Director of Regulatory Compliance, Registered Nurse (RN)
Cartersville , Georgia
December 12, 2017
Cartersville is currently hiring for the Director of Regulatory Compliance!

Take a moment to watch Jan's story ! What a testimony it is to Cartersville and the staff!

Nestled among beautiful mountains, the Etowah River, and Lake Allatoona, charming Cartersville, Georgia is the perfect place to call home and only minutes from vibrant Metro Atlanta. Home to Cartersville Medical Center , a growing 119-bed acute care hospital and regional cancer center, you'll love the family-oriented, patient-centered work environment with Healthgrades five-star rated service lines. Explore the history-rich Smithsonian affiliated museums; shop the unique downtown boutiques; play at Lakepoint Sports Complex; float the river in a kayak, canoe or tube; and enjoy the many community events and festivals year-round. Education options include top rated schools with championship athletic programs and Georgia Highlands College, a two-year institution of the University System of Georgia. Live, work and play in Cartersville, while being minutes away from Atlanta and Chattanooga. Visit the metro areas, then come home to Cartersville.

As an employee of Cartersville, you're entitled to a variety of valuable benefits including medical, dental and vision coverage tailored to your needs. Below is a taste of just some of the extras that come with employment at Cartersville Medical Center.
  • Tuition reimbursement
  • Professional certification bonus
  • Competitive retirement plan
  • Short and Long Term Disability
  • Flexible Spending Accounts
  • Employee and Dependent Life Insurance
  • Employee Wellness Program
  • Employee Assistance Program
  • Auto and Homeowners Discount Programs

The goal of the Director, Regulatory Compliance/Quality is to serve as the hospital expert and leader in the development and coordination of regulatory and quality activities within the hospital and among the Medical Staff. The position responsibilities include:
  • Coordination of the continuous regulatory, licensure and accreditation compliance in accordance with all applicable regulations and standards.
  • Implements, coordinates and maintains a regulatory readiness program including identifying and scheduling appropriate tracer activities.
  • Continually analyzes and improves current regulatory compliance.
  • Updates leaders and the program on any changes in regulatory/accreditation regulations or standards.
  • Supports communication of regulatory standards to leadership, employees and medical staff with emphasis on the clinical and functional importance of regulatory compliance.
  • Coordinates and manages all regulatory, accreditation or certification preparation, performance reviews and all on-site/telephone survey processes, both announced and unannounced.
  • Coordinates and reviews, prior to submission, all facility corrective actions related to regulatory standards or surveys. Monitor and submits Measures of Success required in Action Plans.
  • Plans and leads mock surveys, QRS surveys, or any other preparation for upcoming accreditation surveys.
  • Meets all HCA regulatory reporting requirements.
  • Support quality improvement activities and reportable clinical measures.
  • Participates in performance improvement activities to assure continuous quality improvement including risk management, patient safety, infection prevention, medical staff and quality.
  • Supports other Quality/Patient Safety/Risk/Infection Prevention initiatives as assigned.
  • Promote a supportive, teamwork-oriented environment.
  • Understanding of corporate and healthcare environment
  • Fulfills departmental responsibilities with the long-range plan, mission, vision and values of CMC.

  • Graduate of an accredited School of Nursing with a current GA RN license. BSN preferred.
  • Previous 5 years acute care nursing experience.
  • Previous management experience related to acute care Quality and Regulatory Compliance.
  • Public speaking, consultative and interpersonal skills.
  • Excellent communication and computer skills.

A little about us:
HCA is the nation’s leading private provider of healthcare services. Comprised of locally managed facilities which include 230,000 employees at over 160 hospitals, over 120 surgery centers and 100 urgent care facilities in 20 states and the United Kingdom

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