REGULATORY AND ACCREDITATION MANAGER in Culpeper, Virginia at Novant Health UVA Health System Culpeper Medical Center - Kevin

The Regulatory Compliance Manager develops and ensures processes to support constant survey readiness infrastructure and is responsible for collecting, organizing, documenting, analyzing, and reporting data pertaining to Regulatory Agencies. and coordinates quality improvement activities in conjunction with Director Quality Resources. Responsibilities include: conducting chart reviews as needed; analyzing data for outcomes; supporting accreditation and regulatory compliance, hospital goals, and other improvement initiatives through compiling, monitoring and reporting data; assisting to identify patient safety issues; facilitating Failure Mode Effect Analysis, Quality Improvement Teams, and Root Cause Analysis processes to effect changes leading to quality improvement.