Performance Improvement Regulatory Specialist

Ochsner Health•Slidell, LA

1d•Onsite

About The Position

This job directs, plans, and coordinates the accreditation process within the organization. Provides leadership in maintaining compliance to accreditation and regulatory standards. Collaborates with department leadership to educate and interpret accreditation standards. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.

Requirements

High school diploma or equivalent.
10 years of healthcare related experience or five years of experience working as a professional in a healthcare environment with a bachelor's degree.
Experience managing complex processes with general knowledge of the principles and theories of quality management, continuous quality improvement and regulatory and accrediting standards.
Experience working with highly confidential information.
Proficiency in using computers, software, and web-based applications.
Effective verbal and written communication skills and ability to present, information clearly and professionally to varying levels of individuals throughout the patient care process.
Excellent organizational skills.

Nice To Haves

Bachelor's degree.

Responsibilities

Provides consultation, education and interpretation to the organization related to accreditation and regulatory standards and provides education to the organization related to patient safety and performance improvement.
Coordinates and conducts regularly scheduled Joint Commission tracers and facilitates organizational continued Joint Commission (TJC) readiness.
Provides consultation, education and interpretation to the organization related to unanticipated complaint follow up visits.
Assists leader in other departmental initiatives as assigned such as clinical quality data collection and analysis, accreditation, and survey preparation.
Facilitates implementation teams related to accreditation and regulatory standards.
Maintains assigned service line facilitation of quality initiatives.
Performs other related duties as required.
Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.