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Ensure compliance with all regulatory requirements, including CMS, DOH, The Joint Commission, for all grievances and complaints. Assist Assistant Vice President / Chief Experience Officer with analysis of patient satisfaction survey scores and grievance and complaint data, track/trend performance, identify opportunities for improvement and develop/implement action plans.
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In collaboration with the Nurse Manager, assures compliance with regulatory requirements and assures the unit is in a continuous state of readiness for a regulatory survey, i.e. Joint Commission, DPH.
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Develops and establishes operational and strategic goals and objectives for the Chest Pain and Stroke Programs consistent with current guidelines from the American College of Cardiology, American Heart Association, and The Joint Commission for Accreditation, including Performance Improvement and a Patient Safety program.
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This position serves as the liaison with The Joint Commission, CMS and other pertinent regulatory agencies and oversees the organization’s continuous survey readiness processes. The individual in this position is a key member of the hospital management team, provides leadership and oversight to the strategic development and implementation of the quality and patient safety programs (performance improvement, patient safety, and accreditation) with responsibility for planning, organizing, directing the managerial and operational activities of the infrastructure required to support these services.
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The job frequently has programmatic responsibilities in Nursing, and influences in recommendation, development and implementation of policy & procedures; equipment standardization; capital planning; standard work measures; recruitment & retention efforts; process improvement initiatives; and, coordination of the Joint Commission Survey Process.
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Works collaboratively with all hospital and clinic personnel on shared system and performance improvement projects, as well as, provide oversight of the respective committees and survey preparedness and readiness.
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The Human Resources Assistant assists in federal, state, and Joint Commission survey preparedness activities. Encompass Health Rehabilitation Hospital of Western MALudlow, MANow Hiring: Human Resources Assistant - Part Time 24 Hours/ DaysThe Human Resources Assistant, under the direction of the Director of Human Resources, provides administrative support to the human resources function to include, but not limited to, recruitment and retention of staff, benefits administration, orientation of staff, worker's compensation, and policy administration.
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Monitors activities for and ensures compliance with laws, government regulations, Joint Commission requirements and DMC policies. Reporting to directly to the site Chief Nursing Officer and indirectly to the Administrative Director, Nursing Specialty - Perioperative Services for the market, and with/through subordinate personnel, assumes leadership responsibility for the services, functions, and processes in Perioperative Services.
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Near Downtown, the neoclassical Detroit Institute of Arts is famed for the Detroit Industry Murals painted by Diego Rivera, and inspired by the city’s ties to the auto industry, giving it the nickname "Motor City." Detroit is also the birthplace of Motown Records, whose chart-topping history is on display at their original headquarters, Hitsville U.S.A.
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Coordinates improvement activities for successful accrediting, licensing and certification surveys (e.g., Joint Commission, Department of Health, Centers for Medicare/Medicaid Services.
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Sinai-Grace’s joint replacement program features a revolutionary minimally invasive knee and hip replacement surgery that attracts patients from all over the country. DMC Sinai-Grace Hospital is DMC’s largest hospital, offering a comprehensive heart center, cancer care, gerontology, emergency medicine, obstetrics/gynecology and cosmetic services.
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Participates in The Joint Commission survey readiness as assigned. Leads and trains staff in standards of excellence as specified by Joint Commission on Accreditation of Healthcare Organizations (JCAHO.
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Current understanding of regulations as it relates to Joint Commission, State specific requirements, and Centers for Medicare & Medicaid Services (CMS). Minimum Education/Minimum Experience:Degree (Bachelors, Masters or Doctorate) in a health related field, with 5 years of relevant hospital management experience or other allied health professionals who have extensive hospital experience (>7 years, or other pertinent credentials) in the areas of responsibility will be considered.
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Manage the operations of behavioral health services in accordance with Joint Commission and DPH requirements. Two years’ experience in long-term care facilities is preferred with previous successful JCAHO and DPH survey experience highly desirable.
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Rated a top performer in quality by The Joint Commission with a 4 out of 5 star rating in a nationally standardized patient satisfaction survey. Rated a top performer in quality by The Joint Commission with a 4 out of 5 star rating in a nationally standardized patient satisfaction survey.
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