Regulatory and Patient Safety Program Manager-Part Time

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

• Paid Time Off from Day One

• 403-B Retirement Plan

• 4 Weeks 100% Paid Parental Leave

• Career Development

• Whole Person Well-being Resources

• Mental Health Resources and Support

• Pet Benefits

Schedule:

Shift:

Address:

City:

State:

Postal Code:

Job Description:

• Leads clinical teams to develop strategies for clinical standardization and improve patient outcomes based on national best practices and guidelines.

• Serves as the content expert on specialty-based local, state, and federal agencies and accrediting bodies, ensuring compliance with applicable accreditation requirements.

• Performs routine readiness rounding in clinical areas to identify areas of opportunity and prepare for regulatory or accreditation site visits.

• Analyzes, interprets, and makes recommendations to meet federal, state, and local requirements, establishing mechanisms for proactive identification of regulatory issues and tracking corrective actions.

• Partners with physicians and clinical leadership during the development of new clinical programs to provide content expertise on regulatory requirements and ensure implementation of standardized clinical processes.

• Develops and maintains relationships and effective communication with all levels of physicians and staff to facilitate problem identification and resolution.

• Partners with Institute Medical Directors, Department Chairmen, and operations managers to develop department-specific quality interventions to improve quality and patient safety.

• Serves as the liaison for the team in the development of standardized policies, standard operating procedures, and power plans in collaboration with clinical operation leadership.

• Researches best practices and national guidelines to ensure policies are evidence-based and align with national specialty guidelines, overseeing the ongoing review process to ensure content reflects the most recent evidence-based guidelines.

• Serves as the liaison between Risk Management, Accreditation, and Campus Teams to proactively identify potential safety concerns and assists as a subject matter expert in responding to patient events.

• Relays internal and external communications related to accreditation, regulation, and licensing.

• Performs other duties as assigned.

Knowledge, Skills, and Abilities:
• Strong leadership, organization, and collaboration skills [Required]
• Excellent analytical and problem-solving skills [Required]
• Effective oral and written communication skills, with the ability to lead teams through process changes and sustainment. [Required]
• Effective computer skills, particularly Microsoft Office Outlook, Word, Excel [Required]
• Competency in personal leadership abilities [Required]
• Ability to manage multiple competing priorities to achieve organizational goals [Required]
• Knowledge of national and state regulatory guidelines [Required]
• Knowledge of process improvement methodologies [Required]
• Knowledge of patient safety guidelines [Required]
• Advanced knowledge of Microsoft Office applications (Word, Excel, PowerPoint, Outlook, Access, PowerBI, and Visio) [Preferred]
• Change Management training (Prosci®, etc.) [Preferred]

Education:
• Bachelor's [Required]
• Diploma Nursing [Preferred]
• Master's [Preferred]

Field of Study:
• in Business Administration, Healthcare Administration or other allied health related field
• Graduate of school of nursing (RN)
• in Business Administration, Healthcare Administration or other allied health related field

Work Experience:
• 2+ progressive leadership experience [Required]
• 5+ clinical healthcare experience in an acute care or similar setting [Required]
• Experience leading or participating (liaison) in regulatory or accreditation surveys [Preferred]
• Experience leading patient safety or regulatory related initiatives and projects [Preferred]
• Experience with clinical process improvement or project management [Required]
• Experience working in large healthcare systems in specialty service lines (Cardiovascular, Cancer, Neuroscience, Orthopedics or Digestive Health/Surgery) [Preferred]
• Human Factors training or root cause analysis methodology [Preferred]

Additional Information:
• N/A

Licenses and Certifications:
• Registered Nurse (RN) [Preferred]
• Six Sigma [Preferred]
• Lean Bronze Certification [Preferred]
• Certified Professional in Patient Safety (CPPS) [Preferred]
• Healthcare Accreditation Certified Professional (HACP) [Preferred]

Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/23km2677 

Pay Range:

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.