plans using team leadership, tools, and evaluation
• Identifies deficient practices, participates in Root Cause Analysis and FMEA
• If PSO Liaison, links entity with PSOs while ensuring PSQIA compliance
• Defines and documents PSES processes per privacy and regulatory standards

Conoscenze

Communication

Teamwork

Mathematics & Excel

Data sensitivity

MS Office & Trove

Regulatory knowledge

Organization & multitasking

LEAN Six Sigma

Formazione

Bachelor's degree

Master's degree

Bachelor's in Nursing

Strumenti

Microsoft Excel

PowerPoint

Word

Trove Database

Descrizione del lavoro

Our Promise To You
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that

Our Promise To You
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Schedule:
Full time

Shift:
Day (United States of America)

Address:
2201 S CLEAR CREEK RD

City:
KILLEEN

State:
Texas

Postal Code:
76549

Job Description:

Monday - Friday 8:00am - 5:00pm

• Facilitates ongoing and special committees/task forces, providing consultative support to clinical committees, PI teams, and other departments related to quality, regulatory concerns, and policies/procedures.
• Serves as a resource for hospital departments regarding professional standards of practice and requirements of accreditation and regulatory agencies.
• Coordinates and directs activities, tracers, and education to prepare the organization to meet the requirements of Joint Commission, AHCA, and CMS. Communicates with courtesy and respect when interacting with internal or external customers, in person or on the telephone, maintaining a professional appearance and manner.
• Coordinates the improvement work of teams, oversees the execution of improvement plans, assists teams in using improvement tools, and evaluates team leadership on progress.
• Identifies deficient practice patterns, participates in Root Cause Analysis and FMEA teams, and provides recommendations for improvement and/or correction. Serves as a resource on regulatory issues to leaders, facilitating the education of staff about changes in regulations that impact care delivery or other work practices.
• If designated as the PSO Liaison, the incumbent will serve as the primary link between the assigned entity or entities, their affiliated providers, and one or more federally listed Patient Safety Organizations (PSOs), while ensuring compliance with the Patient Safety and Quality Improvement Act (PSQIA) by the assigned entity or entities and their staff.
• The PSO Liaison will accurately define, implement, manage, and document all Patient Safety Evaluation System (PSES) processes in compliance with privacy, confidentiality, and security requirements established by organizational policies and federal regulations, while keeping leadership informed of PSES status and the level of engagement with the PSO(s) to improve patient safety and quality across the assigned entity or entities.

Knowledge, Skills, And Abilities:

• Excellent verbal and written communication skills as demonstrated by application resume, work history, and interview process. [Required]
• Ability to work independently or in a team environment. [Required]
• Good math skills with an ability to understand and work with spreadsheets. [Required]
• Ability to work with data that is of sensitive and confidential nature. [Required]
• Skilled in use of computer programs such as Microsoft Excel, PowerPoint, and Word, Trove or similar Database. Proficiency in database management and Electronic Medical Record navigation. [Required]
• Working knowledge of or ability to learn and work with appropriate Joint Commission standards and AHCA/CMS regulations and information. [Required]
• Good organizational skills, strong attention to detail, and ability and willingness to multitask. [Required]
• Education in Performance Improvement such as Team Leader, Facilitator experience, Malcolm Baldrige, and/or LEAN Six Sigma. [Required]

Education:

• Bachelor's [Required]
• Master's [Preferred]
• Bachelor's in Nursing [Preferred]

Field Of Study:

• in healthcare-related field

Work Experience:

• 3+ in leadership role [Preferred]
• 1+ in human factor analysis [Preferred]
• 3+ in quality and regulatory reporting, performance improvement management, patient safety, and statistical data analysis [Required]
• 3+ in healthcare setting [Preferred]

Licenses And Certifications:

• Certified Professional in Healthcare Quality (CPHQ) [Preferred] OR
• Registered Nurse (RN) [Preferred] OR
• Enhanced Nurse Licensure Compact - RN (ENLC-RN) [Preferred] AND

Physical Requirements: (Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/23km2677

Pay Range:
$100,360.00 - $186,638.40

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.