Director, Regulatory Compliance and Accreditation Services (Part -Time) - Remote
Company: Lifepoint Health Support Center
Location: Brentwood
Posted on: April 18, 2024
Job Description:
Director, Regulatory Compliance and Accreditation ServicesWho we
are:At Lifepoint Health, we provide quality healthcare to rural
communities. As a valued member of our team, you will be an
integral part of a group working together to elevate Lifepoint's
healthcare delivery network. Our network includes 60+ community
hospitals, 60+ rehabilitation/behavioral health hospitals, and 250
additional sites of care across the United States. As an
organization, we are dedicated to serving communities nationwide by
providing exceptional care. We believe in the power of our talented
teams and strive to create environments where employees find
purpose and fulfillment.What you'll do:As a Director, Regulatory
Compliance and Accreditation Services, you will provide guidance
and support, education, training and mentorship for CMS Conditions
of Participation, accreditation, and survey readiness activities
relative to clinical quality, patient safety, infection prevention
and control, organization performance and compliance with law,
regulation and accreditation standards. - -The Director closely
collaborates with the Hospital Operations - Clinical and Quality
Teams and others in the Health Support Center office and at the
local facility level in advancing high- quality, safety and
clinical processes, regulatory and accreditation compliance to
achieve positive patient outcomes and serve in the capacity of
coach and mentor.Responsibilities:
Participates in Survey Readiness
Assessments (SRAs) throughout the LifePoint System to assess and
evaluate an organization actual performance of functions and
processes aimed at continuously improving patient outcomes and
their ability to provide safe, high-quality care.Provides resource
for accreditation, CMS Conditions of Participation, performance
improvement, patient safety, infection control processes.Applies
systems analysis skills and inductive reasoning skills to determine
health care organizations' degree of compliance with applicable
standards and functionality of care delivery systems.Engages health
care organization staff in interactive dialogues on standards-based
issues in health care to assess compliance and to identify
opportunities for improving compliance.Prepares SRA reports that
effectively link individual standards deficiencies with potential
systems vulnerabilities and related organization risk
points.Effectively communicates survey finding information to
organization and division leadership in a constructive and
collegial style.Works in concert with VP and AVPs to ensure that
HSC and hospital leaders and managers remain current on TJC/CMS and
other accreditation standards and requirements.Works with key
stakeholders to evaluate performance and outcome data to identify
potential improvement opportunities and/or evaluate the
effectiveness of improvement initiatives.Supports organizations in
the development, review and implementation of improvement plans for
accreditation and/or regulatory. Based on data analytics
identities, develops, and disseminates helpful resources and best
practices for regulatory and accreditation compliance. Provides
consultative and educational support to hospitals relative to
clinical quality, patient safety, -infection prevention and
control, and regulatory/accreditation compliance.Acts as a liaison
with other HSC departments concerning regulatory, accreditation,
patient safety, infection prevention and control and quality
improvement strategies. Prepares and presents pertinent educational
programs using adult learning principles for identified improvement
needs. Provides onboarding, mentors, coaches, and supports to
Lifepoint Health Quality Directors.Demonstrates effective
organizational, oral, and written communication skills, problem
solving, program development, computer skills, strong leadership
and team building skills. - - Participates in other Hospital
Support Center activities as assigned by VP Regulatory Compliance
and Accreditation.What you'll need: Education:
RN with a master's degree in
healthcare administration/management or a related field. - PharmD
will be considered for the position. Current professional license
in discipline required at time of hire and must be maintained.CPHQ
and/or CPPS preferred. -Experience: Minimum of 7 years of
healthcare experience with at least 5 of those years served in a
managerial/supervisory or leadership role. -Why choose us: As a
team member of the Health Support Center, our goal is to support
those that are in our facilities who are interfacing and providing
care to our patients and community members. Our focus is to
attract, retain, and empower a diverse and determined workforce.
Our mission statement is at the heart of who we are and what we do:
"Making Communities Healthier." In this shared mission, we believe
that our collective efforts will shape a healthier future for the
communities we serve.Benefits: We offer an excellent total
compensation package, including a competitive salary and benefits.
Some of our benefits include 401k, flexible PTO, generous Employee
illness benefit (EIB), medical, dental, vision, tuition
reimbursement, and an Employee Assistance Program. We believe that
happy, healthy people have a passionate engagement with life and
work and have designed our package to enhance your wellbeing.Equal
opportunity and affirmative action employers and are looking for
diversity in candidates for employment:
Minority/Female/Disabled/Protected Veteran
Keywords: Lifepoint Health Support Center, Franklin , Director, Regulatory Compliance and Accreditation Services (Part -Time) - Remote, Executive , Brentwood, Tennessee
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