Regulatory Program Manager - Hartford Healthcare : Job Details

Description

Work where every moment matters.

Every day, almost 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticuts most comprehensive healthcare network.The Quality Management department is responsible for quality and safety performance including all required regulatory and public measures reporting (CMS), balanced score care initiatives, HAI prevention across the health system. This department provides oversight and governance for the Quality Assessment and Performance Improvement mandates for CMS- CoPS, and Joint Commission. Additionally, the team provides subject matter expertise in quality and data analytics, improvement, regulatory readiness (measures, dashboard and analysis); Supports councils and clinical care redesign initiatives.

The Regional Regulatory Program Manager designs, develops and implements performance improvement and compliance activities within the Fairfield Region of Hartford HealthCare. Responsibilities include but are not limited to the following:

Participate in Department of Public Health licensure and investigative surveys, including coordination of follow up activities

Facilitate understanding of accreditation standards and regulatory requirements through training/coaching, tracer activities, program assessments, data collection and analysis of outcomes

Perform systematic and objective performance improvement and monitoring activities to maintain an environment of continuous readiness for accreditation and licensure surveys

Leads Performance Improvement initiatives for departmental clinical leadership and front-line staff in establishing a comprehensive quality assessment and performance improvement plan.

Develop or assist with development of corrective action plans for regulatory survey findings

Perform routine tracers and audits in clinical and non-clinical areas to identify improvement opportunities Report results to local teams and committees

Designs, develops and implements performance improvement and compliance activities to meet or exceed accreditation and regulatory requirements for the Fairfield Region of Hartford Healthcare.

Qualifications

Education:

Bachelors degree in Nursing, Hospital Administration, Public Health or other related field

Experience:

Five (5) years nursing experience in an acute-care hospital setting required

Three (3) years of experience with accreditation and regulatory survey process, development, and follow up of corrective action plans or an equivalent combination of education and experience, preferred

Licensure, Certification, Registration:

Current Connecticut Nursing License

We take great care of careers.

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.