St. Joseph’s Healthcare System is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization’s outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation’s “100 Best Places to Work in Health Care”.
Job Overview
Responsible for providing education and technical assistance for Patient Safety, Accreditation/Regulatory compliance. Plans and implements activities to increase awareness of regulatory requirements. Assist with the development of accreditation resources and serves as a Resource person for navigation of accreditation internal and external web sites i.e. IHI, TJC, DNV, ISO, CMS and State. Consults with various departments to review policies and procedures and make recommendations to ensure regulatory/safety conformance needed. Assists with the collection, aggregation and analysis of performance improvement data related to regulatory compliance. Performs medical record reviews and other compliance assessment audits.