MountainView Regional Medical Center ยท 3 weeks ago
Stroke Program Coordinator
Las Cruces, NM
Full-time
Onsite
Mid Level
3+ years expMountainView Regional Medical Center is dedicated to creating a respectful and fulfilling workplace. They are seeking a Stroke Program Coordinator to support accreditation and regulatory compliance by coordinating survey preparedness, facilitating performance improvement initiatives, and educating staff on applicable standards.
Health CareHospitalMedical
Responsibilities
Coordinates all accreditation and regulatory readiness activities across departments, ensuring ongoing compliance with standards from accrediting bodies such as The Joint Commission (TJC), CMS, and state agencies
Serves as liaison with external accrediting and regulatory agencies, supporting survey preparation, coordination, and follow-up
Facilitates multidisciplinary teams to address compliance gaps and implement corrective action plans
Conducts routine compliance rounds in clinical and non-clinical areas, identifying issues, educating staff, and escalating concerns when needed
Provides education and training on accreditation standards, performance improvement methodologies, and regulatory changes to hospital staff and leadership
Collaborates with hospital leadership and medical staff to track and trend performance indicators related to quality, safety, and accreditation
Assists departments in developing and evaluating policies and procedures to ensure alignment with accreditation and licensure standards
Performs other duties as assigned
Maintains regular and reliable attendance
Complies with all policies and standards
Qualification
Required
Associate Degree in Nursing, Healthcare Administration, Public Health, or a related field required
3-5 years of experience in accreditation, regulatory compliance, or quality improvement in a healthcare setting required
Knowledge of accreditation and regulatory requirements applicable to hospitals and healthcare facilities
Strong understanding of performance improvement tools, root cause analysis, and process mapping
Effective communication and facilitation skills with the ability to work across clinical and administrative teams
Ability to analyze and interpret data to identify trends and inform decision-making
Proficiency in Google Suite or Microsoft Office and electronic quality/compliance reporting tools
Preferred
Bachelor's Degree in Nursing, Healthcare Administration, Public Health, or a related field preferred
Prior experience coordinating Joint Commission or CMS survey readiness preferred
CPHQ - Certified Professional in Healthcare Quality preferred
CHCQM - Certified Healthcare Quality Management preferred
RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred
Benefits
$20,000 Sign On Bonus for eligible positions.
Company
MountainView Regional Medical Center
MountainView Regional Medical Center specializes in brain and spine surgery, reconstructive surgery, robotic surgery and open-heart surgery.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Matthew Conrad
Chief Executive Officer
Alex Hummer
ACEO
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