| JOB TITLE: Regional Manager, Regulatory Performance Improvement LOCATION: Annex Building DEPARTMENT: Quality & Safety Regulatory Performance Improvement WORK SCHEDULE: Days WORK TYPE: Full Time (1.0 FTE) JOB SUMMARY: Responsible for managing a platform-wide Regulatory Performance Improvement program to monitor compliance to regulations and standards governing the operation of hospitals and the delivery of patient care services, as established by federal and state mandates, CMS, accreditation bodies as well as internal policies and procedures in meeting the health system s mission and stated goals. Responsibility involves on-going education and consultation with department leaders, operations managers and administrators to keep them advised of current requirements and/or changes; monitoring hospital-wide compliance on an on-going basis; insuring proper procedures for reporting and documenting conformance to standards; and developing methods for corrective action when problems are identified. Provides direction and leadership to the platform Performance Improvement program. Manages complex projects, facilitates change and regulatory improvements in quality and safety. Maintains overall fiscal responsibility for the department. Performs duties to support the goals and objectives of the Geisinger Clinical Enterprise. GMC Sites – GMC (including GSACH) , HOP sites, OSW,GBH GWV Sites – GWVMC including HOP sites, GSWB Campus and Same Day Surgery, GCMC, Liaison to Marworth Reports to the Director of Regulatory Performance Improvement. COMPETENCIES AND SKILLS: Demonstrates knowledge of hospital routine, organization and functions; demonstrates ability to monitor and conduct analysis of hospital operating procedures, identify problems and critical factors and develop methods for corrective action; demonstrates ability to develop and maintain effective working relationships with leadership, physicians, hospital managers, and other health care professionals. Demonstrates knowledge of performance improvement principles, processes and methods. Demonstrates ability to conduct training sessions on improvement principles, processes and methods. Demonstrates effective project management skills including team management and strong negotiation and problem solving skills. Demonstrates ability to effectively lead/facilitate interdisciplinary teams to achieve targeted results. Demonstrates ability to function with a high level of self-direction. Demonstrates strong written and oral communication skills and active listening skills Demonstrates customer-focused interpersonal skills Demonstrates the ability to maintain confidentiality. Demonstrates management and leadership skills required to supervise other employees. Demonstrates the ability to analyze data. Demonstrates clinical knowledge to review medical records and clinical data. Demonstrates analytical and critical thinking skills to manage complex clinical issues. Demonstrates computer skills, basic data entry, and report development skills. EDUCATION AND/OR EXPERIENCE: Registered Nurse preferred. Prior management experience preferred. Bachelor's degree required. Master's degree preferred. Minimum five years of direct clinical experience required. Certified Professional in Healthcare Quality (CPHQ) credential or equivalent credential preferred. Need to obtain within 3 years in this position. WORKING CONDITIONS/PHYSICAL DEMANDS: Work is typically performed in an office environment. Moderate amount of travel required across entire system. The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. About Geisinger One of the nation’s most innovative health services organizations, Geisinger serves more than 1.5 million patients in Pennsylvania and New Jersey. The system includes 13 hospital campuses, a nearly 600,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. A physician-led organization, with approximately 32,000 employees and more than 1,800 employed physicians, Geisinger leverages an estimated $12.7 billion positive annual impact on the Pennsylvania and New Jersey economies. Repeatedly recognized nationally for integration, quality and service, Geisinger has a long-standing commitment to patient care, medical education, research and community service. For more information, visit geisinger.org or connect with us on Facebook, Instagram, LinkedIn and Twitter. ** Does not qualify for J-1 waiver. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status. *Domestic partner benefits not applicable at Geisinger Holy Spirit. | 
