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Departmental Quality Regulatory Specialist

2 weeks ago

Houston, Texas, United States Texas Children's Medical Center Full time
Description

We're searching for a Departmental Quality Regulatory Specialist - Stem Cell Transplant, someone who works well in a fast-paced setting. In this position, you'll work collaboratively with administrators, physicians, and operations leadership to ensure exceptional delivery of care by continuously improving quality processes and standards. Additionally, you'll align program activities with institutional priorities, regulatory

requirements and accreditation standards.  

Think you've got what it takes?

Job Duties & Responsibilities

  • Maintains full knowledge of current accreditation standards and proactively updates policies, SOPs, and practices to ensure alignment
  • Leads preparation for inspections: conducts gap analyses against accreditation standards, organizes and oversees mock inspections and internal audits, and coordinates corrective and preventive actions
  • Ensures documentation is accurate, accessible, and inspection-ready at all times (policies, deviation logs, corrective actions, staff credentials, equipment validation records, etc.)
  • Evaluates and assesses, in collaboration with team members, outcomes and processes to improve quality of care in the program
  • Implements and monitors a Quality Management Plan covering: audits of clinical, laboratory, collection, and processing activities; review of deviations, adverse events, and non-compliance; and root cause analyses and CAPA implementation
  • In collaboration with administrative and physician leaders, develops and maintains quarterly quality meetings agendas, presentations, documenting and tracking action items
  • Serves as resource for all departmental written policies, procedures, state and national regulatory bodies including JC, FACT, FDA, CAP, CMS, and Texas DHS 
     

Skills & Requirements

  • Bachelor's degree in nursing required
  • RN - Lic-Registered Nurses by Texas Board of Nursing or Nursing Licensure Compact required
  • 2 years of licensed nursing experience related to quality, regulatory, and/or department specific nursing experience required
  • Green Belt, Black Belt or Lean Six Sigma certification preferred
  • Experience with UNOS, CMS, The Joint Commission, and/or FACT accreditation surveys preferred