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Hudson Regional Hospital
Secaucus, NJ | Full Time
$91k-116k (estimate)
3 Days Ago
Compliance RN
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$91k-116k (estimate)
Full Time 3 Days Ago
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Hudson Regional Hospital is Hiring a Compliance RN Near Secaucus, NJ

Job Description

Job Description
  • Responsible for developing and overseeing the implementation of the Performance Improvement Plan in accordance with DOH, CMS, and DNV requirements.
  • Remains current with regulatory requirements related to implementation of a Performance Improvement program and on-going PI process. (Includes but is not limited to CORE measures, restraint use, blood use.)
  • Submits data, reports to regulatory agencies within required timeframe, ie CORE measures, staffing, DNV.
  • Actively participates with performance improvement program through data collection, chart review, analysis of data, and initiating plan of correction for non-compliant areas.
  • Coordinates Patient Safety and Quality Committee meetings, prepares agenda and completes meeting minutes.
  • Monitors for compliance with safety regulations for the hospital to ensure the safety of staff, patients, and visitors.
  • Coordinates monitoring of restraint use according to regulatory requirements.
  • Provides education on PI plan and hospital based initiatives to new hires and staff on an on-going basis.
  • Provides medical staff office physician specific data for on-going physician performance evaluation.
  • Reviews incident reports to identify reportable events to DOH, track and trend incidents and identify opportunities for performance improvement.
  • Coordinates Root Cause Analysis teams as required.
  • Reports through the state electronic reporting system any reportable events.
  • Assists managers in the preparation for regulatory and accreditation surveys and monitors for continued compliance.
  • Assists managers in completion of corrective action plans for any citations and/or areas of non-compliance.
  • Participates in committees as assigned (Infection Control, EOC P&T)
  • Prepares quarterly report of PI activities and performance for the Governing Board.
  • Has the responsibilities and authority, in conjunction with senior leadership, for ensuring that the requirements of the QMS are determined , implemented and maintained
  • Coordinates monthly mortality reviews with CMO.

Job Summary

JOB TYPE

Full Time

SALARY

$91k-116k (estimate)

POST DATE

04/29/2024

EXPIRATION DATE

05/15/2024

WEBSITE

hudsonregionalhospital.com

HEADQUARTERS

Moonachie, NJ

SIZE

50 - 100

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