Director of Compliance

Director of Compliance - Full Time - Johnstown, Colorado

Northern Colorado Rehabilitation Hospital is a state-of-the-art inpatient facility providing specialized care for patients recovering from stroke, brain and spinal cord injuries, orthopedic conditions, and other complex medical issues. Our expert team is passionate about restoring independence and improving quality of life through compassionate, high-quality care.

Located in Johnstown, Colorado, you’ll enjoy the best of both worlds—peaceful small-town living with easy access to the vibrant cities of Fort Collins, Loveland, Greeley, and Denver. Nestled near the base of the Rocky Mountains, the area offers year-round outdoor activities including hiking, biking, skiing, and fishing.

Set in beautiful Northern Colorado, our location offers over 300 days of sunshine, breathtaking mountain views, and endless outdoor adventures—from hiking and kayaking to skiing at top resorts. Centrally located in Johnstown, our hospital is minutes from Fort Collins’ lively college-town vibe, Loveland’s art scene and sculpture parks, and Greeley’s cultural festivals. Enjoy a safe, family-friendly environment with access to major city amenities in Denver just 45 minutes away. It’s a setting that fosters both professional growth and personal well-being.

We are seeking a Registered Nurse to join our dynamic Senior Leadership Team and provide clinical leadership for Infection Prevention, Quality Management, Regulatory, Risk Management,  and Medical Staff Services in our inpatient rehabilitation setting.

Responsibilities:

• Apply the principles of CDC to implement and effective Infection Prevention program
• Facilitates the Hospital Performance Improvement Plan in collaboration with Medical Staff and the Clinical Team
• Ensures submission of data for internal and external databases.
• Facilitates compliance for the facility related to CMS, The Joint Commission and State/Federal regulations.
• Provide expertise and supports the facility operations.
• Ensure compliance with hospital policies, regulatory standards, and evidence-based practices.

As a participating hospital of Ernest Health, we offer robust recognition, wellness, and retention programs.  These programs focus to enhance the employees’ work experience, recognize, and celebrate achievements.  We also encourage employees to share their work experience through “My Ernest Journey” and through our Engagement Survey, where our approach is “You Spoke, We Listened”.  These platforms provide additional avenues for employees to give feedback about their work experience and share what is important to them.

Our hospital offers comprehensive benefits, designed to support your health and financial well-being.

Benefits:

• PPO and High Deductible Medical Plan options
• Flexible Spending and Health Savings Account options available
• Dental and Vision coverage
• 401K with employer matching
• Life insurance
• Short-and-long term disability

Wellness & Work Life Balance:

• Employee Assistance Program
• Wellness Program with quarterly wellness challenges with participation incentives
• Earned Time Off - start accruing vacation time on start date

Professional Growth:

• Continuing education opportunities 

Required Skills:

• Current, valid, and active Registered Nurse license in the state of employment is required. 
• Minimum four years clinical experience preferred
• Two years in a role with regulatory/hospital licensure/accreditation experience preferred. 

Additional Qualifications/Skills:

• Knowledge of and resource for Federal, State and the Joint Commission standards and hospital specific rules and regulations.
• Knowledge of clinical operations and procedures.
• Ability to maintain quality, safety, and/or infection control standards.
• Demonstrates general computer skills including: data entry, word processing, email, and record management.
• Demonstrates critical thinking skills: Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
• Effective organizational and time management skills.
• Effective written and verbal communication skills.
• Ability to maintain proper levels of confidentiality.
• Ability to work closely and professionally with others.

The Director of Compliance is the individual with primary responsibility 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.