ESSENTIAL FUNCTIONS:

• Assist in maintaining accreditation compliance, patient safety goals and other state or licensing requirements.
• Facilitate document processing between managers and committees.
• Record and maintain committee meeting minutes, performance improvement and risk management documentation.
• Maintenance and updating of policy and procedure manuals.
• Maintain and update electronic and physical database.
• Assist in project implementation and system-wide education and compliance initiatives including compliance with State Licensing and CMS regulatory requirements
• Track projects as assigned throughout the facility, which may include but is not limited to quality council, policies and procedures, safety committee, departmental monitors, board monitors and graphs.

OTHER FUNCTIONS:

• Perform other functions and tasks as assigned.

ADDITIONAL REGULATORY REQUIREMENTS:
While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances
(e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)