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Full-time
bachelor degree
Excellent benefits
Posted 9d ago
~40 hrs/week
Responsibilities
This role develops and maintains a comprehensive regulatory and compliance readiness program while assisting with the oversight of hospital standards. The specialist also supports patient safety initiatives and quality outcome measures to ensure organizational goals are met.
Requirements
A Bachelor's degree in healthcare or a related field is required, along with at least 5 years of experience in quality, regulatory, or patient safety roles. An RN license and CPHQ certification are preferred qualifications.
Full job description
Employment Type:
Full time
Shift:
Day Shift
Description:
Position Purpose
Develops implements and maintains a comprehensive, organization-wide, ongoing regulatory and compliance readiness program. This position is responsible for assisting the Director of Quality, Patient Safety and Regulatory affairs with the coordination and oversight of regulations and standards governing the hospitals set forth by all Regulatory Agencies, evaluation activities and the survey process. This position also supports the work of the organization to build high reliability through a safety program. The position also supports quality and outcome measures to meet organizational goals. The responsibilities include acting as a resource for staff by providing education and assistance regarding regulatory compliance, patient safety and quality and associated activities. Coordinates or participates in all regulatory related meetings, and participates in preparatory regulation compliance meetings of various departments and programs. Coordinates or participates in patient safety committees and quality and outcome groups and requested by the Director.
What you will do
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 to use data to plan, deliver and evaluate patient safety in care and services
Minimum Qualifications
Bachelor’s Degree in healthcare, or related field required
At least 5 years current experience in a quality/regulatory and/or patient safety related role preferred
RN preferred
Professional in Healthcare Quality (CPHQ)
Knowledge of regulatory requirements, patient safety initiatives and quality indicators as related to the hospital setting and the ability to relay pertinent information to staff.
Position Highlights and Benefits
Full time 40hrs M-F days
Excellent benefits - starting day 1!
Ministry/Facility Information
Saint Francis Hospital is committed to exceeding the expectations of our patients and families by providing world-class service in a progressive, people-centered, compassionate health care environment. We are licensed for 617 beds and 65 bassinets, are a major teaching hospital and the largest Catholic hospital in New England.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
St. Peter’s serves in the spirit of the gospel as a compassionate and transforming healing presence in our communities.
Industry
Hospitals and Health Care
Company size
10,001+ employees
Founded
2011
Headquarters
Albany, NY
LinkedIn followers
17,246
With more than 11,000 employees in more than 185 locations, St. Peter’s Health Partners is the Capital Region’s largest and most comprehensive not-for-profit integrated health care network, which provides high-quality, compassionate, and sophisticated care to thousands of people every day. St. Peter’s Health Partners is a member of Trinity Health. For more information, please visit www.SPHP.com.
Offices: 315 South Manning Blvd, Albany, NY 12208, US
St. Peter’s serves in the spirit of the gospel as a compassionate and transforming healing presence in our communities.
Industry
Hospitals and Health Care
Company size
10,001+ employees
Founded
2011
Headquarters
Albany, NY
LinkedIn followers
17,246
With more than 11,000 employees in more than 185 locations, St. Peter’s Health Partners is the Capital Region’s largest and most comprehensive not-for-profit integrated health care network, which provides high-quality, compassionate, and sophisticated care to thousands of people every day. St. Peter’s Health Partners is a member of Trinity Health. For more information, please visit www.SPHP.com.
Offices: 315 South Manning Blvd, Albany, NY 12208, US