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In addition to the responsibilities listed above, this role is also responsible for: independently scheduling and performing the site reviews, medical record reviews, and Physical Accessibility Review (PAR) surveys; independently conducting site visits for ambulatory care and affiliated sites, as needed; independently planning and enacting plans to ensure survey performance is in accordance with all regulatory requirements via rounds with staff, leaders, and providers; building educational moderately complex principles for the relevant topic (e.g., stroke certifications) to aid staff understanding of organizational priorities; evaluating alignment of patient care towards standards and statues within the program as well as compliance with regulatory, accreditation programs, and national guidelines, with limited direction; serving as a consultative resource for moderately complex regulatory and accreditation programs recommendations, relevant program practice guidelines, order sets; conducting the planning and execution of short term Ambulatory Surgery Centers/Units (ASCs or ASUs) quality and patient safety priorities, in alignment with regional and organization-wide goals; beginning to guide others to develop and implement regional strategies that include a region-wide plan for routine surveillance of quality and patient safety systems and policy administration in the regions ASCs/ASUs; participating in regional cross-functional teams, as appropriate, to drive clinical improvements and efficient use of resources; guiding others in supporting Graduate Medical Education (GME) for non-physician roles (Hospital Markets Only); independently communicating moderately complex regulatory, policy, patient safety and quality program status and issues to program leads, business owners, and leadership; exercising judgement and discretion to aid in consultations for regulatory and accreditation programs recommendations, relevant program practice guidelines; and coordinating and maintaining clinical and service quality improvement activity summaries for regulatory oversight bodies.
Qualifications:
Other
Hospital
$76k-98k (estimate)
04/18/2024
06/17/2024
LOMITA, CA
>50,000
2007
THELMA NERI
$50M - $200M
Hospital