West Covina, California, United States · On-site
$102k–$124k/yr
Kindred Hospital San Gabriel Valley is a 76-bed long-term acute care hospital offering the same in-depth care you would receive in a traditional hospital, but for an extended recovery period. We partner with your physici…
Skills: Performance Improvement, Continuous Quality Improvement, Clinical Risk Management, Regulatory Compliance, Ethics Oversight
Lewiston, Idaho, United States · On-site
$10,000 Sign-on Bonus!! Certified Surgical Technologist (CST)/Scrub Tech Full-time Days Join St. Joseph Regional Medical Center in Lewiston, Idaho—where nationally recognized quality meets small-town heart. We’re proud t…
Skills: Aseptic Technique, Sterile Field Maintenance, Surgical Instrumentation, Patient Safety, Infection Control
Broken Arrow, Oklahoma, United States · On-site
Sign-On Bonus - $20K Cornerstone Specialty Hospitals Broken Arrow, located on the 3rd floor of Ascension St. John is a long-term acute care (LTAC) hospital specializing in the treatment of patients recovering from post-i…
Skills: Respiratory Care, Mechanical Ventilation, Patient Assessment, Airway Management, Hemodynamic Monitoring
Aurora, Colorado, United States · On-site
$39/hr–$50/hr
Kindred Hospital Aurora is an all-private room, 37-bed long-term acute care hospital offering the same in-depth care you would receive in a traditional hospital, but for an extended recovery period. We partner with your …
Skills: Patient Assessment, Nursing Care Planning, Medication Administration, Wound Care, Ventilator Management
Broken Arrow, Oklahoma, United States · On-site
Cornerstone Specialty Hospitals Broken Arrow, located on the 3rd floor of Ascension St. John is a long-term acute care (LTAC) hospital specializing in the treatment of patients recovering from post-intensive care and med…
Skills: Aseptic Technique, IV Preparation, Medication Dispensing, Inventory Management, Pharmaceutical Calculations
El Paso, Texas, United States · On-site
Kindred Hospital El Paso is a long-term acute care (LTAC) hospital specializing in the treatment of patients recovering from post-intensive care and medically complex conditions. Our hospital provides both intensive care…
Skills: Critical Care Nursing, Patient Assessment, ACLS, BCLS, Hemodynamic Monitoring
Louisville, Kentucky, United States · On-site
Kindred Hospital Louisville at Jewish Hospital is a 30-bed long-term acute care hospital, with all private rooms, set within Jewish Hospital. We offer the same in-depth care you would receive in a traditional hospital, b…
Skills: Patient Assessment, Critical Care Nursing, ACLS, BCLS, Hemodynamic Monitoring
Watertown, Wisconsin, United States · On-site
Be part of Watertown Regional Medical Center, an acute-care hospital in southeastern Wisconsin that consistently earns national awards for its high-quality care from the likes of Becker's Hospital Review, Chartis, Health…
Skills: Chemistry, Hematology, Microbiology, Blood Banking, Diagnostic Testing
Green Cove Springs, Florida, United States · On-site
At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by emb…
Skills: Respiratory Care, Mechanical Ventilation, Patient Assessment, Airway Management, CPR
Watertown, Wisconsin, United States · On-site
Be part of Watertown Regional Medical Center, an acute-care hospital in southeastern Wisconsin that consistently earns national awards for its high-quality care from the likes of Becker's Hospital Review, Chartis, Health…
Skills: Patient Assessment, Perioperative Care, Medication Administration, Clinical Judgment, Electronic Medical Records
Greensboro, North Carolina, United States · On-site
Kindred Hospital Greensboro is a 101-bed long-term acute care hospital treating chronically, critically ill patients who require an extended stay in a hospital setting with individualized care plans. We offer a 6-bed ICU…
Skills: Patient Care, Vital Signs Monitoring, Activities Of Daily Living, Clinical Skills, Electronic Health Records
Ennis, Texas, United States · On-site
Join Ennis Regional Medical Center in Ennis, TX, a full-service healthcare facility that provides an array of services, including advanced digital imaging, 24-hour emergency care, physical and occupational therapy, and s…
Skills: Clinical Assessment, Patient Care Planning, Medication Administration, Electronic Medical Records, Interdisciplinary Collaboration
Baldwin Park, California, United States · On-site
$47/hr–$58/hr
Kindred Hospital Baldwin Park helps patients return to the lives they love. At our 91-bed hospital, our physician-led care teams provide critically ill patients with the specialized acute care and rehabilitation they nee…
Skills: Patient Assessment, Nursing Care Planning, Medication Administration, Pain Management, Patient Education
McAllen, Texas, United States · On-site
Solara Specialty Hospitals McAllen is a long-term acute care (LTAC) hospital specializing in the treatment of patients recovering from post-intensive care and medically complex conditions. Our hospital provides both inte…
Skills: Wound Care, Patient Monitoring, Vital Signs Collection, Wound Dressing, Patient Positioning
Conroe, Texas, United States · On-site
Cornerstone Specialty Hospitals Conroe is a long-term acute care (LTAC) hospital specializing in the treatment of patients recovering from post-intensive care and medically complex conditions. Our hospital provides both …
Skills: Patient Assessment, Nursing Care Planning, Medication Administration, Pain Management, Patient Education
Conroe, Texas, United States · On-site
Cornerstone Specialty Hospitals Conroe is a long-term acute care (LTAC) hospital specializing in the treatment of patients recovering from post-intensive care and medically complex conditions. Our hospital provides both …
Skills: Patient Assessment, Nursing Care Planning, Medication Administration, Pain Management, Patient Education
Lewiston, Idaho, United States · On-site
$10,000 Sign-on Bonus!! At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we le…
Skills: Personal Hygiene Care, Patient Safety, Basic Nursing Services, Patient Protection, Interpersonal Communication
Palestine, Texas, United States · On-site
At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by emb…
Skills: Nursing Process, Patient Assessment, Medication Administration, Rehabilitation Nursing, Patient Education
Webster, Texas, United States · On-site
Kindred Hospital Clear Lake is a long-term acute care (LTAC) hospital specializing in the treatment of patients recovering from post-intensive care and medically complex conditions. Our hospital provides both intensive c…
Skills: Patient Assessment, Nursing Care Planning, Medication Administration, Pain Management, Patient Education
Fort Worth, Texas, United States · On-site
Kindred Hospital Tarrant County Southwest is a long-term acute care (LTAC) hospital specializing in the treatment of patients recovering from post-intensive care and medically complex conditions. Our hospital provides bo…
Skills: Ultrasonic Recording, Patient Positioning, Diagnostic Imaging, Patient Communication, Needle Biopsy Assistance
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Responsible for planning and implementing the hospital-wide performance improvement program and serving as the Facility Ethics & Compliance Officer. Oversees regulatory body surveys and ensures alignment with accreditation standards and quality reporting requirements.
Requires a Bachelor's degree in a healthcare-related field and at least 3 years of experience in Quality or Risk Management within a hospital setting. A Bachelor's in Nursing and CPHQ certification are preferred.
Kindred Hospital San Gabriel Valley is a 76-bed long-term acute care hospital offering the same in-depth care you would receive in a traditional hospital, but for an extended recovery period. We partner with your physician and offer 24-hour clinical care seven days a week so you can start your journey to wellness. We are located just over 2 miles outside of downtown West Covina, and right down the street from Covina Square Shopping Center.
Job Summary
Responsible for planning and implementing the performance improvement program to meet the needs of the hospital. Provides education to medical staff, hospital staff, and the Governing Body. Facilitates performance improvement and continuous quality improvement (CQI) activities throughout the hospital. Acts as a resource to the administrative team, department managers, and medical staff. Performs clinical risk management functions and assists department managers with preparation for medical staff committees. Maintains oversight responsibility for all regulatory body surveys, including The Joint Commission (TJC), State Licensing Reviews, and CMS Validation surveys. Serves as the Facility Ethics & Compliance Officer.
Essential Functions
Plans, implements, and oversees the hospital-wide performance improvement program to meet organizational goals.
Facilitates performance improvement and CQI activities through collaboration with clinical leadership, department managers, ancillary services, the administrative team, and the Governing Body.
Maintains awareness of regulatory changes and ensures alignment with current accreditation standards and best practices.
Oversees preparation for regulatory surveys and audits; educates departments to ensure compliance with applicable requirements.
Uses database systems to document occurrences, medical staff review activities, and committee actions, and prepares reports for leadership and committees.
Communicates effectively with physicians, staff, CCO, and administrative leadership regarding quality and compliance initiatives.
Collaborates across departments to support patient care improvement and organizational performance initiatives.
Participates in risk management and patient safety activities.
Provides support to medical staff officers, committee chairs, and the Governing Body as needed.
Serves as primary liaison to the Regional Compliance Director and acts as the main point of contact for compliance-related questions or concerns.
Escalates compliance issues appropriately and participates in regular compliance reviews and discussions.
Prepares and submits quarterly compliance reports to facility leadership and the Regional Compliance Director.
Ensures CMS, NHSN, and other quality reporting requirements are accurate, complete, and submitted timely.
Knowledge/Skills/Abilities/Expectations
Excellent oral and written communication and interpersonal skills.
Basic computer skills with working knowledge of Microsoft Office and related systems.
Knowledge of federal, state, and local healthcare regulations and compliance requirements.
Understanding of accreditation standards and performance improvement methodologies.
Strong critical thinking, prioritization, and time management skills.
Ability to work under stress and respond effectively in urgent situations.
Ability to travel as required.
Pay Range: $102K-124K
ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness.
Education
Bachelor’s Degree in a healthcare-related field (required) And
Bachelor’s Degree in Nursing (preferred)
Licenses/Certifications
RN - Registered Nurse - State Licensure and/or Compact State Licensure in the state of practice, Upon Hire (preferred) And
CPHQ - Certified Professional in Healthcare Quality Upon Hire (preferred)
Experience
3+ years of experience in Quality and/or Risk Management in a hospital setting (required)
Empowering the Hands that Heal.
Kindred’s mission is to help our patients reach their highest potential for health and healing with intensive medical and rehabilitative care through a compassionate patient experience. Kindred’s 61 long-term acute care hospitals (LTACHs), along with 18 community-based, short-term acute care hospital campuses from across the nation, became part of ScionHealth with its launch in December 2021. Cornerstone Healthcare Group joined the ScionHealth family of hospitals and hospital services in January 2023. In December 2021, Kindred Healthcare became a part of LifePoint Health, a leading healthcare company. As part of this transaction, LifePoint and Kindred also launched a new company, ScionHealth. Today, Kindred’s facilities are now part of either LifePoint or ScionHealth. Specifically, Kindred’s 61 long-term acute care hospitals – along with 18 community-based, short-term acute care hospital campuses from LifePoint – are now a part of ScionHealth.
Offices: 680 South Fourth Street, Louisville, KY 40202, US
Empowering the Hands that Heal.
Kindred’s mission is to help our patients reach their highest potential for health and healing with intensive medical and rehabilitative care through a compassionate patient experience. Kindred’s 61 long-term acute care hospitals (LTACHs), along with 18 community-based, short-term acute care hospital campuses from across the nation, became part of ScionHealth with its launch in December 2021. Cornerstone Healthcare Group joined the ScionHealth family of hospitals and hospital services in January 2023. In December 2021, Kindred Healthcare became a part of LifePoint Health, a leading healthcare company. As part of this transaction, LifePoint and Kindred also launched a new company, ScionHealth. Today, Kindred’s facilities are now part of either LifePoint or ScionHealth. Specifically, Kindred’s 61 long-term acute care hospitals – along with 18 community-based, short-term acute care hospital campuses from LifePoint – are now a part of ScionHealth.
Offices: 680 South Fourth Street, Louisville, KY 40202, US
