The Clinical Qual/Compli Admin Sr is responsible for participating in Quality Management (QM) activities that ensure programs meet accreditation and regulatory standards. Primary duties may include, but are not limited to:
Prepares QM Department for oversight audits.
Prepares corrective action plans in response to oversight body's request.
Conducts audits of QM processes and files.
Writes policies and procedures.
Assists with development of provider manuals, audit tools, and guidelines.
Coordinates flow of information and documentation between associates responsible for day-to-day activities related to accreditation or regulatory reviews.
Develops and implements accreditation and regulatory review tracking system.
Creates audit tools, reports, standardized policies and procedures, and provider manuals.
Facilitates implementation of survey or regulatory recommendations.
Assesses and evaluates progress towards meeting standards.
Recommends new process.
Trains associates on new and revised standards.
Compiles documentation for presentation to accrediting/regulatory organization.
Requirements:
AS in Nursing and minimum of 5 years of experience in a healthcare setting which includes a minimum of 3 years of quality management experience and/or experience preparing for regulatory/accreditation audits; or any combination of education and experience, which would provide an equivalent background.
Current unrestricted RN license in applicable state(s) required.
Knowledge of regulatory/accreditation standards strongly preferred.
BSN preferred.
Travels to worksite and other locations as necessary.