Rn

Directly responsible for the preparation, coordination, and maintenance of survey readiness and regulatory compliance. Position requires strong knowledge of healthcare clinical fundamentals and performance improvement standards. Works independently and directly with Administrative Leadership, Department Directors, and the Medical Staff to coordinate quality improvement programs. Works directly with all regulatory agencies to facilitate on-site surveys, both planned and unannounced. Must facilitate the collection, compilation, display, and analysis of data to prepare summary reports of regulatory activities. Provides coaching, support, and direction to the functional teams as well as to medical staff committees as assigned. Required Skills Effective written/oral communication, and presentation skills Problem-solving skills Strong knowledge of performance improvement tools and techniques Proficient computer literacy Required Experience Bachelor's Degree in healthcare or related field CPHQ or HACP (or within 2 years of hire) Ability to present to and facilitate medical staff meetings Five years acute hospital experience with strong clinical background in acute care, preferably in medical/surgical services. Strong knowledge of CIHQ Standards, Title 22, and CMS Conditions of Participation standards and other regulatory agency requirements Preferred: Regulatory Survey Experience preferred Training and knowledge in the development and implementation of CMS 2567 corrective action plans Two years minimum experience in Quality Management Address1225 Wilshire Boulevard Salary112985.60-186430.40 ShiftDays FLSA StatusProfessional-Exempt Zip Code90017
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