Summary: Leads initiatives to keep a consistent state of readiness for The Joint Commission and other regulatory surveys.
FTE Status: Full Time
FTE: 1.000000 (FTE x 80 = 80 hours per pay period)
Responsibilities: Facilitates compliance with Joint Commission accreditation, Colorado Department of Health and Environment and other internal and external regulations specific to publicly reported quality monitors. Plans, organizes, coordinates, and manages assigned Performance Improvement projects.
Identifies the need for policies and guidelines to ensure consistent safe practice. Works with teams to develop and implement policies and guidelines to ensure regulatory compliance.
Facilitates and acts as a liaison in pursuit of regulatory, accreditation and organizational compliance. Maintains thorough communication with key staff and physicians. Provides interpretation and analysis of data.
Develops an annual plan for auditing compliance with standards, policies, procedures, and NPSG standards. Produces reports as requested. Writes clinical, financial, market, and statistical analysis in accordance with plan and as requested.
Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.
Bachelor's degree in related field.
Required Licensure/Certification: None Required.
2 years' experience in project management, or 2 years of health care related experience with PI, QI, QM processes, regulatory requirements, data extraction and analysis.
RN or clinical background preferred for performing regulatory reviews, and process improvement
Should also have an Interest in patient safety systems.expectations.
At UCHealth, we do things differently
We believe in something different: a focus on the individuality of every person. In big ways and small, we exist to improve the extraordinary lives of all those we serve. As Colorado's largest and most innovative health care system, we as a team deliver on the commitment to provide the best possible experience for our patients and their families. We foster a true human connection and give people the freedom to live extraordinary lives. A career at UCHealth is more than a job, it's a passion.
Going beyond quality requires the perfect balance of talent, integrity, drive and intellectual curiosity. We are looking for individuals who recognize, like us, that the world of medicine is ever-changing and are motivated to do what is right, not what is easy. We support creativity and curiosity so that each of us can find the extraordinary qualities within ourselves. At UCHealth, we'll do everything in our power to make sure you grow and have a meaningful career. There's no limits to your potential here.
Be Extraordinary. Join Us Today!
UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an affirmative action/equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, creed, color, religion, gender, national origin or ancestry, age, mental or physical disability, sexual orientation, gender identity, transgender status, genetic information or veteran status. UCHealth does not discriminate against any "qualified applicant with a disability" as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.
Internal Number: 7309
With award-winning hospitals and facilities serving the entire Front Range, University of Colorado Health is the state’s largest and most innovative health system. By integrating the strengths of academic medicine with the finest community health care, we’re able to push the boundaries of medicine and offer our employees endless career opportunities. Here, there are no limits, except those you place on yourself. Everyone is united by their passion for discovery and their commitment to improving patients’ lives.