LTC Quality Regulatory Standards RN

JOB SUMMARY

About Christian Health:We have had the privilege of caring for those in need for more than a century. Founded on the belief that everyone has the right to exceptional care, today we continue to provide quality care and services for our many residents, patients, and clients. Caring is not simply what we do, it is who we are.

Why Join Our Team:

Across our four campuses, eleven communities, five service offerings, and hospital, we are ultimately one unified team. Together, we nurture a compassionate, collaborative culture that enables continuous improvement and allows our team members to learn, grow, and shine in their careers. Surround yourself with people who care about making a difference – come join us!

We have an exciting opportunity for a full-time LTC Quality Regulatory Standards RN to join the Heritage Manor nursing department. The LTC Quality & Regulatory Standards nurse is assigned the responsibility/accountability for coordination of the Quality Assurance and Performance Improvement (QAPI) process. Primary responsibility is to provide ongoing support, instruction, and leadership to meet and exceed all regulatory standards, and to ensure ongoing readiness for annual NJ department of health (DOH) audit. Works with leadership to respond to and coordinate investigations by the DOH and other external regulatory agencies. Responsible for quality improvement and performance improvement process. Demonstrates an understanding of, and embraces, the mission statement of Christian Health.  Demonstrates an understanding of, and embraces, the mission statement of Christian Health.

Competencies:

• Facilitates/coordinates regulatory activities throughout credited programs. Collaborates with staff physicians and administration to ensure successful regulatory surveys. (ESSENTIAL; DAILY)
• Supports leadership meetings related to survey readiness and provides regular readiness reports. Functions as Chair of the QAPI Committee. (ESSENTIAL; DAILY)
• Coordinates the system level regulatory readiness process; monitors and acts on system level readiness reports from enterprise wide readiness software. (ESSENTIAL; DAILY)
• Assures survey readiness through the implementation of a continuous survey readiness program. Communicates regulatory activities with team members and staff. (ESSENTIAL; DAILY)
• Remains current with regulatory standards to assume ongoing compliance. Demonstrates a solid understanding and knowledge of the QAPI processes, DOH state licensure regulations and other regulatory agencies. (ESSENTIAL; DAILY)
• Coordinates and facilitates DOH related survey readiness. (ESSENTIAL; DAILY)
• Participates in DOH annual audit for CH via detailed preparation, engaging in mock survey activities, and facilitating follow-up of corrections and recommendations. (ESSENTIAL; QUARTERLY)
• Monitors staff compliance to DOH regulatory standards. (ESSENTIAL; WEEKLY)
• Demonstrates knowledge of the continuous quality improvement and performance improvement process and has broad knowledge of patient safety issues. (ESSENTIAL; QUARTERLY)
• Develops and implements entity wide training to maintain compliance with DOH and other regulatory standards. (ESSENTIAL; MONTHLY)
• Assures the development of organizational compliance review and monitoring activities. Conducts audits to ensure compliance. (ESSENTIAL; MONTHLY)
• Makes recommendations and implements change to organizational processes based on findings of the compliance review. (ESSENTIAL; QUARTERLY)
• Assesses practice and reviews content of policies and procedures to assure compliance with standards. (ESSENTIAL; ANNUALLY)
• Assures the development of performance improvement initiatives. Conducts audits to ensure quality performance. (ESSENTIAL; MONTHLY) 

Schedule: Full time, 9am-5pm, Monday – Friday; alternate hours (evening, weekend, and holidays) may be scheduled as needed.

Education:

• BSN required.
• Masterʼs in nursing or related health care field highly preferred with 3 to 5 years QAPI experience.

Christian Health offers a wide variety of benefits to full-time employees that includes:

• Discounted health insurance
• Dental Program
• Paid Vacation, Personal days, Holidays and New Jersey Sick leave
• 401k plan for all employees who are 21 years old or older
• Group Life Insurance & Voluntary Life Insurance
• Tuition Reimbursement
• Flexible Benefit plan
• Employee Assistance Program
• Direct Deposit
• Credit Union
• Child Day Care Center on campus
• Gift shop on campus
• Free onsite parking on campus
• Free meals for all employees
• Pay differentials
• Exclusive employee discounts and special offers
• Access to earned wages prior to payday

QUALIFICATIONS/REQUIREMENTS

Demonstrates compliance with the CH ASPIRE Standards of Performance.

Qualifications:

• Valid New Jersey Registered Nurse license.
• Certified in Quality Assurance and Performance Improvement.
• Prior experience with performance improvement and regulatory compliance in a health care setting.
• DOH audit survey preparation experience and maintenance of standards required.

If you are interested in this great opportunity, please apply today on our website listed below.

https://christianhealthnj.org/careers