Homeoffice Director Quality Compliance – Regulatory (Remote) at AMSURG

Director Quality Compliance – Regulatory

AMSURG

Remote

Company Overview: AMSURG is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers nationwide. In partnership with physicians and health systems, the organization delivers high-quality care for patients across a diverse spectrum of medical specialties, including gastroenterology, ophthalmology and orthopedics. To learn more about AMSURG, visit www.amsurg.com.

POSITION SUMMARY:

Provides direction and overall implementation of Regulatory and Accreditation plan of correction to maintain survey readiness. Promotes the advancement of patient safety, enhanced patient experience, quality performance, and regulatory/accreditation compliance at all centers and when assigned to conduct readiness assessment visits. Drives consistency in processes and creates opportunities for improvement.

Work Schedule: Remote First.

ESSENTIAL RESPONSIBILITIES:

• Requires an in-depth understanding of regulatory and accreditation regulations and standards by maintaining current knowledge which includes Medicare Conditions of Participation, The Joint Commission (TJC), Accreditation Association for Ambulatory Health Care (AAAHC), as well as State and Federal agencies. 
• Facilitate Plans of Correction (POC) to ensure their quality and timely completion,
• Assist in development and review of policies and procedures that ensure alignment with accreditation standards, state licensing requirements, and Medicare Conditions of Participation.
• Collaborate with Center Administrator and Corporate leadership on improvement efforts, including corrective actions post-survey.
• Provide education regarding standards and processes, including updates/revisions.
• Ensure timely documentation of survey activity, track and trend survey findings for benchmarking externally when possible.
• Assist with Clinical Risk Management investigations and reporting of events as required by external agencies when needed.
• Maintain collaborative relationships with Sr. Director Quality Compliance and appropriate agencies, AMSURG departments, and Centers.
• Assist in soliciting sustainable processes and system improvements that maintain quality metrics and/or regulation/accreditation-related objectives.
• Maintain and monitor all regulatory and deemed-status data related to survey activities and findings, ensure their timely compilation.
• Conduct survey performance readiness assessments when needed in preparation for regulatory and accreditation visits along with any specialty certifications, including:
• Observe facility staff roles to ensure we are providing the highest quality and safety of healthcare, with adherence to professional standards, licensures, and competencies.
• Review facility documents for continual content compliance.
• Tour interior and exterior physical environments for required equipment, supplies, continuous maintenance, and infection control.
• Follow a “tracer patient” throughout the patient experience from admission to discharge.
• Observes “high risk” processes, i.e., high level disinfection, instrument sterilization, etc.
• Adhere to all company policies and procedures, including Information Security Policies and ensure that AMSURG remains as secure as possible.
• Travel of up to 50% may be required by land and/or air.
• Regular and reliable attendance is required.

KNOWLEDGE AND SKILLS:

To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily.  The requirements listed below are representative of the knowledge, skills and/or abilities required:

• Detail oriented and organized.
• High integrity, including maintenance of confidential information.
• Able to exercise good judgment and positively influence and lead others, including handling confrontations with poise and efficiency.

Education / Experience:

• An in-depth understanding of regulatory and accreditation regulations and standards is required by maintaining current knowledge, which includes Medicare Conditions of Participation, The Joint Commission (TJC), Accreditation Association for Ambulatory Health Care (AAAHC), as well as State and Federal agencies.
• Five+ years’ experience in Nursing/Healthcare.  
• Bachelor’s Degree from an Accredited College or University in Nursing or related Healthcare field.
• 2+ years’ Clinical experience in an Ambulatory Care setting.
• 3+ years in a leadership position preferred.
• Strong verbal and written communication skills.
• Demonstrated expertise in MS Office, i.e., Excel, Word, Outlook, Team.
• Experience required in Adobe.

Other Qualifications:

Must be able to handle multiple, simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner.  Must be able to work well with others. Based on business need, the ability to work a flexible schedule, including some evenings and weekends as approved in advance. Must pass a background check and drug screen.

Employment at AMSURG: Living Our Values Every Day
At AMSURG, our values define who we are and how we serve our patients, partners, and each other. As a national leader in ambulatory surgery, we are committed to a culture of excellence, integrity, teamwork and caring deeply. Our values guide every decision, ensuring we continue to elevate healthcare and provide the highest quality care.
These guiding principles are the foundation of our culture and a guide to how we collaborate, innovate, and make a difference every day.

• Care Deeply for those around us.
• Cultivate Integrity to build trust.
• Champion Excellence for continuous improvement
• Celebrate Teamwork every step to the way.

Benefits:

To ensure we retain and invest in great people, AMSURG provides its employees with the benefits, recognition, training, and opportunities needed for professional growth. Our wide range of health and welfare benefits allow you to choose the right coverage for you and your family. AMSURG offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. Benefits offered include but are not limited to: Paid Time Off, Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs, and a matching 401(K) Plan.

Paid Time Off:

AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.

EOE Statement:

AMSURG is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to age (40 or older), race, color, religion, gender, sex, national origin, pregnancy, sexual orientation, disability, genetic information or any other status protected under applicable federal, state, or local laws. We strive to also provide a disability inclusive application and interview process. If you are a candidate with a disability and require reasonable accommodation in order to submit an application, please contact us at: [email protected]. Please include your full name, the role you’re applying for and the accommodation necessary to assist you with the recruiting process. 

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