Joint Commission Compliance Manager/ Quality
Fort Lauderdale, FL 33308 US
Our client was rated one of the Best Regional Hospitals by US World News Report and Recognized as one of the best hospitals in the Miami, Fort Lauderdale, Metro Area. They are also One of the top elite Magnet Recognized Hospitals in the State of Florida. Comprehensive Cancer Center, and received prestigious international recognition as a Baby-Friendly Designated Birth Facility.
Fostering the best leadership, in all clinical and non-clinical areas, is essential to our continued success as a top-notch provider of medically advanced and spiritually focused services. From supervisor to Chief Executive Officer, each member of our leadership team plays an influential role in keeping this Health Care System at the forefront of medicine, while continuing their legacy of compassion.
The responsibility of the Joint Commission Compliance Manager is to promote a status of continuous survey readiness in anticipation of surveys and expectations of the Joint Commission (TJC) and assists other departments in the interpretation of relevant regulatory standards. The Joint Commission Compliance Manager directs and coordinates all activities related to compliance with all legal, licensure and accreditation requirements as designed by TJC and other regulatory/ accreditation agencies and/or organizations. The Joint Commission Commission Compliance Manager facilitates mock surveys and tracers and facilitates plans for improvement with department leaders.
The Joint Commission Compliance Manager Leads hospital with regulatory survey readiness planning to comply with Joint Commission's Hospital Accreditation Program (HAP) and other TJC Disease-Specific Certifications
The Joint Commission Compliance Manager is responsible for work plans, timelines, and gap analysis to assess survey readiness, interpreting applicable regulatory standards and guides improvement activities for compliance
The Joint Commission Compliance Manager Collaborates with stakeholders to identify organizational gaps in survey readiness, implementing processes to meet standards, and monitoring progress for completion
The Joint Commission Compliance Manager Develops an organized system to assess, collect and document each department’s level of compliance with applicable standards; Actively organize and participates in on-site surveys, including coordination of agendas, assigning tasks.
Education & Qualifications
Bachelor’s Degree or equivalent experience in nursing, public health, health administration, or health related field required. Master’s degree preferred.
Minimum of five years' of related experience
Certified Joint Commission Professional (CJCP) preferred.
Minimum of two years of experience with accreditation and regulatory survey process, development, and follow up of
corrective action plans, experience in Quality Improvement or Patient Safety a plus.
To Learn more Contact Juli Van Der Meulen