Quality and Regulatory Specialist

The quality and regulatory specialist, plans, implements. and manages patient safety, accreditation and regulatory compliance initiatives that decrease risk of safety events based on incident reporting and issues that arise through ongoing monitoring and reporting at Lakeview and across all of the Western Wisconsin sites. Facilitates process improvements that will support the reduction of medical and health care errors and other factors that contribute to adverse patient outcomes. Performs other duties as assigned.

Work Schedule: 1.0 FTE, Days

Required Qualifications:

• Bachelor’s degree in healthcare, nursing, public health, business administration, or a related field.
• 5 years of licensed professional clinical experience and/or patient safety/quality experience.
• 3 years healthcare experience in project management, and/or quality improvement and patient safety 
• Experience with performance improvement methodologies (Lean, Six Sigma, PDSA).
• Strong leadership, problem-solving, and communication skills.
• Applicable license/certification in professional clinical field and/or patient safety/quality
• Knowledge, Skills, and Abilities:
  • Reduce the risk of patient harm by assessing patient safety risk, developing and implementing patient safety and improvement initiatives, and advancing culture of safety initiatives
  • Provide support for maintaining safety reporting system, reviewing safety events to ensure data integrity and monitoring and evaluating trends
  • Assist with the event review process into unexpected events and errors, including conducting root cause analysis and facilitating meetings as needed and integrating knowledge of external standards, including TJC and other state and federal regulations pertaining to quality and safety
  • Collaborate with clinical leaders and key stakeholders to proactively plan and oversee patient safety and accreditation program initiatives of various size and scope
  • Ability to provide coaching and partnership with service line leaders and staff in an effort to manage patient safety and regulatory issues and provide appropriate follow-up
  • Stay current in evolving literature, science and regulatory/accreditation standards associated with patient safety and conducts research to promote implementation of evidence-based guidelines
  • Utilize informatics to prepare and present analyzed information into reports, narratives, visualizations and presentations as requested 
  • Conduct proactive risk assessments to mitigate loss and promote patient safety
  • Focus on implementing and reinforcing the principles that support a high reliability organization
  • Thorough knowledge and capabilities in Microsoft office, including visio
  • Ability to deal with ambiguity, adapting to change, through managing risks and uncertainly with the capacity to act without the total picture
  • Ability to establish positive rapport and working relationships with those at various levels of the organization from senior leaders, to peers, to frontline staff.
  • Exceptional organizational capabilities and prioritization skills

Preferred Qualifications:

• Master’s degree in healthcare administration, public health, or a related field.
• 1-3 years’ experience in project management in healthcare operations
• Certified Professional in Healthcare Quality (CPHQ)
• Certified Professional in Healthcare Risk Management (CPHRM)

Benefits:

Lakeview Hospital offers a competitive benefits package (.5 FTE or greater) that includes medical insurance, dental insurance, 401k with match, disability insurance, and tuition reimbursement.  We offer an on-site employee fitness center, free parking and employee discounts. Lakeview Hospital is a qualified non-profit employer under the federal Public Loan Forgiveness program.