Registered Nurse (RN) Ambulatory- Standards Compliance Consultant

About the role

Maintains knowledge of new regulations and standards.
Facilitates the incorporation of regulations and standards into policies, practices, and processes.
Through assessments and utilization of the tracer methodology, prepares the WFBMC system for Joint Commission accreditation and disease-specific certifications, CMS validation and program specific certifications, service line designations of excellence and other program specific certifications or accreditations.
Facilitates activities during on-site survey activities through active participation in survey and reporting of findings.
Participates in the development, implementation, and submission of corrective action plans related to areas of clinical non-compliance.
Promotes an environment conducive to patient safety by identifying, investigating, and reporting potential areas of compliance vulnerability and risk.
Collaborates with others throughout the medical center to resolve patient safety issues.
For policies affecting patient care practices, facilitates the development, review and revision of policies, including the coordination of the approval process.
Participates in the review and investigation of allegations and other incidences requiring possible report and prepares report for submission to outside agencies as needed.
Collaborates with WFBMC Leadership to implement actions in order to improve patient care and support a system of continuous quality improvement and patient safety.
Prepares reports as requested for submission through the appropriate Quality Assurance and Performance Improvement (QAPI) structure.
Ensures quality and compliance improvement information is reported timely to Leadership for action planning.
Recommends changes in nursing practice based upon identified opportunities from quality and compliance monitors, best practices, and current literature to improve patient care.
Assumes responsibility for self-directed professional growth.
Attends in-services, workshops, seminars, and professional meetings to keep abreast of current nursing practice and quality improvement trends.
Participates in planning and presenting educational offerings.
Participates in professional organizations and activities.
Shares information with colleagues utilizing his/her knowledge as a teacher and consultant.

Responsibilities

• Maintains knowledge of new regulations and standards.
• Facilitates the incorporation of regulations and standards into policies, practices, and processes.
• Through assessments and utilization of the tracer methodology, prepares the WFBMC system for Joint Commission accreditation and disease-specific certifications, CMS validation and program specific certifications, service line designations of excellence and other program specific certifications or accreditations.
• Facilitates activities during on-site survey activities through active participation in survey and reporting of findings.
• Participates in the development, implementation, and submission of corrective action plans related to areas of clinical non-compliance.
• Promotes an environment conducive to patient safety by identifying, investigating, and reporting potential areas of compliance vulnerability and risk.
• Collaborates with others throughout the medical center to resolve patient safety issues.
• For policies affecting patient care practices, facilitates the development, review and revision of policies, including the coordination of the approval process.
• Participates in the review and investigation of allegations and other incidences requiring possible report and prepares report for submission to outside agencies as needed.
• Collaborates with WFBMC Leadership to implement actions in order to improve patient care and support a system of continuous quality improvement and patient safety.
• Prepares reports as requested for submission through the appropriate Quality Assurance and Performance Improvement (QAPI) structure.
• Ensures quality and compliance improvement information is reported timely to Leadership for action planning.
• Recommends changes in nursing practice based upon identified opportunities from quality and compliance monitors, best practices, and current literature to improve patient care.
• Assumes responsibility for self-directed professional growth.
• Attends in-services, workshops, seminars, and professional meetings to keep abreast of current nursing practice and quality improvement trends.
• Participates in planning and presenting educational offerings.
• Participates in professional organizations and activities.
• Shares information with colleagues utilizing his/her knowledge as a teacher and consultant.

Requirements

Graduate from an accredited school of nursing, Bachelor's degree in Nursing with five years' experience in a hospital/healthcare system required. Preferred Master's degree in nursing or a related field preferred. Supervisory, teaching or leadership role experience
Previous experience as a regulatory agency surveyor
Prior accreditation experience
Experience working with the Joint Commission

Qualifications

• Current RN licensure in good standing in the State of applicable state.
• Relevant certification required within one year of hire.

Skills

• Organization, planning, and delegation skills
• Sound and timely decision-making skills
• Highly motivated and results-oriented
• Fairness and consideration for all employees regardless of race, religion, sex, or other protected class
• Effective leadership, teaching, coaching, and interpersonal communication skills including verbal, nonverbal, and active listening skills
• Experience with microcomputer systems, spreadsheet and database program applications preferred

Benefits

Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and More
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Work Environment

• Clean, well lit, and comfortable climate
• Potential exposure to contamination with blood or bodily fluids, requiring protective equipment
• Subject to highly stressful, dynamic conditions
• Physical Requirements
• Activity X Standing X Walking X Sitting X Bending X Reaching with arms X Finger and hand dexterity X Talking X Hearing X Seeing
• Lifting, carrying, pushing and or pulling: X 20 lbs. maximum X 50 lbs. maximum X 100 lbs. maximum

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.