Orthopedic surgeon [h1.location_city]
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Orthopedic surgeon • las cruces nm
Quality Coordinator, Bariatric & Orthopedic
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MountainView Regional Medical CenterLas Cruces, NM, US- [job_card.full_time]
Quality Coordinator, Bariatric & Orthopedic MountainView Regional Medical Center
Job Summary
The Quality Coordinator supports the facility's ongoing readiness for accreditation and regulatory compliance by coordinating survey preparedness, facilitating performance improvement initiatives, and educating staff on applicable standards. In collaboration with clinical and administrative leaders, this role monitors and promotes adherence to regulatory requirements, accreditation standards, and hospital licensure criteria while serving as a key liaison with accrediting and regulatory agencies.
Essential Functions
- Coordinates all accreditation and regulatory readiness activities across departments, ensuring ongoing compliance with standards from accrediting bodies such as The Joint Commission (TJC), CMS, and state agencies.
- Serves as liaison with external accrediting and regulatory agencies, supporting survey preparation, coordination, and follow?up.
- Facilitates multidisciplinary teams to address compliance gaps and implement corrective action plans.
- Conducts routine compliance rounds in clinical and non?clinical areas, identifying issues, educating staff, and escalating concerns when needed.
- Provides education and training on accreditation standards, performance improvement methodologies, and regulatory changes to hospital staff and leadership.
- Collaborates with hospital leadership and medical staff to track and trend performance indicators related to quality, safety, and accreditation.
- Assists departments in developing and evaluating policies and procedures to ensure alignment with accreditation and licensure standards.
- Performs other duties as assigned.
- Maintains regular and reliable attendance.
- Complies with all policies and standards.
Qualifications
Knowledge, Skills & Abilities
Licenses & Certifications
About MountainView Regional Medical Center
MountainView Regional Medical Center is a 168?bed jointly accredited acute?care facility serving Las Cruces and southern New?Mexico. Since our opening in 2002, our hospital has continually grown to serve the needs of our community and surrounding areas.
Equal Opportunity Employer
We are an Equal Opportunity Employer (M / F / M / V) and welcome you to apply.
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