DIRECTOR, CLINICAL SAFETY AND REGULATORY STANDARDS & ACCREDITATION
Location: Colorado
Type: Acute Care Facility
Reporting to the Chief Operating Officer, this position is responsible to plan, develop, organize, and direct an effective accreditation program that provides a framework, work plan, and systematic follow up to meet clinical accreditation and regulatory requirements. This includes, but is not limited to, the development and recording of programs and projects that identify, prioritize, measure, analyze and improve key processes, systems and outcomes to ensure a constant clinical accreditation and regulatory readiness state at Memorial Health System.
The role of Director of Clinical Safety and Regulatory Standards and Accreditation directs and maintains service line and departmental activity; creating key collaborations and relationships that contribute to success of area of responsibility; incorporates innovation in department/service line; utilizes diagnostic tools to analyze data, trends, and make recommendations; implements strategic, operational and departmental/service line plans; defines and holds manager responsible for operating priorities; accountable for budget preparation and implementation; selects managers: coaches, mentors, retention officer for direct reports and Level I leaders (supervisors); engages and collaborates with physicians in capital budgeting & program development; directs and participates in Professional Development Planning Process.
The leadership of the following areas will report directly to this position: Risk Management, Infection Prevention, Patient Representatives, and Safety.
Minimum Education: Bachelor of Science in Nursing (BSN). Current RN license to practice professional nursing in the State of Colorado, or willing to obtain a Colorado license. BLS Certification
Minimum Experience: At least 3 years direct experience working with clinical safety practices and regulatory compliance to include interfacing with the Joint Commission, State health services, and CMS.