Director of Accreditation and Patient Safety Risk

• Employment Type:

• Full time

• Shift:

• Description:

• Why Mount Carmel?
• With five hospitals (https://www.

mountcarmelhealth.com/find-a-location/) , over 60 free-standing outpatient clinics (https://www.mcmg.mountcarmelhealth.com/) , a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and community wellness programs, Mount Carmel Health System (https://www.mountcarmelhealth.com/) serves more than a million patients in central Ohio each year, and we've been a pillar of this community for more than 130 years. As a proud member of Trinity Health (https://www.trinity-health.org/) , one of the nation's largest Catholic healthcare delivery systems, our network of caring spans 22 states, 94 hospitals, and 133,000 colleagues nationwide. We know that exceptional patient care starts with taking care of our colleagues, so we invest in great people and all that we ask in return is that you come to work ready to make a difference and do the right thing.

• What we offer:
• + Competitive compensation and benefits packages including medical, dental, and vision coverage + Retirement savings account with employer match starting on day one + Generous paid time off programs + Employee recognition incentive program + Tuition/professional development reimbursement + Relocation assistance (geographic restrictions apply) + Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing •Why Columbus?
• The nation's 14th largest city, Columbus, Ohio is one of the fastest growing major metropolitan areas in the Midwest - ranked #1 for population growth, #1 for job growth, #1 for wage growth, and #1 real estate market.

And with a vibrant blend of professional sports, world-class attractions, creative cuisines, and a flourishing music and arts scene, you'll never be found wanting for entertainment and experiences to call your own in Columbus. Learn more at www.experiencecolumbus.com !

• About the job:
• + Regional Director, Regulatory & Patient Safety/Risk Management Services is accountable for providing leadership, administrative direction, oversight and implementation support for regulatory compliance, patient safety, and risk reduction.
• What you'll do:
• + Regional Director, Regulatory & Patient Safety/Risk Management Services is accountable for providing leadership, administrative direction, oversight and implementation support for regulatory compliance, patient safety, and risk reduction.

+ Facilitates transition from a retrospective, reactive model for patient safety/risk management and regulatory compliance to a prospective, proactive approach consistent with the concepts expected of a high reliability organization. + Designs, directs and facilitates implementation of effective systems for regulatory compliance and continuous survey readiness. + Develops, coordinates and facilitates implementation of effective systems for risk identification, investigation, and mitigation of both potential and actual patient safety concerns and risks. + Aligns patient safety and risk management priorities with Mount Carmel's quality and performance improvement strategic plan and with regulatory compliance initiatives. + Facilitates the design of process improvement endeavors to support the elimination of errors and other factors that contribute to adverse patient outcomes as well as to meet or exceed regulatory requirements. + Provides education for colleagues, physicians, boards, leadership and other stakeholders on regulatory/compliance requirements and patient safety needs, initiatives and activities. + Provides support to Mount Carmel departments and to Mount Carmel affiliated joint ventures relative to analysis, preparation, and monitoring to respond to regulatory and/or patient safety/risk issues. + Serves as the Mount Carmel liaison to Trinity Health for regulatory/accreditation matters. Collaborates with Trinity Health Accreditation Services in preparing Mount Carmel to achieve compliance with regulatory requirements. + Serves as the Mount Carmel liaison to Trinity Health for Patient Safety/Risk Management matters and develops collaborative relationship to enhance identification and adoption of evidence-based strategies to improve patient safety and to mitigate risk.

• What we're looking for:
• +

Minimum Education Requirement:

Baccalaureate Degree in Health Care field required. Masters in Nursing, Allied Health or Business preferred. + Minimum of five (5) years recent hospital practice. Clinical and management experience required. Broad based clinical or management leadership experience with knowledge of complex systems and systems change with demonstrated success in tactical and analytical thinking. + Knowledge of performance improvement systems and process thinking principles and designs + Understanding of tools and techniques used to identify system or process failures that contribute to regulatory noncompliance, patient safety issues, or sentinel events. + Current knowledge and expertise in regulatory compliance and licensure requirements in hospital and in ambulatory settings + Current knowledge of clinical and regulatory standards related to hospital/patient safety. + Proficient computer skills + Excellent presentation skills with ability to relate effectively to physicians, all levels of the organization and colleagues in a fluid, flexible and adaptive fashion. + Innovative, self-directed and flexible + Readily accepts change and influences organizational change + Understands and applies group process skills + Ability to work with diverse groups, settings and varied complexities + Demonstrates a high tolerance for ambiguity -- _Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, physical disability or any other classification protected under local, state or federal law._

• Our Commitment
• Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings.

By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity. EOE including disability/veteran