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Exciting INTERIM job! Receive per diem rate plus typical out-of-pocket expenses such as: Airfare to/from hospital at start & end of assignment, plus trip home every other weekend, hotel/housing, and rental car & gas.

Job Title: Interim Quality and Accreditation, Regulation and Licensing Director DEPARTMENT: Quality SCHEDULE: Full time regular, 40 hrs/week, Day shift, Monday-Friday, 8:00am to 5:00pm EDUCATION/LICENSE/CERTIFICATION: Bachelor´s degree in health care administration, nursing, or public administration or related field required. Current California RN license (preferred) or other clinical licensure required. Masters Degree preferred. Total Quality Management certification or Certified Professional of Healthcare Quality (CPHQ) preferred. BLS, ACLS JOB SUMMARY: Directs the Medical Center quality program for hospital and ambulatory sites, which may include one or more of the following: quality assessment and improvement, accreditation and regulation licensing, and compliance. Partners with the medical center executive leadership team and departments to ensure that the program effectively measures, assesses and continuously improves the quality of care and service provided. Manages, facilitates and supports activities related to accreditation, regulation and licensing issues for all health care sites and services across the continuum including, but not limited to: home health, ambulatory services, provider networks, hospital services and health plan. Translates various accrediting, regulatory and licensing agency requirements into action plans to achieve positive survey/audit reviews and renewed licenses. Oversees Medical Staff Services including credentialing and privileging, CME, GME and Medical Library. QUALIFICATIONS: Experience designing, developing, implementing clinical improvement programs. Significant experience (usually 5 years) in Quality Improvement in a health care setting. Previous management experience required. Demonstrated knowledge of governmental and other regulatory standards, requirements, and guidelines related to quality improvement, such as The Joint Commission, NCQA, Knox-Keene Act, Federal HMO Act, CMS Conditions of Participation, Title 22, Cal-OSHA, HIPAA and Medi-Cal and Medicare regulations and standards. Strong working knowledge of ongoing monitoring techniques (including criteria development and statistical analysis); medical care delivery in hospital and outpatient settings; total quality management principles, tools, and techniques. Effective communication, negotiation and leadership skills. Must be able to work in a Labor/Management Partnership environment.. PREFERRED QUALIFICATIONS: Previous management experience in nursing or other allied health professional experience preferred. SKILLS TESTING: RN Medication Math Testing DUTIES: Directs the medical centers quality management program, which supports the organizational goals and priorities, as well as the requirements of regulatory and accrediting agencies. Provides oversight for the medical center wide involvement in quality improvements, communicate opportunities, results and priorities. Works closely with designated Chiefs of Service and Department Managers to address patient care issues with a goal toward resolution while maintaining confidentiality. Determines strategy for changing existing processes to meet regulatory requirements and translating external demands into program goals. Provides education and technical support to the Medical Center in developing, implementing and maintaining quality improvement activities. Identifies and implements practices to improve quality and service. Collaborates with leadership, departments, clients, TPMG, and community in designing processes, tools and templates that continually improve the quality, efficiency, service and effectiveness of care and service. Consults and participates in performance improvement teams using a variety of methodologies. Partners with Risk Management to reduce medical/legal liability through development of a program which links risk management activities with those of continuous quality improvement. Serves as a critical link in the identification and resolution of issues, which affect the organizational image. Develops and maintains relationships and effective communication with all levels of medical center physicians and staff in order to facilitate problem identification and resolution. Oversees preparation of periodic reports to the KFH/HP Board of Directors and coordinates completion of the Quality annual evaluation, workplan and program description. Supports the peer review process and partners with medical staff to assure process completion. Oversees Medical Staff Services including credentialing, privileging, CME/GME and library responsibilities. Consults on data analysis techniques and evaluates trends to identify potential opportunities for improvement. Manages staff and makes recommendations regarding the need for staff, space and other resources. Manages and resolves human resources and labor relations issues specific to management responsibilities. Develops systems, templates, tools and processes to identify and monitor indicators which best measure improvement in care delivery. Analyzes, interprets and makes recommendations to meet federal, state and local requirements. Identifies key accreditation, regulation and licensing issues and defines areas for improvement. Establishes mechanisms for proactive identification of regulatory issues and tracking of corrective action to minimize negative impact and maximize learning. Relays internal/external communication of information related to accreditation, regulation and licensing. Prepares for surveys and inspections, including educational forums, coordinating mock surveys and assessments assists in developing response plans. Coordinates formal surveys for all regulatory and accrediting agencies. Interprets and assists in planning responses to new or changing regulations or standards. Collaborates with external regulators to develop standards, which promote high quality patient care and services. Serves as liaison to region, community groups, professional organizations, and licensing/regulatory agencies. Develops, implements, and meets the established financial goals. Monitors applicable budget, and identify and support solutions to reduce cost structure. In collaboration with TPMG, ensures development of a CME program which supports clinical quality goals, trended peer review findings and new technologies embraced by the INTC. Ensures the Medical Library resource supports the achievement of organizational goals through research and best practice identification. Strategically positions library services to support the organizations clinical quality goals and preventive health measures. Consistently supports compliance and the hospitals code of conduct by maintaining confidentiality, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable Federal and State laws and regulations, accreditation and licensure requirements, and the hospitals policies and procedures. In addition to defined technical requirements, accountable for consistently demonstrating service behaviors and principles defined by the hospitals Service Quality Credo, hospitals mission as well as specific departmental/organizational initiatives. Also accountable for consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors.

Under broad supervision, provides energetic and visionary leadership in the planning, development and implementation of a system-wide quality management program for hospital operations within the Department of Behavioral Health and Developmental Disabilities (DBHDD). Provides leadership and consultation for all hospital-based quality management directors. Assures that all hospital related quality management issues are systematically and systemically addressed, including requirements found in the Centers for Medicare and Medicaid (CMS) Conditions of Participation for Hospitals, The Joint Commission (TJC) and in the Civil Rights of Institutionalized Persons Act (CRIPA) Settlement Agreement with the Federal Department of Justice. Supervises the quality management data manager assigned to hospital operations within the Department of Behavioral Health and Developmental Disabilities.This position is located in downtown Atlanta. A sprawling metropolis of over four million people today, metro Atlanta has the vibrancy of the worlds great urban centers combined with the Southern charm of small town centers such as Roswell and Decatur. Here youll find historic sites from the Civil War through the Civil Rights era, as well as world-class shopping, entertainment, and nightlife.

Compliance Leadership Position - Not for Profit Organization

University of Washington Physicians (UWP) in Seattle, Washington is an academic faculty practice group of more than 1,500 physicians and health-care providers who practice at several major medical centers in the greater Seattle area and community-based practice sites around the state of Washington. Our clinicians are among the best and most sought-after in the world providing care for over a million patient visits each year in our outpatient primary-care clinics, specialty clinics, and emergency departments.UW Physicians has a current vacancy in its Compliance Officer position. This leadership position is responsible for developing and overseeing implementation of the compliance program for UW Physicians. Reporting to the Executive Director of UWP, this position also has a reporting relationship to the Associate Vice President for Medical Affairs/Chief Compliance Officer (AVP/CCO) for UW Medicine.The Compliance Officer plays an essential role as the primary content expert for clinical billing and documentation. He/she advises the Board of Trustees, the Business Excellence Committee, the President, Executive Director, Department Chairs and Clinical Directors, and Faculty on compliance risk assessment and mitigation strategies and establishes the audit, monitoring, and education programs. The Compliance Officer works cooperatively with compliance officers within the UW Medicine System and Children´s University Medical Group (CUMG) to ensure system-wide consistency in compliance practices and to identify and resolve shared issues and concerns.Qualifications for the Compliance Officer include the following: Bachelor´s degree in Business Administration, health information, or related field required. Master´s degree preferred; Five years experience in health care compliance required; Five years management experience required; Two years experience in academic health care environment required; In-depth knowledge of federal and state regulations as they pertain to physicians and other health care providers; Knowledge of physician billing, coding (CPT and ICD-9), and documentation required. Coding certification preferred; Ability to communicate effectively, both verbally and in writing, with employees, medical staff, board members, and external parties. Strong presentation skills; Ability to deal effectively with difficult situations; Ability to analyze information and evaluate results to choose the best solution and solve problems; Knowledge of business and management principles involved in strategic planning, resource allocation, human resources management and leadership, production methods, and coordination of people and resources; Proficiency with Windows based software and Microsoft Office Suite products.UW PhysiciansEqual Opportunity Employer

RN Director of Quality wanted for small community hospital in Maine. Start within 30 days!!! IT WON´T LAST!!! Responsible for the coordination of continuous improvement and organizational excellence, regulatory, compliance, accreditation, and legal/risk issues, Medical Staff Credentialing, and promote safety for all employees, patients and visitors. Area offers sea kayaking, shopping for treasures, hiking, visiting with puffins, boating or just sitting back and relaxing in a quiet place. Competitive compensation package and benefits! Call Jorge Ballerino with CompHealth Perm Allied Division at 866-782-9029 ext 5821 or send resume to jorge.ballerino@comphealth.com

Carilion Clinic is the leading healthcare provider in southwest Virginia, and we are building the foundation to become one of the leading healthcare organizations in the nation.

- Bachelors degree is required. Basic Function: Is responsible for management of various medical-related activities regarding care management, quality improvement and performance improvement. Provides leadership for the effective and efficient operation of these services and ensures that the activities and goals of these services are aligned with the business plan for the facility. Job Scope: Oversees and directs the hospitals Quality Management, Process Improvement, Patient Safety, Risk Management and Regulatory Readiness programs and functions. Establishes and ensures the successful implementation of programs that support the quality and cost improvement goals of the facility. Promotes the sharing of clinical data with the goal of creating a focus for operational improvement in the delivery of quality and cost effective health care services. Establishes a continuous performance improvement environment that supports the corporate mission, vision and values.Champions and leads review of cost, utilization and quality of care data. Works collaboratively with system-wide and hospital services to ensure hospitals continuous compliance with all applicable federal, state and local regulations and that hospital achieves and maintains accreditation/certification under applicable accrediting agency standards. Other Minimum Qualifications: Education: Bachelors degree required, Masters degree preferred.Experience: A minimum of 5-7 years of management/leadership experience in hospital or health service setting with 3-5 years of performance improvement and clinical effectiveness experience with demonstrated leadership capability. Licensure/Certification: None required.Other: Must have a demonstrated track record in achieving quality Joint Commission SurveysCarilion Clinic is an Equal Employment Opportunity/Affirmative Action Employer.

With leading specialists in every field of medicine, the advances pioneered at NewYork-Presbyterian Hospital have improved the lives of people everywhere. Uniting the power of two renowned medical centers - Columbia University Medical Center and Weill Cornell Medical Center - we deliver the highest level of inpatient, ambulatory and preventative care. Be one of the people who make it possible. Responsibilities The Manager - Quality and Patient Safety Improvement will be responsible for working on the development and implementation of changes to improve health care quality and patient safety, including working with clinical leadership to advance evidence based practices in clinical care, national and hospital goals in patient safety, and other initiatives to drive highly reliable and safe care. The Manager - Quality and Patient Safety Improvement is expected to possess and utilize skills and knowledge of valid improvement methods, including six sigma, LEAN and the Model for Improvement, to support hospital teams in improvement work and facilitate change. The ideal candidate will have a bachelor´s degree, with additional formal education preferred, and at least 3-5 years clinical experience. Additionally, experience in a quality improvement environment, knowledge of the field of patient safety, and familiarity with Hospital systems (Eagle, TSI, etc) are preferred.

Utilization Review and Quality Assurance Manager

Concentra is looking for talented professionals who will embrace and personify the Company values of:- A Healing Focus- A Selfless Heart- A Tireless ResolveSuccessful candidates will be those who exemplify the welcoming, respectful & skillful behaviors that support our Company focus on excellence in health, wellness, customer service and a passion for lifestyle change.JOB SUMMARY:Responsible for the administrative implementation and maintenance of Concentra Physician Reviews Quality Assurance, Vendor Management and Regulatory/Compliance Monitoring programs. Also assists in the expansion of the contracted physician network.Ensures the delivery of exceptional customer service by being a main point of contact for key clients by putting all customers (internal and external) first and displaying:- A healing focus- A selfless heart- A tireless resolveMAJOR DUTIES AND RESPONSIBILITIES:- Acts as main point of contact for clients to engage the business unit with regard to questions, issues and complaints. Coordinates customer survey process, analyze survey results, and summarize findings to Leadership Team.- Complaint and Issue Tracking: Log complaints and route to appropriate party for resolution. Track final resolution of complaints including being the conduit for reporting findings and resolution to clients when necessary. Summarize objective and statistical findings into report, and report out findings to Leadership Team on a regularly scheduled basis.- Coordinates the creation and administration of a regulatory and compliance monitoring process and measurement as well as a corrective action system. Analyze monthly results and summarize findings to Leadership Team. Additionally, develops and administers vendor payment validation reporting as a part of the Up-front vendor payment process.- Perform other duties as assigned:+ Back-up oversight of daily operations in the absence of the Director of Operations+ Recruit externally contracted physicians+ URAC accreditation preparation assistance+ New product development+ Misc. projectsSCOPE MEASURES:This position is a senior/lead staff professional requiring comprehensive knowledge of Utilization Review/Management practices and principles. This individual will have to effectively communicate with management and the National Medical Director regarding status and progress. While there are no direct management duties, this position is expected to provide back-up oversight of daily operations in the absence of the Director of Operations. In addition, this position will be working closely with key clients who bring millions of dollars of revenue to the company.JOB-RELATED SKILLS/COMPETENCIES:- Excellent interpersonal and communication skills.- Mature professional demeanor recognizing the need to assure confidentiality.- Comprehension of organizational policies, procedures and systems.- Ability to work efficiently, handling multiple tasks simultaneously.- Ability to develop alternative solutions to problems; comparing and analyzing data; preparing clear, concise and grammatically correct written reports, letters, memoranda and other documents.- Ability to independently plan, organize, prioritize, schedule, coordinate and make decisions relating to assigned tasks and responsibilities.- Ability to travel and work after normal business hours as required to fulfill the responsibilities of this position.- Well versed in Windows operating systems software including, but not limited to Word, Excel and preferably Access and PowerPointAnalysis and Critical Thinking- Problem Solving- Quantitative Analysis- Decision Making- Planning and OrganizingInterpersonal Effectiveness- Conflict Management- Delegation- Diversity AwarenessCommunication- Oral Communication- Written Communication- Active Listening- Giving FeedbackOrganizational Awareness- Political Acumen- Customer ServiceGroup Leadership- Group FacilitationWORKING CONDITIONS:Office setting working individuals who are remotely located.EDUCATION/CREDENTIALS:Bachelors degree in healthcare related field is preferred (appropriate experience can be substituted for education). LPN or RN preferred.JOB-RELATED EXPERIENCE:Three to five years experience in Workers Comp and/or Group Health Utilization Review/Management.

Position Responsibilities Maintain current knowledge to ensure compliance to the FDA Quality System Regulations, European Requirements, and other regulatory requirements.Prepare and provide guidance for other employees related to the required documentation (510(k)s, technical files, dossiers) for domestic and foreign submissions and registrations. Handle regulatory related requests/questions and attend strategic meetings for internal and external customers. Proficiently work with other departments to determine the Regulatory pathways required for products that are in the development process. Interact with government agencies as necessary to ensure compliance and negotiate submission issues.Provide support for currently marketed products. This includes reviewing labeling, promotional material, product changes and documentation for changes requiring government approval. Research medical literature, regulatory documents and related information for inclusion into literature reviews for submissions, clinical articles and regulatory submissions and for evaluating manuscripts for accuracy, completeness, and adherence to regulatory requirementsProvide guidance for other employees related to compliance systems, labeling, promotional material, change control and the documentation for these systems as required by domestic and foreign governments (i.e. ECO, CAR, etc).Provide training and support to other members of the department.Represent the company in issues related to legal and review agencies in support of regulatory requirements.Responsible for projects related to long term product registrations or department growth / improvement.Provide continuing education and dissemination of regulatory information to the regulatory, product development, marketing and clinical departments. Basic Qualifications Bachelors degree from an accredited college or university and a minimum of nine (9) years experience in domestic / International submissions, design controls systems and/or regulatory compliance. Demonstrated proficiency with regulatory planning/strategy (i.e. 510(k), PMA, IDE, technical files planning and preparation). Experience with FDA requirements, ISO 13485 and Medical Device Directive or other regulatory requirements.Experience with personal computer office software.Superior interpersonal skillsExcellent communication skills, both oral and writtenProven ability to prioritize, conduct, and meet project deadlinesProject management and presentation skillsFamiliarity with medical terminology a plusSome overnight travel required

Nemours is currently seeking a Performance Improvement and Patient Safety Coordinator for Joint Commission Accreditation and Environmental Safety located at our Alfred I. duPont Hospital for Children in Wilmington, DE.

This position is responsible for the coordination of the Joint Commission accreditation preparedness activities throughout the Delaware Valley and for ensuring the continuous readiness for announced and unannounced surveys of the hospital and affiliated organizations including offsite facilities. Responsibilities include meeting and demonstrating compliance to regulatory/accreditation requirements. This role will also coordinate development and implementation of programs designed to ensure employee, patient, and visitor safety and agency compliance with Environmental safety, health and environmental regulations for specified facilities and operations.Key Responsibilities:*Assists in the identification of specific organizational needs and priorities related to accreditation and safety *Collaborates with key stakeholders to develop long-range goals, objectives, and strategies for accreditation survey readiness and environmental safety *Establishes a process, in collaboration with Departmental Leaders, for proactively assessing the Hospital and/or Practice for Joint Commission accreditation survey readiness.*Establishes a process, in collaboration with Departmental Leaders, for proactively assessing the Hospital and/or Practice for Environmental safety, including Life Safety, improvement opportunities.*Utilizes appropriate assessment tools and techniques to assess compliance with Joint Commission Accreditation and Environmental Safety Standards*Analyzes data to identify trends and opportunities for improvement as assigned. Educates and acts as a resource to all hospital and practice personnel on standards related to Joint Commission accreditation and Environmental safety.*Be experienced in both successful accreditation preparation as well as environmental safety management. *Be able to relate to all levels within the organization in order to both assess their knowledge and compliance with the regulations as well as educate them when deficits are identified. *Be able to methodically assess the level of compliance with various accreditation and safety standards and then analyze the gaps in order to formulate an effective plan of correction.JOB REQUIREMENTS: *Successful candidate must be a RN or Certified Professional in Healthcare Quality (CPHQ). Must have Bachelor´s degree in health related field (Master’s preferred). Minimum of five (5) years experience in healthcare management and organization -wide accreditation activities. Minimum three (3) years experience with organization-wide environmental safety activities.At Nemours, we´re dedicated to achieving higher standards in children´s health. And we begin by caring for children as if they were our own. For more than 70 years, this has been the Nemours Way. Thank you for your interest.

Assist with the planning, development and management of all plans related to the ANCC Magnet Recognition application process, preparation, designation and maintenance. Responsibilities include implementation of a relationship based care philosophy throughout the Department of Nursing and within the existing interdisciplinary care environment. You will also support Quality Management efforts for the department as they relate to Magnet goals/initiatives and serve as a leader to provide on-going education, training and support to staff at all levels. NYS RN license/registration required3-5 years of quality management experience and related certification, Masters degree preferredPrevious experience or understanding related to the Magnet Recognition application/designation process highly desirable.Mon-Fri

Medical Director, Care Management for community teaching hospital in CT.

Reporting to the Chief Medical Officer, the Medical Director, Care Management will be responsible for Discharge Planning, Utilization Review and Quality Management. The position also assumes responsibility for the oversight and compliance of all federal and state regulations as it relates to UR.This is one of CTs largest community teaching hospitals located in a culturally diverse and stimulating, coastal university town surrounded by classic New England towns with easy access to New York, Hartford and Boston.

GENERAL SUMMARY: Under general supervision of the Director of Quality, is responsible for facilitating continuous improvement activities using the Lean methodology PRINCIPAL DUTIES AND RESPONSIBILITIES:Coach and support teams and individuals on properly identifying the 7 wastesTeach and train teams and individuals on the application of problem specific tools to support the Kaizen Activity Facilitate the deployment of capable and successful Kaizen teams for the purpose of elimination of waste As applicable coordinate the documentation of Kaizen/experiment using standard Lean tools Insure proper implementation and continued follow-up until Kaizen/experiment is hardwired Conduct regular observations of completed Kaizen/experiments to support and coach Provide input and recommendations for further continuous improvement activities to area managers Support the development and implementation of organizational wide Lean learning. Establish and grow relationships with those closest to the work KNOWLEDGE, EXPERIENCE, AND OTHER JOB REQUIREMENTS:The level of knowledge equivalent to that is normally acquired through completion of a Bachelors DegreeStrong leadership, coaching and teaching abilities Five years of related experience, including first hand experience leading and conducting Kaizen events preferably in a health care environmentCandidate must be able to demonstrate first hand knowledge and proper use of Lean as a business strategy Strong analytical, organizational and problem solving skillsExceptional communication (primarily verbal and listening) skills with ability to interact effectively with all levels throughout the organization. Knowledge of personal computer applications (Excel, word, etc.) WORKING CONDITIONS: Normal sedentary office environment. Work requires frequent mental/visual effort in reviewing documents The above statements are intended to describe the general nature and level of the work being performed by people assigned this job. They are not exhaustive lists of all duties, responsibilities, knowledge, skills, and abilities associated with the job.

Quality and AR&L Director

DEPARTMENT: QualitySCHEDULE: Full time regular, 40 hrs/week, Day shift, Monday-Friday, 8:00 am to 5:00 pmEDUCATION/LICENSE/CERTIFICATION: Bachelors degree in health care administration, nursing, or public administration or related field required. Current California RN license (preferred) or other clinical licensure required. Master´s Degree preferred. Total Quality Management certification or Certified Professional of Healthcare Quality (CPHQ) preferred. BLS, ACLSJOB SUMMARY: Directs the Medical Center quality program for hospital and ambulatory sites, which may include one or more of the following: quality assessment and improvement, accreditation and regulation licensing, and compliance. Partners with the medical center executive leadership team and departments to ensure that the program effectively measures, assesses and continuously improves the quality of care and service provided. Manages, facilitates and supports activities related to accreditation, regulation and licensing issues for all health care sites and services across the continuum including, but not limited to: home health, ambulatory services, provider networks, hospital services and health plan. Translates various accrediting, regulatory and licensing agency requirements into action plans to achieve positive survey/audit reviews and renewed licenses. Oversees Medical Staff Services including credentialing and privileging, CME, GME and Medical Library.QUALIFICATIONS: Experience designing, developing, implementing clinical improvement programs. Significant experience (usually 5 years) in Quality Improvement in a health care setting. Previous Management experience required. Demonstrated knowledge of governmental and other regulatory standards, requirements, and guidelines related to quality improvement, such as The Joint Commission, NCQA, Knox-Keene Act, Federal HMO Act, CMS Conditions of Participation, Title 22,Cal-OSHA, HIPAA and Medi-Cal and Medicare regulations and standards. Strong working knowledge of ongoing monitoring techniques (including criteria development and statistical analysis); medical care delivery in hospital and outpatient settings; total quality management principles, tools, and techniques. Effective communication, negotiation and leadership skills. Must be able to work in a Labor/Management Partnership environment.PREFERRED QUALIFICATIONS: Previous management experience in nursing or other allied health professional experience preferred.SKILLS TESTING: RN Medication Math TestingDUTIES: Directs the medical center’s quality management program, which supports the organizational goals and priorities, as well as the requirements of regulatory and accrediting agencies. Provides oversight for the medical center wide involvement in quality improvements, communicate opportunities, results and priorities. Works closely with designated Chiefs of Service and Department Managers to address patient care issues with a goal toward resolution while maintaining confidentiality. Determines strategy for changing existing processes to meet regulatory requirements and translating external demands into program goals. Provides education and technical support to the Medical Center in developing, implementing and maintaining quality improvement activities. Identifies and implements practices to improve quality and service.Collaborates with leadership, departments, clients, TPMG, and community in designing processes, tools and templates that continually improve the quality, efficiency, service and effectiveness of care and service. Consults and participates in performance improvement teams using a variety of methodologies. Partners with Risk Management to reduce medical/legal liability through development of a program which links risk management activities with those of continuous quality improvement. Serves as a critical link in the identification and resolution of issues, which affect the organizational image. Develops and maintains relationships and effective communication with all levels of medical center physicians and staff in order to facilitate problem identification and resolution. Oversees preparation of periodic reports to the KFH/HP Board of Directors and coordinates completion of the Quality annual evaluation, workplan and program description. Supports the peer review process and partners with medical staff to assure process completion. Oversees Medical Staff Services including credentialing, privileging, CME/GME and library responsibilities. Consults on data analysis techniques and evaluates trends to identify potential opportunities for improvement. Manages staff and makes recommendations regarding the need for staff, space and other resources. Manages and resolves human resources and labor relations issues specific to management responsibilities. Develops systems, templates, tools and processes to identify and monitor indicators which best measure improvement in care delivery. Analyzes, interprets and makes recommendations to meet federal, state and local requirements. Identifies key accreditation, regulation and licensing issues and defines areas for improvement. Establishes mechanisms for proactive identification of regulatory issues and tracking of corrective action to minimize negative impact and maximize learning. Relays internal/external communication of information related to accreditation, regulation and licensing. Prepares for surveys and inspections, including educational forums, coordinating mock surveys and assessments assists in developing response plans. Coordinates Formal surveys for all regulatory and accrediting agencies. Interprets and assists in planning responses to new or changing regulations or standards. Collaborates with external regulators to develop standards, which promote high quality patient care and services. Serves as liaison to region, community groups, professional organizations, and licensing/regulatory agencies. Develops, implements, and meets the established financial goals. Monitors applicable budget, and identify and support solutions to reduce cost structure. In collaboration with TPMG, ensures development of a CME program which supports clinical quality goals, trended peer review findings and new technologies embraced by the INTC. Ensures the Medical Library resource supports the achievement of organizational goals through research and best practice identification. Strategically position library services to support the organization’s clinical quality goals and preventive health measures. Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions for salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees. Consistently supports compliance and the Principles of Responsibility (KP’s code of conduct) by maintaining confidentiality, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable Federal and State laws and regulations, accreditation and licensure requirements, and KP policies and procedures. In addition to defined technical requirements, accountable for consistently demonstrating service behaviors and principles defined by the Kaiser Permanente Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives. Also accountable for consistently demonstrated the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors.PLEASE NOTE: - Kaiser Permanente is an AA/EEO employer

The Chief Quality Officer (RN) is responsible for planning, administration, and monitoring of consistent readiness of all quality management, regulatory requirements, and quality improvement processes. The Chief Quality Officer will oversee and coordinate all hospital efforts to monitor and maintain compliance with all regulatory, State, Federal government, and Joint Commission on Accreditation of Healthcare Organization standards. Qualifications Education:• Graduate of an accredited school of nursing.Experience:• Minimum of three years in an acute care facility and demonstrates a clear working knowledge of general hospital operations, JCAHO, OSHA, Medicare COP, and state requirements. • Minimum of two years experience in Quality Management required.• Must have coordinated JCAHO preparation and participated in State and CMS surveys within past three years.• MSNCertifications / Licenses:• Current Arkansas state Nurse license

Navarro Regional

The Director of Quality Management and Regulatory Compliance (QMRC) is responsible for planning, administration, and monitoring of consistent readiness of all quality management, regulatory requirements, and quality improvement processes. The Director of QMRC will oversee and coordinate all hospital efforts to monitor and maintain compliance with all regulatory, State, Federal government, and Joint Commission on Accreditation of Healthcare Organization standards. The position reports directly to the CEO.Qualifications Education:-Nursing or other clinical healthcare license/degree. Experience:-Minimum of three years in an acute care facility and demonstrates a clear working knowledge of general hospital operations, Joint Commission, OSHA, Medicare Conditions of Participation, and state requirements.-Minimum of two years experience in Quality Management required.-Must have coordinated Joint Commission preparation and participated in State and CMS surveys within past three years. Licenses/Certificates:-Current license as Registered Professional Nurse or other health care professional-Advance certificate and training preferred.

The Director of Quality Management and Regulatory Compliance (QMRC) is responsible for planning, administration, and monitoring of consistent readiness of all quality management, regulatory requirements, and quality improvement processes. The Director of QMRC will oversee and coordinate all hospital efforts to monitor and maintain compliance with all regulatory, State, Federal government, and Joint Commission on Accreditation of Healthcare Organization standards. The position reports directly to the CEO.Qualifications Education:Nursing or other clinical healthcare license/degree. Experience:-Minimum of three years in an acute care facility and demonstrates a clear working knowledge of general hospital operations, Joint Commission, OSHA, Medicare Conditions of Participation, and state requirements.-Minimum of two years experience in Quality Management required.-Must have coordinated Joint Commission preparation and participated in State and CMS surveys within past three years. Licenses/Certificates:-Current license as Registered Professional Nurse or other health care professional-Advance certificate and training preferred.

All Loma Linda University Adventist Health Sciences Center (LLUAHSC) entities offer competitive, market-driven benefits to our employees. We believe our benefits fulfill our mission ´to make man whole.´

- Bachelors DegreeDL Drivers License3-5 yearsJob Summary: The Director of Compliance is primarily responsible for overseeing privacy and information security program operation integrity and ensuring compliance with all aspects of legislative and regulatory requirements under state and federal law to include, but not limited to, CMIA, LPS, the Privacy Rule, Security Rule, and HITECH. This person will be responsible for the oversight and maintenance of a privacy and security infrastructure within the organization to include policies and procedures, formal risk review mechanisms, and on-going training and educational activities. Responsible for ensuring consistency and uniformity in the application of program policies and procedures for campus hospitals, outpatient clinics and satellite offices. Responsible for the oversight and development of audit plans, effective tools and methodologies to ensure that the organization is appropriately monitored for privacy and information security compliance. Assists the Executive Director of Compliance as necessary to meet the objectives of the Compliance Program and established Compliance Plans. Performs other duties as assigned. Job Specifications: Bachelors Degree required; preferably in Business, HIA, or related field. RHIA preferred. Masters Degree preferred. Minimum of 3 years experience in implementing and overseeing privacy and security infrastructure at a management level in a healthcare setting required 5 years experience preferred and preferably in an academic medical center environment. Demonstrated experience and skill in dealing with patients, the public, and external regulatory entities, such as the Office of Civil Rights and the Department of Public Health is required. Demonstrated experience in understanding the operational impacts of federal and state regulations related to privacy and security and mitigating risk is required. Privacy and Security certification through AHIMA or other nationally recognized health information certification program is required or must be obtained within one year of hire. Valid California drivers license. Able to use computer and software programs necessary to the position e.g. Word, Excel, PowerPoint, Access, and operate/troubleshoot basic office equipment essential to the position.

Job Description - External:The purpose of this position is to provide leadership and direction for implementing a System driven Planned Care Initiative at the PeaceHealth Medical Group Regional level. This person coordinates System Planned Care work with Regional work to ensure that System clinical and operational goals related to the Planned Care initiative are met.NATURE AND SCOPE:The Planned Care Program Manager reports to the System Director, Planned Care. The position has a matrix dyad relationship with the Primary Care Regional Clinic Director/Manager. This position leads and directs the system planned care work, coordinating and aligning any associated regional work as needed to achieve the Planned Care Vision. The individual participates in strategic decisions specific to the Planned Care initiatives. The position requires both strategic and tactical implementation skills and requires solid program planning and implementation skills. Clinical and operational knowledge of healthcare delivery systems and finely honed facilitation and communication skills are essential. This person is expected to be an accurate observer and interpreter of issues involving Planned Care implementation in the regions and must be able to constructively bring these issues to the Regional PHMG leadership team and to the System. On a day to day basis, the individual is responsible for artfully blending analysis, clinical skills and knowledge, and leadership to develop realistic project approaches and plans. The scope of performance includes the ability to effectively communicate PeaceHealth Vision 2012 and strategic plan and the ability to provide staff with the leadership, coaching and support required for achieving cultural change. All activities are expected to be implemented in a way that supports staff engagement and organizational learning. The incumbent will maintain knowledge regarding current programs being implemented in primary care throughout the country and be able to share and articulate those ideas with colleagues at both the regional and system level. DUTIES AND RESPONSIBILITIES:-Support PeaceHealth Strategies by designing, managing and coordinating agreed-upon system projects, activities, and assignments at the regional level. -Collaborate with System Planned Care Director and with the Regional Clinic Director/Manager to:-Implement initiatives and projects related to Planned Care. (Examples include: implementing disease specific evidence based guidelines, re-designing office processes to support guidelines, team development, patient centered care, and coordinating grants evolving from partnerships with payers etc.) -Lead the Regional Planned Care Leadership Team and coordinate regional work teams as required -Develop regional annual work plan with timelines and milestones-Facilitate development of cross regional standardized policies, practices, protocols and procedures where required to achieve planned care goals. -Establish internal regional processes for evaluating progress-Define measurable goals and objectives -Assist in the identification of staff and team training needs and in the development of plans for improving individual and team effectiveness -Coordinate and escalate risk issues and progress barriers to Regional Planned Care Leadership Team and System Planned Care Director and others as required. -Prioritize and manage tasks so that goals are achieved while at the same time honoring relationships and PeaceHealth values. -Develop effective relationships within the regional medical groups as required to achieve project goals. -Coordinate communication plans to ensure alignment between regions and system; serves as communication conduit between all regional and system key stakeholders.-Prepare leadership reports relating to projects, including status on projects and goals. -Work collaboratively with Analytics, Web Services, CHR and other HID resources.-Support and align all work with PH Change Leadership Strategy.-Establish proficiency with and keep abreast of national trends in assigned project areas.-Participate in cross-regional teams and committees, as assigned. QUALIFICATIONS:Education Bachelors degree required, Masters Degree or advanced training preferred. Clinical Degree/license preferred.Experience Five years experience in a healthcare setting. Progressively responsible experience will include project management, electronic medical records, group or project facilitation, as well as demonstrated successful implementation of clinical programs or quality improvement projects. A working knowledge of the nature and impact of key organizations (JCAHO, CMS, IHI) on PeaceHealth quality measurement and reporting requirements. Strong proficiency with MS Word, Excel, and other standard PC applications is required. Demonstrated experience working successfully with physicians and other clinicians is preferred. Must be able to work efficiently, independently and responsibly with minimal supervision and short time frames. Must also be able to work as part of a team, including at times in a virtual team environment. Demonstrated ability to work with a broad array of people from diverse backgrounds and from various levels of management, ranging from line analysts to Chief Executives, Physicians and other Senior Health Care Leaders, including quality leadership across PeaceHealth. Must be adaptable and flexible with the ability to initiate and support change. Must be able to work with the ambiguity inherent with innovation and design.Skills Strong project management skills and excellent organizational and communication skills, both oral and written, are required. Ability to facilitate discussion, coach, and train concepts related to team process. Must be willing to learn a variety of healthcare improvement tools and methodologies. Ability to cope with multiple demands and extremely precise, detailed and confidential work. Ability to prioritize work effectively, self-motivated and able to manage multiple tasks simultaneously.

***Looking for applicants that have a strong ability to Manage large scale Process Redesign Projects in the Part time- 24 hour, benefited position

Job Description - External:The purpose of this position is to provide leadership and direction for implementing a System driven Planned Care Initiative at the PeaceHealth Medical Group Regional level. This person coordinates System Planned Care work with Regional work to ensure that System clinical and operational goals related to the Planned Care initiative are met.NATURE AND SCOPE:The Planned Care Program Manager reports to the System Director, Planned Care. The position has a matrix dyad relationship with the Primary Care Regional Clinic Director/Manager. This position leads and directs the system planned care work, coordinating and aligning any associated regional work as needed to achieve the Planned Care Vision. The individual participates in strategic decisions specific to the Planned Care initiatives. The position requires both strategic and tactical implementation skills and requires solid program planning and implementation skills. Clinical and operational knowledge of healthcare delivery systems and finely honed facilitation and communication skills are essential. This person is expected to be an accurate observer and interpreter of issues involving Planned Care implementation in the regions and must be able to constructively bring these issues to the Regional PHMG leadership team and to the System. On a day to day basis, the individual is responsible for artfully blending analysis, clinical skills and knowledge, and leadership to develop realistic project approaches and plans. The scope of performance includes the ability to effectively communicate PeaceHealth Vision 2012 and strategic plan and the ability to provide staff with the leadership, coaching and support required for achieving cultural change. All activities are expected to be implemented in a way that supports staff engagement and organizational learning. The incumbent will maintain knowledge regarding current programs being implemented in primary care throughout the country and be able to share and articulate those ideas with colleagues at both the regional and system level. DUTIES AND RESPONSIBILITIES:-Support PeaceHealth Strategies by designing, managing and coordinating agreed-upon system projects, activities, and assignments at the regional level. -Collaborate with System Planned Care Director and with the Regional Clinic Director/Manager to:-Implement initiatives and projects related to Planned Care. (Examples include: implementing disease specific evidence based guidelines, re-designing office processes to support guidelines, team development, patient centered care, and coordinating grants evolving from partnerships with payers etc.) -Lead the Regional Planned Care Leadership Team and coordinate regional work teams as required -Develop regional annual work plan with timelines and milestones-Facilitate development of cross regional standardized policies, practices, protocols and procedures where required to achieve planned care goals. -Establish internal regional processes for evaluating progress-Define measurable goals and objectives -Assist in the identification of staff and team training needs and in the development of plans for improving individual and team effectiveness -Coordinate and escalate risk issues and progress barriers to Regional Planned Care Leadership Team and System Planned Care Director and others as required. -Prioritize and manage tasks so that goals are achieved while at the same time honoring relationships and PeaceHealth values. -Develop effective relationships within the regional medical groups as required to achieve project goals. -Coordinate communication plans to ensure alignment between regions and system; serves as communication conduit between all regional and system key stakeholders.-Prepare leadership reports relating to projects, including status on projects and goals. -Work collaboratively with Analytics, Web Services, CHR and other HID resources.-Support and align all work with PH Change Leadership Strategy.-Establish proficiency with and keep abreast of national trends in assigned project areas.*Participate in cross-regional teams and committees, as assigned. QUALIFICATIONS:Education Bachelors degree required, Masters Degree or advanced training preferred. Clinical Degree/license preferred.Experience Five years experience in a healthcare setting. Progressively responsible experience will include project management, electronic medical records, group or project facilitation, as well as demonstrated successful implementation of clinical programs or quality improvement projects. A working knowledge of the nature and impact of key organizations (JCAHO, CMS, IHI) on PeaceHealth quality measurement and reporting requirements. Strong proficiency with MS Word, Excel, and other standard PC applications is required. Demonstrated experience working successfully with physicians and other clinicians is preferred. Must be able to work efficiently, independently and responsibly with minimal supervision and short time frames. Must also be able to work as part of a team, including at times in a virtual team environment. Demonstrated ability to work with a broad array of people from diverse backgrounds and from various levels of management, ranging from line analysts to Chief Executives, Physicians and other Senior Health Care Leaders, including quality leadership across PeaceHealth. Must be adaptable and flexible with the ability to initiate and support change. Must be able to work with the ambiguity inherent with innovation and design.Skills Strong project management skills and excellent organizational and communication skills, both oral and written, are required. Ability to facilitate discussion, coach, and train concepts related to team process. Must be willing to learn a variety of healthcare improvement tools and methodologies. Ability to cope with multiple demands and extremely precise, detailed and confidential work. Ability to prioritize work effectively, self-motivated and able to manage multiple tasks simultaneously.

Part of Sunrise Health, MountainView Hospital is a full-service modern 250-bed facility in the heart of northwest Las Vegas. Here we offer a family-like culture and stress a team-based approach, aimed at continuing to achieve high levels of patient satisfaction. We are known for our low nurse-to-patient ratio and specialty adult and pediatric intensive care units, and were honored with a Service Excellence Award for womens health and maternity care. We currently have an opportunity for a full-time Quality Management Coordinator who will assume organizational responsibility for medical staff peer review functions and assigned quality improvement initiatives. The Coordinator will serve as team leader for selected quality improvement projects as assigned. In addition, the Coordinator will design and implement quality studies; perform medical record review for abstraction of data for core measures and/or clinical review for peer review and oversee ongoing professional practice evaluation (OPPE). Qualified candidates must have: Nevada Registered Nurse License Bachelors Degree in Nursing or health related field, Masters Degree preferred Professional in Healthcare Quality Certification preferred A minimum of three years recent experience in medical staff peer review/quality management preferred Experience with Microsoft Office, database management preferred Understanding of data management systems Intermediate computer knowledge and expertise At Sunrise Health were guided by a simple yet powerful motto, Another Sunrise. Another Miracle.. And while technology is at the forefront of everything we do, we havent forgotten that its our people who make miracles happen and help our patients heal. As part of our team, we provide you with a benefits package designed to meet your individual needs. Whether youre new to the area or a longtime resident, theres always something new to discover in Las Vegas. For more information please contact Pam at Pamela.Hulbert@hcahealthcare.com or visit our website at www.sunrisehealth.jobs/mountainview to learn more about our opportunities and all that Las Vegas has to offer.Sunrise Health is an equal opportunity employer.

Performs utilization management activities, discharge planning, and care coordination across the continuum of care in collaboration with the physician and other members of the health care team.

DEPARTMENT: Resource Management SCHEDULE: On-Call, 0 hours per week, Day Shift. 8:00am to 4:30pm. Variable weekdays and hours to support needs of the department. Includes every other third weekend. EDUCATION: BSN or BA in health care related field or Diploma/Associate Degree Nursing (ADN) with comparable years of experience required. Masters Degree preferred. Graduate of accredited school of nursing. LICENSE/CERTIFICATION: BLS Certification and current California RN licensure required. JOB SUMMARY: Performs utilization management activities, discharge planning, and care coordination across the continuum of care in collaboration with the physician and other members of the health care team. QUALIFICATIONS: Experience (usually 2+ years) in direct patient care delivery and management. Demonstrated experience in utilization review, case management, and discharge planning preferred (usually 2+ years). Knowledge of the Nurse Practice Act, The Joint Commission, DMHC, CMS, NCQA, HIPPA, ERISA, EMTALA and all other applicable federal/state/local laws and regulations. Demonstrated strong communication and customer service skills, problem-solving, critical thinking, and clinical judgment abilities. Fundamental word processing and computer navigation skills, and the ability to interpret and use analytic data in day to day operations. Knowledge of healthcare benefits associated with various business lines (Medicare/KPSA, Commercial/KFH, Medi-Cal, Federal, etc.). DUTIES: Utilization Management: Performs daily preadmission, admission, and concurrent utilization reviews using guidelines, institutional policies/procedures, and other information to determine appropriate levels of care and readiness for discharge. Escalates utilization and system problems which have not been resolved at the local level to the next level (RM/UM Director, CCL, DHO, etc.), immediately. Monitors the progression of the plan of care and facilitates discussions with the multi-disciplinary teams. Educates other healthcare team members on utilization and cost containment initiatives. Collaborates with and provides information to patients, families, physicians, and staff regarding the provisions of care. Incorporates and counsels on the correct and consistent application, interpretation, and utilization of member health care benefits (including transition of care). Discharge Planning: Ensures continuity of care through communication in rounds and written documentation, level of care recommendations, transfer coordination, discharge planning and obtaining authorizations/approvals as needed for outside services for the patient. Develops, evaluates, and coordinates a comprehensive discharge plan in conjunction with the patient/family, physician, nursing , social services, and other healthcare providers and agencies. Performance Improvement: Monitors care processes to provide cost-effective implementation and evaluation of utilization management and patient care activities, initiatives, and protocols. Participates in the development and implementation of guidelines, preprinted physician orders, carepaths, etc. for patient care. Identifies and assists in the implementation of opportunities for cost-savings and improvements in the quality of care across the continuum. Develops, collects, trends, and analyzes data relevant to the utilization of healthcare resources including avoidable/variance days, readmissions, one-day stays, DRGs, LOS, etc. Participates in the development, implementation, communication, maintenance and monitoring of local UM Workplan initiatives. Administrative and Regulatory: Shares accountability with the UM Manager for planning, developing, and managing the department budget. Participates in interviewing, makes hiring recommendations, orients and provides on-going supervision of support staff. Provides input into the performance evaluations of team members. May plan and control work assignments and special projects of team members. Assists in developing, implementing and maintaining utilization management policies and procedures. Conducts UM, care coordination, and discharge planning activities according to all applicable regulatory requirements (see qualifications). Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees. Consistently supports compliance and the Principles of Responsibility (KP´s code of conduct) by maintaining confidentiality, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable Federal and State laws and regulations, accreditation and licensure requirements, and KP policies and procedures. PLEASE NOTE: Kaiser Permanente is an AA/EEO employer.