Quality Nurse Coordinator - Regulatory

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for our Quality Nurse Coordinator - Regulatory opportunity!

The Quality Coordinator is responsible for the coordination, implementation, improvement, and successful achievement/compliance of core measure indicators in accordance with CMS guidelines. The coordinator maintains and coordinates timely policies and procedures maintenance, review/revision, posting, and distribution. The Coordinator organizes and maintains systematic data collection and flow of information between departments and into applicable committees.

What you will do in this role:

• Assure continual state of survey readiness.
• Review and communicate rules/regulations/standards changes.
• Develop and implement monitoring processes to track opportunities for improvement.
• Design and implement compliance strategies.
• Responsible for regulatory preparation (applications, unit prep and follow-up) for QRS and Joint Commission.
• Participate in the organization’s patient safety program.
• Attend required training that supports job responsibilities.
• Report unannounced survey activity at the facility to the CQPSO for reporting up to appropriate HCA Division and corporate entities.
• Assist with State, CM, and other surveys.
• Communicate opportunities for improvement at Nursing Leadership Council.
• Provide policy/procedure drafts to assure regulatory compliance with standards/goals.
• Provide reports of compliance quarterly to the Performance Improvement/Patient Safety Council.
• Assist with other regulatory requirements (Leapfrog, FMEA, RCA’s) as required.
• Schedule meetings with managers and directors to review data relating to identification and evaluation of regulatory activities including unresolved or problematic issues.
• Organize and implement tracer methodology for evaluation of standards compliance at Main and Madison Campuses.
• Communicate with the Chief Quality & Patient Safety Officer, COO and CNO identified deviations from Standards noted during “mock” surveys or tracer activities and trending of area or standard specific deviations.
• Evaluate existing processes and systems for compliance with Joint Commission Standards, making recommendations for improvement.
• Communicate with work groups, directors and managers in development of policies to meet Standards.
• Identify resources and support systems to correct deviations from identified Standards.
• Disseminate new guidelines/regulations to appropriate departments.
• Educate staff to ensure that goals are set, measured and met.

What qualifications you will need:

• RN Diploma or Associate’s Degree in Nursing required.
• Current licensure as a Registered Nurse (RN) in the state of Tennessee or compact state required.
• 5 years of clinical RN experience required.
• Regulatory background strongly preferred.

Tri Star Skyline Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources
  , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling,…