Patient Safety Quality Specialist, RN - Quality Assurance - Full Time 8 Hour Days (Exempt) (Non-Union)

About the role

The Patient Safety Quality Specialist directly reports to the Manager of Regulatory and Patient Safety. This role is responsible for coordinating quality improvement and patient safety initiatives, providing guidance, education, and assistance in the development, implementation, and measurement of assigned projects, quality improvement initiatives, and patient safety events.

Responsibilities

• Evaluates prior survey deficiencies and current survey standards for compliance.
• Coordinators and provides leadership for survey readiness rounds and provides a rotating calendar of visits to units and hospital departments.
• Ensures all quality and patient safety rounds identify opportunities to improve care and outcomes.
• Provides consultation to individuals/departments concerning regulatory standards and assists with interpretation of new or revised standards.
• Implements corrective actions including but not limited to providing written responses to any RFI’s (Recommendation for improvement), or audit deficiencies related to regulatory compliance.
• Collaborates with all members of the healthcare team to promote an organized approach to the hospital’s survey process.
• Communicates any audit findings to the hospital leadership along with any proposed or implemented action plans.
• Attends any applicable hospital or medical staff committee meetings to communicate information on Survey Readiness.
• Provides supervision and oversight for regulatory compliance staff ensuring a cohesive well-informed team.

Requirements

• Bachelor's degree in Nursing.
• One or more years of experience in an acute care setting (preferred with experience in licensing and accreditation).
• Experience with at least one facility-wide accreditation survey within the last three years.
• Working knowledge of TJC, CDPH, CMS accreditation and regulatory requirements.

Qualifications

• Registered Nurse - RN (CA Board of Registered Nursing).
• Certified Professional in Healthcare Quality - CPHQ (NAHQ) or Certified Professional in Patient Safety (CCPS) certification within 2 years of hire.
• Fire Life Safety Training (LA City).