Clinical Regulatory Compliance And Patient Safety Manager

Under general direction of the Director of Quality Assurance and Performance Improvement (QAPI), the Clinical Regulatory Compliance and PatientSafety Manager is responsible for planning, supervising, and coordinating administrative operations within hospital departments. This role involves overseeing regulatory adherence, acting as a point of contact for regulatory and licensing entities, investigating Patient Safety incidents, addressing complaints and grievances, and facilitating multiple projects while supporting risk management and quality improvement initiatives.
The ideal candidate is an expert in hospital regulatory and compliance standards, acute care hospital policy and procedures, Patient Safety principles, and hospital quality measures. The individual in this position must be self-directed with positive interpersonal skills and be able to effectively interface with patients, families, staff, senior leadership, and regulatory agencies.
PAYROLL TITLE: Hospital Nurse Manager I
EDUCATIONAL/BILINGUAL INCENTIVES: Incumbents may be eligible for an educational incentive of 2.5%, 3.5%, or 5% based on completion of an Associate's, Bachelor's, or Master's degree that is not required for the classification. Incumbents may also be eligible for bilingual incentive depending upon operational need and certification of skill.

CERTIFICATION PAY: Incumbents in this classification are eligible for certification pay at a rate of $0.813 per hour based on his or her scheduled work week hours and not to exceed the scheduled work week hours for each qualified certification possessed up to a maximum of five (5) certifications.
NATIONWIDE CERTIFICATION: Incumbents in this classification who acquire and maintain one of the nationwide certifications (Management Resolution Sec. 403 E) may be eligible to receive certification pay per shift of $2.00 per hour compensated as one (1) of the five (5) certifications mentioned above.
AGENCY/DEPARTMENT: Health Care Agency - Ventura County Medical Center and Santa Paula Hospital
Hospital Nurse Manager I is a Management classification and is not eligible for overtime compensation. Incumbents in this classification are eligible for benefits at the MB3 level.
The eligible list established from this recruitment may be used to fill current and future Regular (including Temporary and Fixed term), Intermittent, and Extra Help vacancies for this position only. There is currently one (1) Regular vacancy.
TENTATIVE SCHEDULE
OPENING DATE: Monday, November 20, 2023
CLOSING DATE: Continuous and may close at any time; therefore, the schedule for the remainder of the process will depend upon when we receive a sufficient number of qualified applications to meet business needs. It is to your advantage to apply as soon as possible.
(Previously: Friday, December 1, 2023) Duties may include but are not limited to the following:

• Collaborates with hospital leadership to ensure key Patient Safety initiatives are communicated and introduced as appropriate;
• Supervises the Patient Advocate process while providing oversight of the complaint and grievance process to ensure compliance;
• Provides guidance to departments, senior leadership, and medical staff on education, interpretation, and compliance related to accreditation, regulatory standards, policies, and procedures;
• Develops timelines, action plans, and checks and balances to assess compliance for survey readiness and compliance with accreditation or regulatory standards;
• Participates in hospital surveys (scheduled and unannounced) and oversees development of corrective actions, measures of success, and monitors completion and compliance to correction plans;
• Monitors and communicates changes in accreditation, regulatory standards, and related laws by entities such as The Joint Commission, The California Department of Public Health, the Centers for Medicare and Medicaid Services, etc.;
• Serves as a liaison to regulatory agencies, which includes coordination of investigation and follow-up responses;
• Assesses training, competency, and educational needs of staff in coordination with Nursing Education for improved services and processes;
• Reviews, recommends, and establishes nursing and unit specific practice standards and initiates changes as needed;
• Assists in the Root Cause Analysis and event analysis for Patient Safety improvement for the hospitals and hospital-based clinics;
• Prepares quarterly status and Patient Safety reports for the Patient Safety Committee;
• Monitors risk reduction strategies for Patient Safety events;
• Monitors the event reporting notification system to ensure required follow-up actions are addressed;
• Ensures notification forms are investigated, completed timely, submitted to the Nurse Executive, and appropriate action initiated;
• Acts as a resource/liaison to departments to help identify opportunities to enhance employee engagement;
• Maintains clear, effective communication between nursing, medical, and ancillary staff and departments;
• Collaborates with County Risk Management on grievances and possible grievances;
• May supervise, evaluate, and manage the work of others; and
• Performs other related duties as required.

These are entrance requirements to the examination process and assure neither continuance in the process nor placement on an eligible list.
EDUCATION, TRAINING, and EXPERIENCE
Any combination of education, training, and experience equivalent to:

• Bachelor's degree in Nursing from an accredited college or university AND
• Four (4) years of increasingly responsible clinical or administrative nursing work in an acute care hospital setting which includes, at least two (2) years of supervisory experience

Substitution: A Master's degree in a professional medical related discipline may substitute for two (2) years of supervisory experience.
NECESSARY SPECIAL REQUIREMENTS

• Must possess and maintain a current, valid license as a Registered Nurse issued by the State of California.
• Must possess a current, valid Basic Cardiac Life Support (BCLS) certification by first day of employment and maintain it thereafter.

DESIRED

• Recent work history in a regulatory or quality management aspect of acute care
• Master's degree in Nursing, Business, or Healthcare Administration

KNOWLEDGE, SKILLS, and ABILITIES
Thorough knowledge of:hospital policy, procedures, and quality measures; patient rights, basic nursing performance standards in accordance with the Nursing Practice Act of California, and other regulatory healthcare standards; management principles involving personnel and resource allocation; complaint and grievance resolution; and correct English usage, spelling, grammar, and punctuation.
Skill in: effective communication both orally and in writing; reading comprehension; and Microsoft Office.
Ability to: critically think using logic and reasoning to assess alternative solutions, conclusions, or problem-solving approaches; provide guidance on legal and Regulatory Compliance; conduct internal investigations of regulatory and/or patient issues; and develop and maintain effective relationships with stakeholders, nursing staff and regulatory bodies.FINAL FILING DATE: This is a continuous recruitment and may close at any time; therefore, apply as soon as possible if you are interested. Your application must be received by County of Ventura Human Resources in Ventura, California, no later than 5:00 p.m. on the closing date. (Previously: Your application must be received by County of Ventura Human Resources in Ventura, California, no later than 5:00 p.m. on Friday, December 1, 2023.)
To apply on-line, please refer to our website at www.ventura.org/jobs. If you prefer to fill out a paper application form, please call (805) 654-5129 for application materials and submit them to County of Ventura Human Resources, 800 South Victoria Avenue, L-1970, Ventura, CA 93009.
Note to Applicants: It is essential that you complete all sections of your application and supplemental questionnaire thoroughly and accurately to demonstrate your qualifications. A resume and/or other related documents may be attached to supplement the information in your application and supplemental questionnaire; however, it/they may not be submitted in lieu of the application.
NOTE: If presently permanently employed in another "merit" or "civil service" public agency/entity in the same or substantively similar position as is advertised, and if appointed to that position by successful performance in a "merit" or "civil service" style examination, then appointment by "Lateral Transfer" may be possible. If interested, please click here for additional information.
SUPPLEMENTAL QUESTIONNAIRE - qualifying: All applicants are required to complete and submit the questionnaire for this examination at the time of filing. The supplemental questionnaire may be used throughout the examination process to assist in determining each applicant's qualifications and acceptability for the position. Failure to complete and submit the questionnaire may result in removal of the application from further consideration.
APPLICATION EVALUATION - qualifying: All applications will be reviewed to determine whether or not the stated requirements are met. Those individuals meeting the stated requirements will be invited to continue to the next step in the screening and selection process.
TRAINING & EXPERIENCE EVALUATION: A Training and Experience Evaluation (T&E) is a structured evaluation of the job application materials submitted by a candidate, including the written responses to the supplemental questionnaire. The T&E is NOT a determination of whether the candidate meets the stated requirements; rather, the T&E is one method for determining who are the better qualified among those who have shown that they meet the stated requirements. In a T&E, applications are either scored or rank ordered according to criteria that most closely meet the business needs of the department. Candidates are typically scored/ranked in relation to one another; consequently, when the pool of candidates is exceptionally strong, many qualified candidates may receive a score or rank which is moderate or even low resulting in them not being advanced in the process.
NOTE: The selection process may consist of an Oral Exam, which may be preceded or replaced with the score from a Training and Experience Evaluation (T&E), contingent upon the size and quality of the candidate pool. In a typical T&E, your training and experience are evaluated in relation to the background, experience and factors identified for successful job performance during a job analysis. For this reason, it is recommended that your application materials clearly show your relevant background and specialized knowledge, skills, and abilities. It is also highly recommended that the supplemental questions within the application are completed with care and diligence. Responses such as "See Resume" or "Refer to Resume" are not acceptable and may disqualify an applicant from further evaluation.

ORAL EXAMINATION: A job-related oral examination may be conducted to evaluate and compare participating examinees' knowledge, skills, and abilities in relation to those factors which job analysis has determined to be essential for successful performance of the job. Examinees must earn a score of seventy percent (70%) or higher to qualify for placement on the eligible list.
If there are three (3) or fewer qualified applicants, neither a T&E nor oral examination will be conducted. Instead, a score of seventy percent (70%) will be assigned to each application, and each applicant will be placed on the eligible list.
Applicants successfully completing the examination process may be placed on an eligible list for up to a period of one (1) year.
BACKGROUND INVESTIGATION: A thorough pre-employment, post offer background investigation which may include inquiry into past employment, education, criminal background information, and driving record may be required for this position.
For further information about this recruitment, please contact Maritza David by email at Maritza.David@ventura.org or by phone at (805) 677-5162.
EQUAL EMPLOYMENT OPPORTUNITY
The County of Ventura is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding, and related medical conditions), and sexual orientation. Employment Type: Full-Time Regular