Leads regulatory compliance for Fresenius Medical Care, ensuring adherence to laws and regulations. Collaborates with multiple departments for quality improvement in dialysis facilities.
Responsibilities
Leads regulatory surveys and promotes utilization of continuous quality improvement (CQI) principles, methods, and tools
Directs, investigates and resolves regulatory compliance concerns
Leads coordination with Quality, Education and Operational management to ensure the continual improvement of regulatory compliance by company facilities
Ensures compliance by company facilities to federal, state and local laws and regulations
Serves as regulatory expert and resource
Leads Clinical, and Operational teams in creating and sustaining a culture of regulatory compliance
Acts as lead amongst Quality, Education and Technical departments to provide educational activities as needed to achieve compliance with federal, state, and local laws and regulations
Identifies improvement opportunities to ensure compliance with company standards, policies and procedures, as well as federal, state and local regulations by conducting facility audits
Conducts exit conferences with facility management staff to review survey findings and to make recommendations
Provides guidance to operations in the development, implementation and monitoring of a Plan of Correction (POC), improvement projects and activities
Monitors, trends and analyzes audit results, ensures thorough root cause analyses and recommends process changes as identified
Conducts facility mock surveys to evaluate conformance to state licensure and CMS Conditions of Coverage to ensure safe operational condition and external survey readiness
Educates and advances the use of the Quality Assessment and Improvement (QAI) Program tools and promotes utilization of Continuous Quality Improvement principles
Requirements
RN license required
Bachelor's Degree preferred
5+ years' clinical management experience in dialysis, nephrology nursing or related external experience (state surveyor)
Experience in quality, risk management, case management, or infection control
Strong organizational skills
Excellent verbal and written communications skills
Good understanding of the relationship between providers of health care services and regulatory agencies
Good critical thinking skills and proven quality improvement experience
Able to analyze & propose alternate solutions, assist in resolving sensitive to complex issues/problems
Preferred experience teaching/consulting and working within complex organizations
Benefits
Comprehensive benefits package including medical, dental, and vision insurance
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