Quality & Regulatory Compliance manager
Company Name:
LPC Healthcare Recruiting Solutions Inc
Hospital Manager of Quality & Regulatory Compliance
POSITION SUMMARY
The Manager of Quality and Regulatory Compliance will report to the Chief Medical Officer and has full responsibility for Quality, Compliance and performance across the organization. The Manager is responsible for comprehensive performance measurement/improvement activities that include publicly reported measures, facility-wide quality reviews, Patient Safety activities, Infection Control, Clinical Documentation and Regulatory Compliance. The Manager contributes to the Hospitals mission and vision by supporting and coordinating performance improvement activity for the Hospital and manages the activities of the program in conjunction with the leadership team.
Job Requirements
1. Assures the integrity and accuracy of publicly reported measures.
2. Leads organizational Patient safety initiatives.
3. Directs investigations of never-events, hospital acquired conditions and proactive FMEA activities.
4. Data analysis and performance improvement programs.
5. Oversees activities to directly improve patient outcomes and meet/exceed VBP measures.
6. Recommends actions when system or individual performance issues are identified.
7. Works with Medical Staff Services to develop and maintain profiles on
physicians and integrates that information into the credentialing process in compliance with state and federal agencies.
EXPERIENCE
Five (5) years prior experience in Quality and/or Risk Management with three (3) years at a supervisory level
Knowledge of applicable regulatory, compliance, and accreditation standards and requirements
A strong foundation in the following areas: clinical knowledge, performance improvement, management education, staff development/supervision, organizational awareness, data analysis, and verbal and written communication
Proficiency with Microsoft Office Suite
Preferred
Recent hospital leadership experience
EDUCATION
Bachelors degree in a health related field (required)Estimated Salary: $20 to $28 per hour based on qualifications.
LPC Healthcare Recruiting Solutions Inc
Hospital Manager of Quality & Regulatory Compliance
POSITION SUMMARY
The Manager of Quality and Regulatory Compliance will report to the Chief Medical Officer and has full responsibility for Quality, Compliance and performance across the organization. The Manager is responsible for comprehensive performance measurement/improvement activities that include publicly reported measures, facility-wide quality reviews, Patient Safety activities, Infection Control, Clinical Documentation and Regulatory Compliance. The Manager contributes to the Hospitals mission and vision by supporting and coordinating performance improvement activity for the Hospital and manages the activities of the program in conjunction with the leadership team.
Job Requirements
1. Assures the integrity and accuracy of publicly reported measures.
2. Leads organizational Patient safety initiatives.
3. Directs investigations of never-events, hospital acquired conditions and proactive FMEA activities.
4. Data analysis and performance improvement programs.
5. Oversees activities to directly improve patient outcomes and meet/exceed VBP measures.
6. Recommends actions when system or individual performance issues are identified.
7. Works with Medical Staff Services to develop and maintain profiles on
physicians and integrates that information into the credentialing process in compliance with state and federal agencies.
EXPERIENCE
Five (5) years prior experience in Quality and/or Risk Management with three (3) years at a supervisory level
Knowledge of applicable regulatory, compliance, and accreditation standards and requirements
A strong foundation in the following areas: clinical knowledge, performance improvement, management education, staff development/supervision, organizational awareness, data analysis, and verbal and written communication
Proficiency with Microsoft Office Suite
Preferred
Recent hospital leadership experience
EDUCATION
Bachelors degree in a health related field (required)Estimated Salary: $20 to $28 per hour based on qualifications.
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