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Coordinator-Regulatory Compliance/Infection/Prevention - Quality Management (40 hrs/wk)

Company: Evergreen Healthcare
Location: Kirkland
Posted on: June 8, 2021

Job Description:

Job Summary:

The Coordinator-Regulatory Compliance/Infection/Prevention is responsible for the coordination of a broad range of activities that sustain ongoing awareness of and compliance with ambulatory care regulatory compliance requirements, including Joint Commission and Department of Health (DOH) standards, including all associated follow up reporting. Coordinates infection control activities for the ambulatory settings including surveillance, public reporting, monitoring and education to ambulatory practices to prevent the transmission of diseases.

Primary Duties:

  1. Works collaboratively with various levels of staff within the organization, to build a strong knowledge of and compliance with infection control and regulatory standards/requirements in the ambulatory care setting.

  2. Coordinates preparation for Joint Commission and other accreditation, certification and regulatory reviews within the ambulatory care setting; coordinates the survey processes in these areas including survey schedule, surveyor assistance and required follow up.

  3. Provides the organization wide coordination of regulatory compliance and survey readiness for EHMG and specialty clinics.

  4. In collaboration with the Executive Director of Infection Control and Prevention, conducts an annual risk assessment related to the clinics, and develops and infection control plan specific to the EvergreenHealth ambulatory clinics.

  5. Ensures that ambulatory practices follow sound infection control practices and incorporate these practices into policy and procedures

.6. In collaboration with the Manager-Regulatory Compliance, responsible for investigating, following up and appropriately notifying internal/external entities of significant adverse reportable events within the ambulatory care setting.

  1. Performs other duties as assigned.

REQUIRED for the position:

  • Bachelor's degree in Nursing
  • Licensed as a Registered Nurse in the State of Washington
  • 3 years of related experience
  • Certification in Infection Control and Prevention (must achieve within 3 years of hire)
  • Knowledge of Joint Commission Standards, Survey process or related requirements
  • Knowledge of methods of data collection, manipulation, interpretation, and presentation of information
  • Familiarity with the Tracer Methodology
  • Demonstrated ability to establish cooperative working relationships with diverse groups and individuals, medical staff, and other health care disciplines
  • Skills with information management systems to support regulatory compliance, including database management, database analysis and reporting, and flowchart software
  • Demonstrated organization, facilitation, communication, and presentation skills
  • Computer skills including the use of Microsoft products in a Windows environment, as well as spreadsheets and QI data display software

DESIRED for the position

: Knowledge of health care trends, care processes and best practices that support regulatory requirements.

  • Infection control and prevention experience


Keywords: Evergreen Healthcare, Kirkland , Coordinator-Regulatory Compliance/Infection/Prevention - Quality Management (40 hrs/wk), Other , Kirkland, Washington

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