Requirements:           Bachelor of Arts Degree required, Masters Degree preferred.  Minimum (5) years of middle management supervisory experience required, at least three (3) of which were in a comparable healthcare setting. Proficiency with computers including Microsoft and Windows Applications.  Experience hiring, evaluating, and disciplining staff.  Knowledge of JCAHO, Article 28 & Article 31 Regulatory Regulations, Infection Control, HIPPA and  OSHA.  

Responsibilities:     Assure compliance with regulatory agency standards and federal and state regulations regarding health operations.  Direct regulatory compliance for Clinical Operations at all levels within the organization.  Plan, direct, implement, and monitor compliance with regulatory agencies for Clinical Operations.  Direct the development and implementation of policies and procedures, which affect regulatory compliance of Clinical Operations.  Facilitate nursing research activities for the organization.  Prepare reports on regulatory compliance of Clinical Operations for submission to regulatory agencies.  Develop and implement orientation for new employees on regulatory compliance.  Function as resource and support to all nursing staff on nursing issues as needed.  Evaluate incident reports for clarity accuracy & completeness, indicated plan of correction, and indicated reporting to regulatory agencies and insurance to committees.  Provide Clinical support to Sr. Vice President for Administration and others on review and monitoring of law suits.  Maintain professional competence through participation in continuing education and other appropriate learning experience by attending relevant workshops, conferences, and seminars.