Regional Regulatory Program Manager

Location Detail: St Vincents Medical Center (10427)

Shift Detail: Monday-Friday

Work where every moment matters.

Every day, almost 40,000 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 Connecticut’s 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/Lead in Department of Public Health/ CMS licensure and investigative surveys, including coordination of follow up activities.
• Provide subject matter expertise with accreditation standards and regulatory requirements through training/coaching, tracer activities, program assessments, data collection and analysis of outcomes.
• Design, develop and implement performance improvement and monitoring activities to meet or exceed accreditation and regulatory requirements to maintain an environment of continuous readiness for accreditation and licensure surveys for the Northwest Region.
• Perform routine tracers and audits in clinical and non-clinical areas to identify improvement opportunities
• Leads Performance Improvement initiatives for departmental clinical leadership and front-line staff in establishing a comprehensive quality assessment and performance improvement plan.
• Utilizing internal and external data to identify issues and trends that impact patient safety and quality of care. Collaborates with regional leadership and front-line staff in formulating plans to address identified concerns. Examines data with clinical knowledge and recommends strategies to improve clinical performance and enhance patient safety.
• Participates in and/or leads performance improvement teams as indicated and according to the organization's priorities.
• Performs quality and safety monitoring activities necessary to support clinical and administrative staff with ongoing evaluation of care processes and outcomes.

Qualifications

Education:

• Bachelor’s 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

Knowledge, Skills and Ability Requirements:

• Strong written and oral communication skills; strong interpersonal skills, ability to work with others collaboratively to achieve common objectives
• Ability to compile data from various sources and to analyze and interpret the data in order to provide alternatives and make recommendations
• Able to use Microsoft Office, including Word, Excel, PowerPoint and Outlook
• Manage multiple priorities and projects from initiation to completion within prescribed schedules and utilization of resources

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.