Regulatory and Patient Safety Specialist

Full time, day shift.

About the Role

Develops, implements, and maintains a comprehensive, organization-wide, ongoing regulatory and compliance readiness program. This position assists the Director of Quality, Patient Safety, and Regulatory Affairs with the coordination and oversight of regulations and standards governing the hospital, evaluation activities, and the survey process. Supports the organization in building high reliability through a safety program and quality/outcome measures to meet organizational goals. Acts as a resource for staff by providing education and assistance regarding regulatory compliance, patient safety, and quality activities.

Responsibilities

• Support and facilitate hospital-wide ongoing compliance with regulatory standards, including TJC surveys.
• Serve as a contact with The Joint Commission and DPH.
• Assist in maintenance of the plan for unannounced surveys.
• Identify resources needed for standard compliance and ongoing readiness.
• Provide assistance to the organizational program to sustain safety training and habits throughout the organization.
• Assist the organization in using data to plan, deliver, and evaluate patient safety in care and services.
• Coordinate or participate in all regulatory-related meetings and preparatory regulation compliance meetings of various departments and programs.
• Coordinate or participate in patient safety committees and quality/outcome groups as requested by the Director.

Requirements

• Bachelor’s Degree in healthcare or related field (required).
• At least 5 years of current experience in a quality/regulatory and/or patient safety-related role (preferred).
• RN license (preferred).
• Professional in Healthcare Quality (CPHQ) certification.
• Knowledge of regulatory requirements, patient safety initiatives, and quality indicators as related to the hospital setting.
• Ability to relay pertinent information to staff.

Benefits

• Excellent benefits starting on day 1.

Schedule

40 hours per week, Monday through Friday, day shift.