We are seeking a Director of Compliance to join our team of passionate patient caregivers!
At our Northern Colorado Ernest Health campus, Northern Colorado Long Term Acute Hospital and Northern Colorado Rehabilitation Hospital are committed to providing exceptional care across the continuum of patient needs. Our 20-bed acute care hospital is renowned for critical care services and has received The Joint Commission’s Respiratory Failure Certification. We specialize in treating patients with complex conditions such as trauma, infectious diseases, wound healing, cardiovascular disease, stroke, amputation, and ventilator weaning, serving Colorado, Wyoming, and Western Nebraska.
Simultaneously, our 40-bed inpatient rehabilitation hospital stands as a beacon of excellence in rehabilitative care, consistently ranking in the Top 10% nationally for 18 years. Recognized for our expertise, we hold The Joint Commission’s Advanced Stroke Certification and Brain Injury Certification and offer specialized inpatient and outpatient rehabilitative services to our diverse patient population. Together, under one roof, we are dedicated to fostering a culture of compassion, innovation, and excellence in patient care.
Job Summary:
Responsible for providing clinical leadership for the following areas of hospital operations: Infection Prevention/Control, Medical Staff Services, Regulatory Compliance, Risk Management, and Quality Management/Improvement. Uses clinical expertise and significant independent discretion and judgment to help manage and supervise the hospital’s operations in all of the aforementioned areas. Integrates the hospital’s mission and “Guiding Principles” into daily practice.
Qualifications:
- Current licensure as a Registered Nurse required.
- Minimum four years clinical experience preferred.
- Two years in a clinical compliance role preferred.
Additional Skills:
- Knowledge of and resource for Federal, State and the Joint Commission standards and hospital-specific rules and regulations.
- Knowledge of accreditation standards to ensure adherence to all standards set forth by state and accrediting agencies of TJC and CMS.
- Knowledge of clinical operations and procedures.
- Ability to maintain quality, safety, and/or infection control standards.
- Demonstrates leadership, clinical expertise, and appropriate interpersonal skills
Essential Functions:
- Facilitates compliance for the facility related to CMS, The Joint Commission, and State/Federal regulations. Completes audits to identify ongoing compliance.
- Uses clinical expertise and independent discretion and judgment to provide oversight of and implementation of the Infection Prevention & Control Program.
- Demonstrates and maintains knowledge of infection prevention and control processes utilizing CDC as the basis of this knowledge.
- Independently completes an annual risk assessment, annual evaluation of program effectiveness, plan update, and develops quality measures as indicated.
- Uses clinical expertise and independent discretion and judgment to implement and manage risk management functions including incident reporting, investigational follow up, grievances, root cause analysis, provides notices of potential claims, and litigation management in conjunction with senior leadership
- Uses clinical expertise and independent discretion and judgment to manage and facilitate the hospital performance improvement program through collaboration with other hospital leaders.
Benefits:
Employees are our priority! We are passionate about patient care and consider it a privilege to be able to provide services to patients and their family members. Ernest Health provides a variety of benefits to all our employees, including:
- PPO and High Deductible Medical Plan options
- FSA and HSA (with employer matching) options available
- Dental and Vision coverage
- 401K with employer matching
- Life insurance
- Short- and long-term disability
- Pet insurance
- Employee Assistance Program
- Wellness Program
- Tuition and Continuing Education reimbursement
- Earned Time Off
Posted Total Compensation:
The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions, including, but not limited to, skill sets, experience, education and training, licensure and certifications, and other business and organizational needs. It’s not typical for an individual to be hired at or near the top of the range for their role and compensation decisions, are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $96,636.80 - $130,060.41.
Job Type: Full-time
Pay: $96,636.80 - $130,060.41 per year
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
License/Certification:
Work Location: In person
