Manager Clinical Compliance and Regulatory Services
ID 2024-29326
Location
Cone Health
Work Location
US-NC-Greensboro
Division : Name
System Wide
Department : Name
SW-Accreditation Services
Category
PROFESSIONAL / MNGMNT
Position Sub-Category
PROFESSIONAL / MNGMNT
Position Type
Full Time (40 hours / week)
Employment Type
Employee
Exempt / NonExempt
Exempt
1.00
Workforce Status
Hybrid I
Work Hours
40.00
Provider Schedule (specific schedule)
Flexible
On call Required
Sub Category
Professional / Management
Overview
The Manager, Clinical Compliance and Regulatory Services is responsible for the oversight and supervision of the patient grievance program and accreditation and pateient safety program after patient grievance program .
This role is focused on continuous improvement in the patient grievance program, including leading teams for proactive risk assessments, root cause analysis and risk reduction strategies .
Talent Pool : Nursing
Responsibilities
Leads the assessment of patient safety culture, creating a transparent environment, using the bi-annual patient safety culture survey to gather information and find areas of improvement, looking for ways to implement improvements.
Ensures compliance with system, state and federal regulations, staying up to date with changes to keep clinical and non-clinical staff in compliance, preventing any potential legal ramifications.
Oversees the completion of regulatory reports to make sure that reports are up to the highest standard and contain accurate information.
Assists with the definition and development of key performance indicators (KPIs) for staff to help senior management understand what aspects of the role are most important to defining the success of the positions.
Collaborates with leadership across the organization to find areas that could use quality improvement or identify other areas of the organization that could benefit with information gathered and analyzed.
Performs other duties as assigned.
Qualifications
EDUCATION :
Required : BSN, will consider MHA or MSN
EXPERIENCE :
Required : 3 Years of experience in a large acute care hospital environment
LICENSURE / CERTIFICATION / REGISTRY / LISTING :
Registered Nurse