
Description
General Summary of Position
Serves as a resource that supports a regulatory compliant organization, works with leaders and teams across MGUH to support selected high priority clinical, regulatory, patient safety, quality or high reliability projects and programs identified by senior leadership. Supports sustainability and a culture of continuous readiness and improvement through ongoing collaboration and engagement with key stakeholders. Serves as subject matter expert on regulatory/accreditation requirements and leads organization-wide efforts to maintain compliance. This individual assists in the review of clinical area/activities for regulatory compliance. Activities are coordinated with the AVP, Regulatory Readiness and are performed in accordance with all applicable laws and regulations and MedStar philosophy, policies, procedures and standards
Primary Duties and Responsibilities
Minimum Qualifications
Education
- Bachelor's degree Nursing or clinical field required or
- Master's degree preferably in Nursing, Healthcare Administration, or related field. preferred
Experience
- 3-4 years Clinical experience in acute care/ ambulatory required and
- 3-4 years In accreditation coordination for hospital and specialty accreditations preferred
- Experience in quality or performance improvement, staff development and/or risk management. preferred
Licenses and Certifications
- CPHQ - Certified Professional in Healthcare Quality within 1 Year preferred and
- RN - Registered Nurse - State Licensure and/or Compact State Licensure Registered Nurse or other clinical field license required
Knowledge, Skills, and Abilities
- Ability to read, write, speak, and comprehend English.
- Proficient Computer skills
- Knowledge in facilitating teams and use of statistical tools i.e. Radar Charts, Control Charts, Scatter Diagrams, etc.
- HIPAA policies on Confidentiality
This position has a hiring range of $87,318 - $157,289
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