Clinical Admin Patient Safety and Regulatory

Stony Brook University•Stony Brook, NY

About The Position

Reporting to the Director of Regulatory Affairs in the Department of Regulatory Affairs & Patient Safety, the Clinical 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 helps identify opportunities and risks, organizes projects of varying scale, and partners with subject matter experts to develop action plans for major safety and regulatory initiatives. The position also supports colleagues, chapter leaders, department heads, and other campuses in planning and executing structured initiatives to ensure compliance with evolving regulatory requirements and accreditation and certification standards. The Clinical Admin coordinates organization-wide assessments, processes, and policies; supports readiness for regulatory agency visits; and assists with responses to survey findings. The role maintains project documentation and reporting, facilitates tracers and workgroups, interprets regulatory updates, and develops education and communication materials concerning policy changes, accreditation requirements, and regulatory compliance.

Requirements

  • Bachelor’s degree in Nursing or another health profession.
  • Current New York State RN license.
  • Experience with at least one quality improvement model or methodology, 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 using 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 visits.
  • Work with stakeholders to initiate immediate and long-term action plans in response to identified opportunities or accreditation and certification survey findings.
  • Manage data collection tools and reporting associated with corrective action plans.
  • Create and maintain comprehensive project documentation, including goals, objectives, interventions, implementation details, and measurable progress through project completion.
  • Help ensure reliable and successful project implementation across the full scope of assigned projects.
  • Organize and facilitate tracers, meetings, and workgroups supporting accreditation and certification programs.
  • 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.

Benefits

  • Comprehensive benefits, including generous leave and health insurance.
  • Participation in the state pension system.
  • Some positions may include annual supplemental pay, such as location pay for UUP full-time positions and shift differentials for evening, night, or other supplemental shifts.
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