Quality Nurse Coordinator - Regulatory

About the Role

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.

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 (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.

Qualifications

• 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 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 benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs 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 support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Note: Eligibility for benefits may vary by location.

About the Facility

TriStar Skyline Medical Center is a 350+ bed facility. We are Tennessee's first comprehensive stroke 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 and are a state-designated Level I Trauma Center. As an Accredited Chest Pain Center with PCI, TriStar Skyline is a leading provider of emergency heart care.