Admin Patient Safety and Regulatory

Stony Brook University•Town of Brookhaven, NY

About The Position

Reporting to the Director of Regulatory Affairs in the Department of Regulatory Affairs & Patient Safety, the Admin for Patient Safety & Regulatory supports the department and hospital leadership by managing projects and support activities related to patient safety and regulatory risks. The role identifies opportunities and risks and organizes projects to address priorities. The Admin partners with subject matter experts to develop action plans for safety and regulatory initiatives, reviews and updates related policies and procedures, and assists colleagues, chapter leaders, department heads, and other campuses in planning and carrying out initiatives. The work supports compliance with evolving regulatory requirements and accreditation and certification program standards. The position coordinates organization-wide patient safety and regulation-driven assessments, processes, and policies across the health system. It supports continuous readiness for regulatory agency visits, helps develop and track action plans following identified opportunities or survey findings, and maintains project documentation and progress measures. The Admin also facilitates tracers, meetings, and workgroups, interprets regulatory updates and their workflow impact, and develops education and communication materials related to policy changes, accreditation requirements, and regulatory compliance. The role is at Stony Brook Medicine. The position may be designated essential during an institutional emergency, may require respiratory protection that could prohibit facial hair, and may be subject to changes in pass days and shifts as necessary. Before starting, the selected candidate must complete a pre-employment physical and medical clearance, an electronic reference check with at least three professional references, a four-panel drug screen, required regulatory screenings, and provide copies of any required New York State licenses or certificates.

Requirements

Bachelor’s degree in Nursing, a related healthcare field, or another health profession.
Experience with one or more quality improvement models or methodologies, such as Lean, Six-Sigma, or Model for Improvement/Plan-Do-Study-Act.
At least five years of work experience in healthcare clinical, administrative, or project management.
Experience participating in regulatory and patient safety projects and programs in an inpatient or outpatient setting.
Strong oral and written communication skills.
Strong data analytic skills.
Strong group leadership and organization skills.
Innovative thinking, facilitation, and consensus-building skills.
Ability to work independently and as part of a team.
Ability to analyze and present data and program information orally and in writing in non-technical language.

Nice To Haves

Master’s degree in Nursing or another health profession.
Certification in Lean, Six-Sigma, or Model for Improvement/Plan-Do-Study-Act.
Certified Professional in Healthcare Quality (CPHQ) and/or Certified Professional in Patient Safety (CPPS).
Experience in an administrative or leadership role in a healthcare setting; hospital-setting experience is strongly desired.
Understanding of standards and their applications in life safety, physical environment, infection control, and provision of care.

Responsibilities

Collaborate on and coordinate organization-wide efforts to develop and manage patient safety and regulation-driven assessments, processes, and policies across the health system.
Organize and participate in mock audits and mock surveys in inpatient and outpatient environments to assess continuous readiness for announced and unannounced regulatory agency visits.
Work with stakeholders to initiate immediate and long-term action plans in response to identified opportunities or survey findings from accreditation and certification program visits.
Manage data collection tools and reporting associated with corrective action plans.
Create and maintain comprehensive documentation for assigned projects, including goals, objectives, interventions, implementation, and measurable progress through completion.
Help ensure reliable and successful project implementation across the total scope of each project.
Organize and facilitate tracers, meetings, and workgroups supporting accreditation and certification programs, as assigned.
Assist with interpreting and disseminating regulatory updates and explaining their impact on workflows.
Develop education and communication materials related to policy changes, accreditation requirements, and regulatory compliance.