GENERAL SUMMARY
Henry Ford Providence Southfield & Novi Hospitals
8am - 4:30pm, No Weekends
Under limited direction, plans, organizes and maintains a process to ensure organizational compliance with regulatory standards and continuous survey readiness.
- Serves as an internal consultant for the interpretation of standards and functional measurement of compliance.
- Develops performance improvement plans with management/staff on an as needed basis.
- Interprets new regulations for education purposes and implementation efforts.
EDUCATION AND EXPERIENCE
- Bachelors degree in Nursing or healthcare related field required
- Masters degree in health care field preferred
- RN preferred.
- Minimum 5 years hospital experience required; clinical/operational experience preferred
- Demonstrated knowledge of TJC, DNV, CMS
- Conditions of Participation required and familiarity with other accrediting, licensing and regulatory standards desirable.
- Evidence of continuing education in standards/regulations/training QI/PI Team member, lead or facilitator 1-3 years required
- Broad Business unit/multidisciplinary team experience (working with several departments, and//or deep experience within one service line, value stream, etc)
- Experience presenting to departmental, product line, and business unit leadership.
- Knowledge of current healthcare issues and trends.