Director Regulatory Compliance - Quality Assurance
Company: CHRISTUS Health
Location: Corpus Christi
Posted on: May 11, 2022
Provides administrative leadership and oversight of Regulatory
Compliance within CHRISTUS Spohn Health System.
Plans, directs, and enforces the corporate compliance program.
Develops, implements, and monitors policies and procedures to
ensure compliance with applicable laws, regulations, and
accreditation standards, which may include Medicare and Medicaid
reimbursement, JCAHO, NCQA, HIPAA, EEO, ADA, OSHA, TBOR II, etc.
Consults with executives, corporate legal counsel, risk management,
and/or operations managers on compliance issues. Develops written
policies and procedures that establish standards for compliance,
coordinates the development of education and training programs
relating to compliance issues, and investigates reports of alleged
violations of the organization's compliance policies.
CHRISTUS Spohn Hospital Corpus Christi-Shoreline overlooking Corpus
Christi Bay is the largest and foremost acute care medical facility
in the region, with a full range of diagnostic and surgical
specialty services in cardiac, cancer and stroke care. It is the
leading emergency facility in the area and the only Level II Trauma
Center in the Coastal Bend, staffed with physicians and nurses
specially trained in emergency services.
The Pavilion and the Critical Care Center house a state-of-the-art
Emergency Department, ICU, Cardiac Cath Lab and surgical
A teaching facility, in affiliation with the Texas A&M
University System Health Science Center College of Medicine
Accredited Chest Pain Center
Accredited Joint Commission Stroke Team
The Shoreline campus is a premiere facility housing many of the
region's most vital and renowned programs such as a Primary Stroke
Center, nationally accredited Cancer Center and a nationally
recognized Chest Pain Center. The Pavilion at CHRISTUS Spohn
Hospital Corpus Christi-Shoreline houses the CHRISTUS Spohn Heart
Network, which was recently recognized as one of the top 100
cardiovascular hospitals in the United States. The Heart Institute
offers the most advanced diagnostic, surgical and rehabilitative
cardiac services in one convenient location.
Bachelor's Degree in Nursing, Healthcare Administration or related
Minimum 3 years in Quality Management or JCAHO survey readiness.
Experience with computer based tools such as E-mail (Outlook),
Excel, Word, Access.
Demonstrated ability to plan, schedule, develop task/time
Demonstrated ability to read and comprehend complex standards and
Demonstrated ability to lead work groups, communicate orally in
small and large groups and in written formats.
Demonstrated ability to manage and define processes and projects to
achieve identified goals within specified timelines.
Demonstrated ability to manage records, files, documentation both
hard and electronic.
Strong problem solving skills.
Demonstrated ability to understand hospital and health system
organizations and operations.
Demonstrated ability to achieve continuous survey readiness.
Demonstrated ability to integrate and interpret data from diverse
sources addressing issues of high complexity.
Demonstrated ability to develop working relationships with
customers (i.e. associates, directors, vice presidents,
Current Texas RN License
Keywords: CHRISTUS Health, Corpus Christi , Director Regulatory Compliance - Quality Assurance, Executive , Corpus Christi, Texas
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