Veterans in Healthcare
Director, Quality and Accreditation - LV Durango Family Medicine Clinic - Full T
Veterans in Healthcare, Los Angeles, California, United States, 90079
Overview
Director, Quality and Accreditation - LV Durango Family Medicine Clinic
— Full Time, 8 Hour Days (Exempt). The Director is responsible for designing, implementing, and maintaining programs and practices to ensure the organization complies with applicable regulations and accreditation standards. The Director provides day-to-day operational leadership and oversight of regulatory compliance to improve patient safety and reduce clinical risk. The Director acts as a resource for the organization regarding issues of quality improvement and regulatory standards, and identifies strategic initiatives to support the organization\'s goals. The Director will report directly to the Executive Administrator, Culinary Health Operations, and will be responsible for covering all Culinary Health Center locations. Essential Duties
Designs, implements, and maintains programs and practices to ensure the organization complies with DNV, TITLE 22, CMS, and other applicable State and Federal regulations and accreditation standards. Oversees regulatory body surveys, i.e. State licensing reviews, AAAHC Surveys. Stays current with AAAHC, State, and Local standards and educates facility staff about standard requirements and changes as they occur. Identifies, develops, and evaluates quality improvement initiatives, particularly as they relate to regulatory programs. Evaluates effectiveness of corrective actions for identified problems and continuous quality improvement activities. Serves on committees, task forces, and peer networks as appropriate. Trains and develops other departmental personnel in quality improvement and regulatory oversight, including announced and unannounced mock surveys. Ensures compliance with Local, State, and Federal reporting guidelines; ensures accuracy of all data prior to reporting. Directs performance improvement initiatives within the health center and system. Directs onsite survey processes with regulatory agencies, both announced and unannounced. Primary communicator with regulatory agencies. Communicates needs with administration and departmental leadership relative to implementation and compliance standards. Communicates with all accreditation agencies for any direction or questions relative to compliance or implementation as necessary to ensure the center maintains survey readiness. Assures timely communication of regulatory and accreditation standards, changes and updates to appropriate staff. Performs other duties as assigned. Required Qualifications
Bachelor’s Degree in Healthcare, Business, or related field. 5 years Healthcare management experience with leadership roles in Clinical Operations, Quality and/or Regulatory Compliance. Knowledge of governing regulatory requirements. Working knowledge of Microsoft Office Suite, including Outlook, Word, Excel, and PowerPoint. Excellent oral and written communication skills, with exemplary attention to detail. Excellent interpersonal skills to deal effectively and tactfully with people at all levels of management. Preferred Qualifications
Master’s degree. Registered Nurse - RN (CA Board of Registered Nursing). Registered Nurse (NV NSBN) CA RN license not applicable to Nevada Culinary Operations. Required Licenses/Certifications
Fire Life Safety Training (LA City). If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only) Certified Professional in Healthcare Quality - CPHQ (NAHQ). Compensation
The annual base salary range for this position is $133,120.00 - $219,648.00. When extending an offer of employment, the University of Southern California considers factors such as the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
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Director, Quality and Accreditation - LV Durango Family Medicine Clinic
— Full Time, 8 Hour Days (Exempt). The Director is responsible for designing, implementing, and maintaining programs and practices to ensure the organization complies with applicable regulations and accreditation standards. The Director provides day-to-day operational leadership and oversight of regulatory compliance to improve patient safety and reduce clinical risk. The Director acts as a resource for the organization regarding issues of quality improvement and regulatory standards, and identifies strategic initiatives to support the organization\'s goals. The Director will report directly to the Executive Administrator, Culinary Health Operations, and will be responsible for covering all Culinary Health Center locations. Essential Duties
Designs, implements, and maintains programs and practices to ensure the organization complies with DNV, TITLE 22, CMS, and other applicable State and Federal regulations and accreditation standards. Oversees regulatory body surveys, i.e. State licensing reviews, AAAHC Surveys. Stays current with AAAHC, State, and Local standards and educates facility staff about standard requirements and changes as they occur. Identifies, develops, and evaluates quality improvement initiatives, particularly as they relate to regulatory programs. Evaluates effectiveness of corrective actions for identified problems and continuous quality improvement activities. Serves on committees, task forces, and peer networks as appropriate. Trains and develops other departmental personnel in quality improvement and regulatory oversight, including announced and unannounced mock surveys. Ensures compliance with Local, State, and Federal reporting guidelines; ensures accuracy of all data prior to reporting. Directs performance improvement initiatives within the health center and system. Directs onsite survey processes with regulatory agencies, both announced and unannounced. Primary communicator with regulatory agencies. Communicates needs with administration and departmental leadership relative to implementation and compliance standards. Communicates with all accreditation agencies for any direction or questions relative to compliance or implementation as necessary to ensure the center maintains survey readiness. Assures timely communication of regulatory and accreditation standards, changes and updates to appropriate staff. Performs other duties as assigned. Required Qualifications
Bachelor’s Degree in Healthcare, Business, or related field. 5 years Healthcare management experience with leadership roles in Clinical Operations, Quality and/or Regulatory Compliance. Knowledge of governing regulatory requirements. Working knowledge of Microsoft Office Suite, including Outlook, Word, Excel, and PowerPoint. Excellent oral and written communication skills, with exemplary attention to detail. Excellent interpersonal skills to deal effectively and tactfully with people at all levels of management. Preferred Qualifications
Master’s degree. Registered Nurse - RN (CA Board of Registered Nursing). Registered Nurse (NV NSBN) CA RN license not applicable to Nevada Culinary Operations. Required Licenses/Certifications
Fire Life Safety Training (LA City). If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only) Certified Professional in Healthcare Quality - CPHQ (NAHQ). Compensation
The annual base salary range for this position is $133,120.00 - $219,648.00. When extending an offer of employment, the University of Southern California considers factors such as the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
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