USC Verdugo Hills Hospital · 19 hours ago
Patient Safety Quality Specialist, RN - Quality Assurance - Full Time 8 Hour Days (Exempt) (Non-Union)
Los Angeles, CA - Health Sciences Campus
Full-time
Onsite
Entry, Mid Level
$110K/yr - $182K/yr
1+ years expUSC Verdugo Hills Hospital is seeking a Patient Safety Quality Specialist, RN to coordinate quality improvement and patient safety initiatives. The role involves providing guidance, education, and support for regulatory compliance and patient safety events, along with analyzing data to develop interventions and strategies.
Responsibilities
Assesses survey readiness and ensures all implementation of all applicable Patient Safety initiatives
Evaluates prior survey deficiencies and current survey standards for compliance
Coordinates and provides leadership for survey readiness rounds and provides a rotating calendar of visits to units and hospital departments
Complies and disseminates information to the applicable hospital director on areas that require action to ensure compliance
Ensures all quality and patient safety rounds identify opportunities to improve care and outcomes
Provides consultation to individuals/departments concerning regulatory standards and assists with interpretation of new or revised standards
Recommends methods/actions to achieve regulatory compliance
Serves as a consultant for other projects as assigned
Implements corrective actions including but not limited to providing written responses to any RFI’s (Recommendation for improvement), or audit deficiencies related to regulatory compliance
Ensures that the applicable database is updated with any corrective action plans and follows up with the applicable department director regarding the proposed action plan
Collaborates with all members of the healthcare team to promote an organized approach to the hospital’s survey process
Facilitates survey readiness teams
Cross-trained in the functions of Quality and Outcomes management and Peer Review processes to collaborate with department staff members and provide coverage as necessary
Communicates any audit findings to the hospital leadership along with any proposed or implemented action plans
Attends any applicable hospital or medical staff committee meetings to communicate information on Survey Readiness
Provides In-service to hospital and medical staff as appropriate to ensure survey preparedness
Keeps updated on all regulations that pertain to hospital licensure and updates policies and procedures as necessary
Member of the policy and forms committee and works closely with the policy coordinator
Provides supervision and oversight for regulatory compliance staff ensuring a cohesive well informed team
Performs other duties as assigned
Qualification
Required
Bachelor's degree in Nursing
One or more years or more in an acute care setting (preferred with experience in licensing and accreditation)
Experienced at least one facility-wide accreditation survey within the last three years
Working knowledge of TJC, CDPH, CMS accreditation and regulatory requirements
Registered Nurse - RN (CA Board of Registered Nursing)
Certified Professional in Healthcare Quality - CPHQ (NAHQ) Certified Professional in Healthcare Quality (CPHQ) OR Certified Professional in Patient Safety (CCPS) certification within 2 years of hire
Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)
Company
USC Verdugo Hills Hospital
Our mission is to provide personalized, high-quality healthcare relevant to our patient community.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Tadren Kennedy, MPH, MBA, FACHE
Chief Operating Officer
Mary Virgallito
Chief Quality Officer
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