Clinical Admin Patient Safety and Regulatory

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Position Summary

Reporting to the Director of Regulatory Affairs in the Department of Regulatory Affairs & Patient Safety, the Clinical Admin for Patient Safety & Regulatory supports the department in coordination with hospital leadership, through management of projects and support activities related to patient safety and regulatory risks.

The department will utilize the Admin's expertise to help identify opportunities and risks and organize large- and small-scale projects to address these priorities. In this role, they are expected to partner with subject matter experts to develop detailed action plans for major safety & regulatory initiatives, review and update associated policies and procedures, assist colleagues, chapter leaders, department heads and other campuses in planning and executing structured and comprehensive initiatives. The goal of their efforts is to ensure compliance with new and evolving regulatory requirements in alignment with accreditation and certification program standards.

Duties of a Clinical Admin for Patient Safety & Regulatory may include the following but are not limited to:

• Responsibilities include collaboration on and coordination of organization-wide efforts to develop and manage patient safety and regulation driven assessments, processes, and policies across the health system
• Organizes and participates in mock audits and mock surveys within inpatient and outpatient environments to assess continuous readiness for announced and unannounced visits from regulatory agencies
• Works with stakeholders to initiate immediate and long-term action plans in response to identified opportunities or survey findings from accreditation and certification program visits. Manages associated data collection tools and reporting as outlined in corrective action plans
• Creates and maintains comprehensive documentation for assigned projects including goals/objectives, interventions/implementations and measurable progress through project completion
• Performs duties to help ensure a reliable and successful project implementation covering the total scope of project.
• Organizes and facilitates tracers, meetings and workgroups to support accreditation and certification programs, as assigned.
• Assists with the interpretation and dissemination of regulatory updates and their impact on workflows.
• Develops education and communication materials related to policy changes, accreditation requirements, and regulatory compliance

Qualifications

Required Qualifications:

• Bachelor's Degree in Nursing or other health profession.
• Current NYS RN License
• Experience with one or more quality improvement models or methodologies (i.e., Lean, Six-Sigma, Model for Improvement/Plan-Do-Study-Act).
• Five (5+) years of work experience in a health care clinical, administrative or project management.
• Experience participating in regulatory and patient safety projects and programs in the inpatient or outpatient setting.
• Strong oral and written communication skills
• Strong data analytic skills
• Strong group leadership and organization skills
• Innovative thinking, facilitation, and consensus building skills
• Ability to work well both independently and as a part of a team
• Ability to analyze and present data and program information, orally and in writing in non-technical language

Preferred Qualifications:

• Master's degree in Nursing or other health profession
• Certification in one of the following disciplines: Lean, Six-Sigma, Model for Improvement/Plan-Do-Study-Act)
• Certified Professional in Healthcare Quality (CPHQ) and/or Certified Professional in Patient Safety (CPPS) preferred.
• Experience in an administrative or leadership role in a health care setting preferred and within a hospital setting is strongly desired.
• -Understanding of standards and their applications in life safety, physical environment, infection control and provision of care

Special Notes: Resume/CV should be included with the online application.

Posting Overview: This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date).

If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.

• Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
• All Hospital positions maybe subject to changes in pass days and shifts as necessary.
• This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
• This function/position maybe designated as "essential." This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.

Prior to start date, the selected candidate must meet the following requirements:

• Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine''s Employee Health Services*
• Complete electronic reference check with a minimum of three (3) professional references.
• Successfully complete a 4 panel drug screen*
• Meet Regulatory Requirements for pre employment screenings.
• Provide a copy of any required New York State license(s)/certificate(s).

Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.

• The hiring department will be responsible for any fee incurred for examination.

Anticipated Pay Range:

The salary range for this position is listed below. This range reflects Stony Brook University Hospital's good faith and reasonable estimate of potential compensation at the time of posting.

The final offer will be determined based on the candidate's verified years of relevant, comparable experience. Please note that misrepresentation or inflation of experience may result in disqualification from the hiring process or termination of employment if hired.

Some positions may also include annual supplemental pay, such as:

• Location Pay: for UUP full-time positions
• Shift Differentials: Additional pay for evening, night, or other supplemental shifts (e.g., inconvenience pay, geographic pay, or other applicable differentials)

At Stony Brook University Hospital, your compensation extends beyond your paycheck. We offer comprehensive benefits including generous leave, health insurance, and participation in the state pension system that contribute significantly to your overall total rewards package.

Stony Brook Medicine integrates and elevates all of Stony Brook University's health-related initiatives: education, research and patient care. It includes our Health Sciences schools - Medicine, Dental, Health Professions, Nursing and Social Welfare - a Program in Public Health, as well as Stony Brook University Hospital, Stony Brook Children's Hospital, Stony Brook Southampton Hospital, Stony Brook Eastern Long Island Hospital, Long Island State Veterans Home, and more than 200 community-based healthcare settings throughout Suffolk County.

Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.

Stony Brook University is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require a reasonable accommodation to participate in the application, interview, or hiring process, please request one by contacting oea_ada@stonybrook.edu. We will consider accommodation requests in compliance with applicable law. This process is separate from and does not require any voluntary self-identification of disability status. Please include the position title and position number (if known) in your message.

In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewed here.

Visit our WHY WORK HERE page to learn about the total rewards we offer.

Stony Brook University Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally.

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