Orlando, Florida, United States
19 hours ago
Surgical and Procedural Services Safety and Regulatory Compliance Auditor

AdventHealth

All the benefits and perks you need for you and your family:

· Benefits from Day One

· Paid Days Off from Day One

· Student Loan Repayment Program

· Career Development

· Whole Person Wellbeing Resources

· Mental Health Resources and Support

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full Time

Shift : Days Monday - Friday

Office Location: 600 Courtland St. Orlando, FL

Campus Coverage: Orlando, Winter Park & Altamonte

The community you’ll be caring for:

Located on a lush tropical campus, our flagship hospital, 1,368-bed AdventHealth Orlando

We offer great benefits with immediate Health Insurance coverage

Career growth and advancement potential

Serves as the major tertiary facility for much of the Southeast, the Caribbean and South America

AdventHealth Orlando houses one of the largest Emergency Departments and largest cardiac catheterization labs in the country

We are already one of the busiest hospitals in the nation, providing service excellence to more than 32,000 inpatients and 125,000 outpatients each year

The role you’ll contribute:

The Surgical and Procedural Services Safety and Regulatory Compliance Auditor evaluates the surgical and procedural environment, policies, and procedures to ensure compliance with all regulatory standards and regulations. Responsible for performing routine readiness rounding in clinical areas to identify areas of opportunity and prepare for regulatory or accreditation site visits. Partners with physician, and clinical leadership during the development of new clinical programs to provide content expertise on regulatory requirements and ensure implementation of standardized clinical processes that are aligned across AdventHealth. Serves as the liaison for the development and ongoing management of standardized policies and operating procedures.

The value you’ll bring to the team:

Observes surgical procedures auditing compliance with DNV, Centers for Medicare and Medicaid (CMS), Occupational Safety and Health Administration (OSHA), Center for Disease and Prevention (CDC) and Patient Safety regulations at the service line level. Reporting findings to leaders on a regular basis.

Conducts chart reviews in the Electronic Medical Record (EMR) as directed to assure documentation is complete and meets regulatory requirements.

Actively participates, communicates, and serves as a positive change agent for all units'/departments', campuses’, and system's initiatives/goals.

Educates and corrects surgical staff during the audit process when non-conforming processes are identified.

Participates in practice changes as a result of performance improvement activities. Supports quality standards and initiatives set by the departments. Ensures that practice changes, as a result of performance improvement activities, are implemented. Adheres to all policies and procedures.

Qualifications

The expertise and experiences you'll need to succeed:

Bachelor’s degree in Business Administration, Healthcare Administration or other allied health related field

Minimum of 5 years of clinical experience in a surgical or procedural department

LPN, current valid State of Florida or multi state license as a Licensed Practical Nurse or

RN current valid State of Florida or multi state license as a Registered Nurse or

CST, Certified Surgery Technician (CST) from the National Board of Surgical Technology and Surgical Assisting (NBSTSA) or Certified Operating Room Technician (CORT) from the National Center for Competency Testing (NCCT). or Radiologic Technologist (R.T.(R) or Respiratory Therapist (RRT) or Registered Cardiovascular Invasive Specialist (RCIS) or Registered Cardiovascular Electrophysiology Specialist (RCES) or National Registry of Paramedics (NREMT-P)

BLS

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Category: Quality/Clinical Effectiveness

Organization: AdventHealth Orlando

Schedule: Full-time

Shift: 1 - Day

Req ID: 25006878

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.

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