Guide operational leaders in responding to surveyor requests and ensure documentation meets survey team requirements. Participate in hospital-wide continuous readiness activities to ensure compliance with Joint Commission, CMS, and DOH requirements.
Numbers & Facts
Location
New York, NY
Salary
$50–$70 Per Hour
Description
Summary:
Location: New York, New York
Work Mode: Local
Duration: 17 weeks, through 12/31/26
Full Time; 5X8 M-F 9AM-5PM. Must be able to work at any of the 8 main campuses.
Responsibilities:
Participate in hospital-wide continuous readiness activities to ensure compliance with Joint Commission, CMS, and DOH requirements.
Serve as a subject matter expert for hospital teams assessing compliance with regulatory standards.
Collaborate with departments on the implementation of standardized processes for accreditation and regulatory activities.
Facilitate the development and monitor completion of corrective action plans and related data analysis.
Lead tracing activities, internal mock surveys, and focused standards assessments.
Guide operational leaders in responding to surveyor requests and ensure documentation meets survey team requirements.
Synthesize complex information for operational and senior leaders.
Identify areas of risk and collaborate on corrective action plans.
Maintain current knowledge of external standards and regulations.
Design and deliver educational trainings to enhance organizational knowledge of accreditation and regulatory requirements.
Serve as a liaison between hospital leadership and surveyors.
Participate in various hospital and quality committees, work groups, or task forces as assigned.
Requirements:
Bachelor's Degree
Minimum 5 years of experience, primarily in healthcare-related roles
Quality Assurance experience is crucial
Hospital healthcare experience is a must
Knowledge of Joint Commission, CMS, and DOH requirements or experience with regulatory survey activity
Experience with desktop computer applications and advanced skills with Microsoft applications
Excellent communication skills, both oral and written
Experience with managing and interpreting data
Ability to manage multiple activities and meet timelines and deadlines
Ability to work with a variety of departments and levels of personnel