Safety and Clinical Regulations Director

Location:

Avera Health

Worker Type:

Regular

Work Shift:

Day Shift (United States of America)

Pay Range:

The pay range for this position is listed below. Actual pay rate dependent upon experience.

$82,160.00 - $

Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

Responsible for leading and overseeing the organization's patient safety program and ensuring compliance with all applicable clinical regulations and accreditation standards. Serves as the subject matter expert for safety practices, clinical risk mitigation, and regulatory readiness. Works collaboratively with clinical, operational, and administrative leaders to promote a culture of safety, high reliability, and regulatory excellence. This position is the primary liaison between the Avera Central Quality Office, Regional Quality Leaders, Information Technology and Executive Officers across the Avera System.

This role exists to provide strategic and tactical decision support to safety and regulatory stakeholders at all levels of the organization and is a high visibility role operating across the continuum of care and interfaces at all levels of the organization from front line care providers to executive C‑Suite.

• Acts as a proactive organization consultant, educator and change agent, applying principles of system design and quality improvement to drive practice transformation. Demonstrates exceptional communication skills and effectively engages stakeholders at all levels of the organization.
• Is the subject matter expert of regulatory/accreditation and is able to interpret and communicate regulatory requirements to key stakeholders
• Leads efforts to close gaps in compliance and regulatory best practices to ensures organizational readiness for regulatory and accreditation surveys
• Directs and develops patient safety strategies spanning all care settings across the Avera system
• Proficient user of the EMR, understanding the role of clinical data and documentation in meeting regulatory requirements and patient safety practices
• Works as part of a project team in a matrix, project oriented environment.
• Follows the quality processes, frameworks and practices and participate as a subject matter expert.

The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.

• Registered Nurse (RN) - Board of Nursing An active license in the state of practice Upon Hire
• Working knowledge of TJC and CMS Specification Manuals
• Operational experience in clinical process improvement, quality assurance, compliance & reporting
• Understanding of basic business & clinical intelligence concepts & practices and their use in clinical quality performance management

• Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.
• Promote Avera’s values of compassion, hospitality, and stewardship.
• Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
• Maintain confidentiality.
• Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
• Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA…