Director Quality Compliance - Regulatory - West Region ...

OverviewDirector Quality Compliance – Regulatory – AMSURGRemote (Must Reside in the West Coast Region)Company Overview: AMSURG is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers nationwide. In partnership with physicians and health systems, the organization delivers high-quality care for patients across a diverse spectrum of medical specialties, including gastroenterology, ophthalmology and orthopedics.Position Summary:Provides direction and overall implementation of Regulatory and Accreditation plan of correction to maintain survey readiness. Promotes the advancement of patient safety, enhanced patient experience, quality performance, and regulatory/accreditation compliance at all centers and when assigned to conduct readiness assessment visits. Drives consistency in processes and creates opportunities for improvement.Work Schedule: Remote First.Essential ResponsibilitiesRequires an in-depth understanding of regulatory and accreditation regulations and standards by maintaining current knowledge which includes Medicare Conditions of Participation, The Joint Commission (TJC), Accreditation Association for Ambulatory Health Care (AAAHC), as well as State and Federal agencies.Facilitate Plans of Correction (POC) to ensure their quality and timely completionAssist in development and review of policies and procedures that ensure alignment with accreditation standards, state licensing requirements, and Medicare Conditions of Participation.Collaborate with Center Administrator and Corporate leadership on improvement efforts, including corrective actions post-survey.Provide education regarding standards and processes, including updates/revisions.Ensure timely documentation of survey activity, track and trend survey findings for benchmarking externally when possible.Assist with Clinical Risk Management investigations and reporting of events as required by external agencies when needed.Maintain collaborative relationships with Sr. Director Quality Compliance and appropriate agencies, AMSURG departments, and Centers.Assist in soliciting sustainable processes and system improvements that maintain quality metrics and/or regulation/accreditation-related objectives.Maintain and monitor all regulatory and deemed-status data related to survey activities and findings, ensure their timely compilation.Conduct survey performance readiness assessments when needed in preparation for regulatory and accreditation visits along with any specialty certifications, including:Observe facility staff roles to ensure we are providing the highest quality and safety of healthcare, with adherence to professional standards, licensures, and competencies.Review facility documents for continual content compliance.Tour interior and exterior physical environments for required equipment, supplies, continuous maintenance, and infection control.Follow a “tracer patient” throughout the patient experience from admission to discharge.Observes “high risk” processes, i.e., high level disinfection, instrument sterilization, etc.Adhere to all company policies and procedures, including Information Security Policies and ensure that AMSURG remains as secure as possible.Travel of up to 50% may be required by land and/or air.Regular and reliable attendance is required.Knowledge and SkillsDetail oriented and organized.High integrity, including maintenance of confidential information.Able to exercise good judgment and positively influence and lead others, including handling confrontations with poise and efficiency.Education / ExperienceAn in-depth understanding of regulatory and accreditation regulations and standards is required by maintaining current knowledge, which includes Medicare Conditions of Participation, The Joint Commission (TJC), Accreditation Association for Ambulatory Health Care (AAAHC), as well as State and Federal agencies.Five+ years’ experience in Nursing/Healthcare.Bachelor’s Degree from an Accredited College or University in Nursing or related Healthcare field.2+ years’ Clinical experience in an Ambulatory Care setting.3+ years in a leadership position.Strong verbal and written communication skills.Demonstrated expertise in MS Office, i.e., Excel, Word, Outlook, Team.Experience required in Adobe.Other QualificationsMust be able to handle multiple, simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner. Must be able to work well with others. Based on business need, the ability to work a flexible schedule, including some evenings and weekends as approved in advance. Must pass a background check and drug screen.Employment at AMSURGLiving Our Values Every Day. At AMSURG, our values define who we are and how we serve our patients, partners, and each other. As a leader in ambulatory surgery, we are committed to a culture of excellence, integrity, teamwork and caring deeply. Our values guide every decision, ensuring we continue to elevate healthcare and provide the highest quality care. These guiding principles are the foundation of our culture and a guide to how we collaborate, innovate, and make a difference every day.Care Deeply for those around us.Cultivate Integrity to build trust.Champion Excellence for continuous improvementCelebrate Teamwork every step to the way.BenefitsAMSURG provides its employees with the benefits, recognition, training, and opportunities needed for professional growth. Our wide range of health and welfare benefits allow you to choose the right coverage for you and your family. Benefits include Paid Time Off, Medical, Dental, Vision, Life, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs, and a matching 401(K) Plan.Paid Time Off: AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position, can earn a minimum of 20 days and up to 25 days per calendar year.EOE StatementAMSURG is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to age, race, gender, disability, veteran status, or any other status protected under applicable federal, state, or local laws. If you require a reasonable accommodation to submit an application, please contact us at: . Include your full name, the role you’re applying for and the accommodation necessary to assist you with the recruiting process.#LI-CH1#LI-REMOTE #J-18808-Ljbffr

Created: 2025-10-08