Quality Regulatory, Manager

Job Title: Quality Regulatory Manager

Employment Type: Full-time

Shift: Day
Location: Mercy Fitzgerald

Position Purpose

The RN-Regulatory Quality Manager coordinates and facilitates the hospital regulatory compliance ensuring the highest quality and patient safety activities. The RN-Regulatory Quality Manager oversees the Joint Commission Accreditation for the hospital and acts as a consultant for all certification, accreditation, and regulatory programs.

As a “Quality Regulatory Manager” you will:

• Helps supports and oversees the Quality team and Patient Safety/Risk Management to support zero harm activities.  
• Support maintaining highest level of compliance with other organizations such as Leapfrog, IBM Watson, and others that impact quality and patient safety. Utilizes quality methodology to educate staff and departments in continuous performance improvement and regulatory compliance, concepts, processes, and tools.  
• Works with and oversees the Quality Department to collect and track data inclusive of analysis and action plans utilizing Lean Methodology to improve outcomes and compliance.
• Participates in quality rounds, co-chairs Quality/Safety Committees and help reports data as required for regulatory programs.
• Reports to, works in concert with, and supports the Regional Director of Quality and Safety.
• Ensures all state regulatory activities and compliance are maintained.
• Manages and directs day-to-day regulatory compliance work activities such as regulatory rounds.
• Engages in performance improvement projects to support Mercy Fitzgerald priorities in fulfilling the vision and mission that lead to regulatory compliance, high quality organization, patient safety, and operational excellence.

Minimum Qualifications:

• RN Licensure in the State of PA.  Bachelor’s degree in Nursing required.
• BLS certification required.
• Master’s Degree preferred in nursing, business, or healthcare.
• CPHQ Certification preferred
• Minimum of five years of acute care hospital clinical care experience required.
• Strong interpersonal and communication skills. Demonstrated presentation and facilitation skills. Must be able to work independently and on a team. Has the ability to use problem-solving, critical thinking and priority setting skills.  Knowledge of Microsoft Office, data base management, spreadsheets, internet skills and e-mail.

[FT/PT Benefit eligible Roles]:

**0.4 FTE (16 hours weekly) up to 1.0 FTE (40 hours weekly)

Position Highlights and Benefits:

• Comprehensive benefit packages, including medical, dental, vision, mental health, paid time off, 403B, education assistance and voluntary benefits (pet insurance, accident insurance, hospital indemnity and others) available from the first day of employment.  
• Work/Life balance with flexible schedules.  
• Free onsite parking.  
• Our mission and core values are what drive each member of Trinity Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all.   
• Referral Rewards Program 

Position Highlights:

• Work/Life balance with flexible schedules.  
• Free onsite parking.  
• Our mission and core values are what drive each member of Trinity Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all.   
• Referral Rewards Program 

Mercy Fitzgerald Hospital is a 178-bed teaching hospital located in Darby, Pa., which offers advanced acute care services in Delaware County and Southwest Philadelphia.  Consistently recognized for clinical excellence, Mercy Fitzgerald is proud of our many quality achievements such as: Blue Distinction Center for Cardiac Care, Bariatric Surgery Center of Excellence, Achievement Awards from the American Heart/Stroke Associations and Certified Primary Stroke Center. 

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.