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Trinity Health · 6 hours ago

Regional Director, Regulatory and Accreditation Services

Columbus, OH

Full-time

Onsite

Lead/Staff, Director/Executive

5+ years exp

Trinity Health is one of the nation's largest Catholic healthcare delivery systems, providing extensive healthcare services. The Regional Director, Regulatory and Accreditation Services is responsible for leading regulatory compliance, patient safety, and risk management initiatives while ensuring the organization meets high reliability standards.

DeliveryHealth Care

Responsibilities

Regional Director, Regulatory & Patient Safety/Risk Management Services is accountable for providing leadership, administrative direction, oversight and implementation support for regulatory compliance, patient safety, and risk reduction

Facilitates transition from a retrospective, reactive model for patient safety/risk management and regulatory compliance to a prospective, proactive approach consistent with the concepts expected of a high reliability organization

Designs, directs and facilitates implementation of effective systems for regulatory compliance and continuous survey readiness

Develops, coordinates and facilitates implementation of effective systems for risk identification, investigation, and mitigation of both potential and actual patient safety concerns and risks

Aligns patient safety and risk management priorities with Mount Carmel's quality and performance improvement strategic plan and with regulatory compliance initiatives

Facilitates the design of process improvement endeavors to support the elimination of errors and other factors that contribute to adverse patient outcomes as well as to meet or exceed regulatory requirements

Provides education for colleagues, physicians, boards, leadership and other stakeholders on regulatory/compliance requirements and patient safety needs, initiatives and activities

Provides support to Mount Carmel departments and to Mount Carmel affiliated joint ventures relative to analysis, preparation, and monitoring to respond to regulatory and/or patient safety/risk issues

Serves as the Mount Carmel liaison to Trinity Health for regulatory/accreditation matters. Collaborates with Trinity Health Accreditation Services in preparing Mount Carmel to achieve compliance with regulatory requirements

Serves as the Mount Carmel liaison to Trinity Health for Patient Safety/Risk Management matters and develops collaborative relationship to enhance identification and adoption of evidence-based strategies to improve patient safety and to mitigate risk

Qualification

Regulatory compliancePatient safetyRisk managementPerformance improvementClinical standards knowledgeManagement experienceGroup process skillsTolerance for ambiguityPresentation skillsAdaptability

Required

Baccalaureate Degree in Health Care field required

Minimum of five (5) years recent hospital practice

Clinical and management experience required

Broad based clinical or management leadership experience with knowledge of complex systems and systems change with demonstrated success in tactical and analytical thinking

Knowledge of performance improvement systems and process thinking principles and designs

Understanding of tools and techniques used to identify system or process failures that contribute to regulatory noncompliance, patient safety issues, or sentinel events

Current knowledge and expertise in regulatory compliance and licensure requirements in hospital and in ambulatory settings

Current knowledge of clinical and regulatory standards related to hospital/patient safety

Proficient computer skills

Excellent presentation skills with ability to relate effectively to physicians, all levels of the organization and colleagues in a fluid, flexible and adaptive fashion

Innovative, self-directed and flexible

Readily accepts change and influences organizational change

Understands and applies group process skills

Ability to work with diverse groups, settings and varied complexities

Demonstrates a high tolerance for ambiguity