Registered Nurse (RN) Senior Advisor, Accreditation & Regulatory Affairs
Northwell Health Riverhead, NY
Northwell Health Riverhead, NY
1 month ago
See who Northwell Health has hired for this role
Northwell Health Riverhead, NY
1 month ago
- Report this job
127525
Job DescriptionPlans, organizes, manages and facilitates regulatory & accreditation activities in support of The Joint Commission standards and federal, state and local regulations. Ensures regulatory and accreditation activities support the goals Organization and meet external requirements for continuous accreditation and licensure. Responsible for direction and coordination of Continuous Survey Readiness (CSR) programs and activities in order to achieve compliance with regulatory, licensure and accreditation. Provides consultation and coordination for activities associated with accreditation & regulatory activities.
Job Responsibility
- Responsible for providing strategic advice and guidance to enform system level strategies, as well as planning, organizing and implementing accreditation activities and a CSR program for the Organization.
- Coordinates activities across the organization to foster continued compliance with accreditation standards and licensure regulations.
- Designs an integrated CSR structure that supports a continuous process to improve quality and patient safety throughout the organization.
- Collaborates with various facilities, service lines to assess compliance and develop compliance improvement strategies and measurement.
- Collaborates with leaders/management on the CSR processes and makes recommendations for improvement.
- Identifies existing processes that represent “best practices” for use throughout the organization.
- Provides most current accreditation and survey information, support and consultation before, during and after survey.
- Coordinates and prepares mock surveys and comprehensive survey reports.
- Tracks, trends and analyzes survey findings to identify areas requiring prioritization / follow-up.
- Prepares summary reports / presentations related to accreditation/regulatory activities and results.
- Leads / facilitates teams or workgroups to develop processes to meet new or challenging accreditation/ regulatory requirements.
- Coordinates The Joint Commission Corporate Orientation.
- Provides education centrally as well as on-site consisting of:
- Ongoing education related to standards, elements of performance, and scoring Tracer techniques
- Relevant focus areas for accrediting agencies
- Develops and disseminates reference material including newsletters, updates, communications and memory aids.
- Facilitates / develops policies and procedures that comply with The Joint Commission standards and Federal and State regulations and requirements.
- Oversees / maintains CSR intranet resources
- Coordinates Performance Measurement activities related to Clinical Contracts.
- Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here but considered related are not essential functions.
Job Qualification
- Master’s Degree in Business Administration, Healthcare Administration or related field, required.
- Minimum of 7 years of progressively responsible quality management experience including thorough knowledge of healthcare regulatory and accreditation requirements including, but not limited to, The Joint Commission, Department of Health, and Centers for Medicare & Medicaid Services (CMS), required.
- Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisem*nt and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
-
Seniority level
Not Applicable -
Employment type
Full-time -
Job function
Other -
Industries
Hospitals and Health Care
Referrals increase your chances of interviewing at Northwell Health by 2x
See who you know
Get notified about new Registered Nurse jobs in Riverhead, NY.
Sign in to create job alert
Similar jobs
-
Nurse Auditor, Hospital Bill Audits
Nurse Auditor, Hospital Bill Audits
MedReview Inc.
New York, NY
-
Registered Nurse (RN) - Tele
Registered Nurse (RN) - Tele
Equiliem
Manahawkin, NJ
-
Registered Nurse
Registered Nurse
Equiliem
Albany, NY
-
Register Nurse - Telehealth
Register Nurse - Telehealth
FEFA, LLC
United States
-
Registered Nurse (RN)
Registered Nurse (RN)
Equiliem
Wilton, CT
-
Registered Nurse (RN) - Med Surg
Registered Nurse (RN) - Med Surg
Equiliem
Neptune, NJ
-
Registered Nurse
Registered Nurse
Equiliem
Syracuse, NY
People also viewed
-
Registered Nurse
Registered Nurse
Equiliem
Lansing, NY
-
Registered Nurse/Medical Surgical
Registered Nurse/Medical Surgical
Accede Solutions Inc (accedesol.com)
Portland, OR
-
Registered Nurse (RN) - ED
Registered Nurse (RN) - ED
Equiliem
Neptune, NJ
Looking for a job?
Visit the Career Advice Hub to see tips on interviewing and resume writing.
View Career Advice Hub