Full-time: OR Circulator RN/ Compliance Officer

Western Carolina Surgery Center , a leading multispecialty surgery center in Fletcher, NC, is seeking a skilled and dedicated Operating Room Registered Nurse (RN) to join our team on a full-time basis. As an integral member of our surgical team, you will contribute to the delivery of high-quality patient care in a state-of-the-art operating room environment.

Job Summary:

This position exists to proactively develop and support the performance improvement process in compliance with regulatory, federal and state requirements. This position requires a person who is well organized and demonstrates a high degree of attention to detail. The PI Coordinator is required to manage all functions related to performance improvement at the facility. May be delegated additional responsibilities or special assignments.

Responsibilities:

• Develops and implements a performance improvement plan that meets regulatory requirements.
• Modifies the Performance Improvement Plan as needed to maintain regulatory compliance and current standard of practice.
• Annually reviews the effectiveness of the Performance Improvement Plan in writing and submits the annual review and any recommendations for improvement to committees including the MEC and GB.
• Ensures EDGE™ audits are assigned, educated and entered into the system per the EDGE™ calendar requirements located on USPInSite’s EDGE tab.
• Develops reports for EGDE™ audits and Risk and Patient Relations entries as well as other audits performed at the facility so that the data can be analyzed and acted upon as needed.
• Assists in the aggregation and analyzing of data and report’s findings to the appropriate committees.
• Ensures the minutes of meetings reflect the PI reports discussed and includes attachments.
• Assists in continuous quality improvement processes as the facilitator / coach.
• Ensures all necessary follow-up / action items are completed, reported and documented in order to close the quality loop.
• Performs Root Cause Analysis (RCA) as needed (Sentinel Event) and report’s findings to appropriate committees and to the Governing Body.
• Ensures all RCA’s performed contain the necessary follow-up / action items, reporting and documentation in order to prevent future occurrences.
• Performs Failure Mode Effect Analysis every 18 months on a high risk, high volume / low volume, problem prone process and implements all of the required action items.
• Serves as recording secretary for the performance improvement section of meeting minutes.
• Manages required regulatory reporting including but not limited to ASCQC measures and improves compliance with these measures.
• Manages the regulatory compliance and survey preparedness by implementing a continuous readiness model of compliance.

Join Western Carolina Surgery Center in providing exceptional surgical care to our community in Fletcher, NC.

What We Offer

As a valued member of USPI, your health and well‑being are important to us. We are proud to provide you and your dependents with valuable and significant benefits. USPI knows the value of well-rounded, balanced employees, which is why we offer a variety of additional benefits to help manage life’s daily stresses.

· Competitive wages

· Opportunities to better yourself professionally

· Health, Dental & Vision Coverage

· 401(k) retirement plan

· Paid Time Off (PTO)

· Company Paid Holidays

· Employee Assistance Programs

· Health Savings Account/ Flexible Spending Account

· Education Assistance

· Short Term Disability and Long Term Disability Insurance

· No Weekends, Holidays, or On Call

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Who We Are

At USPI, we create relationships that create better care. We partner with physicians and health care systems to provide first class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.

USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.

For more information about USPI, check out our website , Facebook , Twitter , or LinkedIn.

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Required Skills

• High school graduate.
• RN license
• Two years related experience and/or training, or equivalent combination of education and experience.
• Computer skills.

USPI complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

Required Experience

• High school graduate.
• RN license
• Two years related experience and/or training, or equivalent combination of education and experience.
• Computer skills.

USPI complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.