Manager of Operations for Patient Safety and Regulatory Accreditation

Position Title: Manager of Operations for Patient Safety and Regulatory Accreditation Department: Patient Safety Department Job Description: General Description: Under general direction, is responsible for operationalizing, coordinating, and facilitating OU Health’s regulatory compliance with federal, state, and local laws. Follows-up on patient safety initiatives and creates a culture of safety in all OU Health areas from an operational lens. Essential Responsibilities: Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position. Collaborates with managers within the system regarding operational responsibilities. Tracks laws, rules, or regulation changes for the accreditation body that governs OU Health that could impact patient safety. Serves as system-level liaison for regulatory reviews/inspections; facilitates development of regulatory action plans and communications. Utilizes programs to add resources for leaders within the organization to increase compliance (PowerBI, TJC Tracer, Uptime Health, CMMS Rounding, Safety Solutions with PressGaney) Operates a Command Center during the time that a Regulatory Agency is at one of OU Health's locations. Monitors, tracks data, and evaluates locations for compliance related to the standards of governing bodies. Stays informed regarding new and revised regulatory standards; develops communication and action plans to ensure OU Health compliance. Attends OU Health system meetings for Regulatory Compliance to have a voice and provide effective communication in an educational manner. Administrator for OU Health Regulatory Compliance Systems. Collaborates with other managers in the organization on audit trends and provides resources in an appropriate manner to improve initiatives within OU Health patient care areas. Collaborates with other leaders on survey activities to ensure staff and physicians have been given the resources to help manage their survey responsibilities. Responsible for oversight, management, and communication of ongoing patient tracer activities. Operationalize and monitor the regulatory inbox including researching and responding to questions related to compliance needs. Manage the internal communication Regulatory Compliance page as a resource for staff and physicians to have regulatory resources available. Give educational classes on the system programs that are governed by the regulatory compliance team to help managers, directors, and staff be regulatory ready at all times for employee and patient safety. Operational responsibilities with other departments or committee meetings as regular attendees. Conducts annual performance reviews with staff and serves as a mentor as well as a leader. Creates and distributes patient safety initiative metrics and monitoring reports to leadership. General Responsibilities: Performs other duties as assigned. Minimum Qualifications: Education: Bachelor's Degree required. Experience: Five (5) years of healthcare, clinical, patient safety, regulatory, or risk management experience required. 3 years of progressive leadership experience required. License(s)/Certification(s)/Registrations(s): None. Knowledge, Skills, and Abilities: Expert knowledge of federal, state, and local regulatory compliance standards related to healthcare, including The Joint Commission. Expert knowledge of health information and hospital systems and processes. Excellent organizational skills. Expert written and verbal communications skills to include negotiation skills. Ability to analyze, assemble, prepare, and present data at all levels throughout the organization. Skill in establishing and maintaining effective working relationships across the continuum. Expert ability to prioritize workload and respond to variability based on organizational needs. Excellent computer skills to include Microsoft products. Current OU Health Employees - Please click HERE to login. OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family. OU Health is the state’s only comprehensive academic health system of hospitals, clinics and centers of excellence. With 11,000 employees and more than 1,300 physicians and advanced practice providers, OU Health is home to Oklahoma’s largest doctor network with a complete range of specialty care. OU Health serves Oklahoma and the region with the state’s only freestanding children’s hospital, the only National Cancer Institute-Designated OU Health Stephenson Cancer Center, Oklahoma’s flagship hospital, which serves as the state’s only Level 1 trauma center and Edmond Medical Center in the heart of the Edmond Community. Becker’s Hospital Review named University of Oklahoma Medical Center one of the 100 Great Hospitals in America for 2020. OU Health’s oncology program at OU Health Stephenson Cancer Center was named Oklahoma’s top facility for cancer care by U.S. News & World Report in its 2020-21 rankings. OU Health also was ranked by U.S. News & World Report as high performing in these specialties: Colon Surgery, COPD and Congestive Heart Failure. OU Health’s mission is to lead healthcare in patient care, education and research. Experts in prevention, treatment and cures, our team works to improve lives through innovation in medical care, education and research, while investing in the people, technologies and facilities that will enable us to achieve our goals. We are seeking individuals who have a passion and talent for caring for others. By joining our team, you will provide quality health care to our community through the work you do every day. We provide clinical and non-clinical opportunities to further your career and we invite you to explore our available positions. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, gender, national origin, age, disability, sexual orientation, gender identity, genetic information or protected veteran status in accordance with applicable federal laws. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, transfer, leaves of absence, compensation, and training. Reasonable accommodations are made to the known physical and mental limitations of qualified individuals with disabilities.