RN Quality & Regulatory Leader – Patient Safety & Compliance

AdventHealth; Killeen (TX); On-site; USD 100,000 - 187,000; Full time

Benefits offered by this job

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

Job summary

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.

Qualifications

• 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

Responsibilities

• 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

Skills

Communication

Teamwork

Mathematics & Excel

Data sensitivity

MS Office & Trove

Regulatory knowledge

Organization & multitasking

LEAN Six Sigma

Education

Bachelor's degree

Master's degree

Bachelor's in Nursing

Tools

Microsoft Excel

PowerPoint

Word

Trove Database

Job description

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.