All the benefits and perks you need for you and your family:

• Benefits from Day One
• Paid Days Off from Day One
• Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)
• Parental Leave
• Pet Insurance
• Retirement Contribution

Our promise to you:

Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: FT

Shift : Days

The community you'll be caring for:

• Located on a lush tropical campus, our flagship hospital, 1,368-bed AdventHealth Orlando
• We offer great benefits with immediate Health Insurance coverage
• Career growth and advancement potential
• Serves as the major tertiary facility for much of the Southeast, the Caribbean and South America
• AdventHealth Orlando houses one of the largest Emergency Departments and largest cardiac catheterization labs in the country
• We are already one of the busiest hospitals in the nation, providing service excellence to more than 32,000 inpatients and 125,000 outpatients each year

The role you'll contribute:

The Surgical and Procedural Services Safety and Regulatory Compliance Auditor evaluates the surgical and procedural environment, policies, and procedures to ensure compliance with all regulatory standards and regulations. Responsible for performing routine readiness rounding in clinical areas to identify areas of opportunity and prepare for regulatory or accreditation site visits. Partners with physician, and clinical leadership during the development of new clinical programs to provide content expertise on regulatory requirements and ensure implementation of standardized clinical processes that are aligned across AdventHealth. Serves as the liaison for the development and ongoing management of standardized policies and operating procedures.

The value you'll bring to the team:

• Observes surgical procedures auditing compliance with DNV, Centers for Medicare and Medicaid (CMS), Occupational Safety and Health Administration (OSHA), Center for Disease and Prevention (CDC) and Patient Safety regulations at the service line level. Reporting findings to leaders on a regular basis.
• Conducts chart reviews in the Electronic Medical Record (EMR) as directed to assure documentation is complete and meets regulatory requirements.
• Actively participates, communicates, and serves as a positive change agent for all units'/departments', campuses', and system's initiatives/goals.
• Educates and corrects surgical staff during the audit process when non-conforming processes are identified.
• Participates in practice changes as a result of performance improvement activities. Supports quality standards and initiatives set by the departments. Ensures that practice changes, as a result of performance improvement activities, are implemented. Adheres to all policies and procedures.

Qualifications
The expertise and experiences you'll need to succeed:

EDUCATION AND EXPERIENCE REQUIRED:

• Bachelor's degree in Business Administration, Healthcare Administration or other allied health related field
• Minimum of 5 years of clinical experience in a surgical or procedural department

EDUCATION AND EXPERIENCE PREFERRED:

• Master's degree in Business Administration, Healthcare Administration or other allied health related field
• Healthcare regulatory compliance experience

LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:

• Certified Registered Central Service Technician (CRCST) or
• Certified Sterile Processing and Distribution Technician (CSPDT)
• BLS

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