Director Adverse Decisions - HCA Healthcare

Description

Introduction

Do you want to join an organization that invests in you as a Director Adverse Decisions? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Benefits

HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Director Adverse Decisions like you to be a part of our team.

Job Summary and Qualifications

The Director, Adverse Decision Services provides remote and possible onsite support and expert consultation during survey activity and adverse decision recovery on behalf of the HCA Healthcare Regulatory and Accreditation Services Team (RAS).

The Adverse Decision Director role is designed to inform and support HCA Healthcare hospital and ambulatory surgery center (ASC) executives and administrators, as well as local governing bodies, in the recovery from a regulatory adverse decision and to return to a state of continual regulatory and accreditation compliance.

The role is critical to HCA Healthcare strategy of quality and patient safety as a differentiator of hospital and ASC operational performance. Role complements and provides guidance to division vice presidents of quality and clinical service line leadership, chief executive officers (CEO), chief nursing officers (CNO), chief medical officers (CMO), and other leaders.

The role requires a wealth of foundational regulatory, accreditation and plan of correction knowledge and the capability of sharing foundational regulatory compliance strategies with hospital and ASC staff, leaders, and executives. In addition, the role is critical to informing clinical services group (CSG) leadership of field performance, opportunities, and needs for corporate support and process (re)design.  Up to 25% travel

Major Responsibilities:

•Individual serves as the expert consultant to hospital and ASC on adverse decision management and regulatory and accreditation status. Position requires expertise to guide hospital/ASC quality and risk directors in their position requirements and to counsel CEO/Administrator, CNO, COO, medical staff and board leaders in the return from an adverse decision and continuous patient care improvement in a foundationally compliant manner.

•Conducts onsite and/or virtual support during all applicable federal, state, local or private/contracted regulatory agency visits, as needed, and following any survey activity as deemed necessary by Leadership. The individual uses expert knowledge to reduce the burden on the local and clinical leadership in the recovery from and preparation for follow-up survey activity to maintain accreditation status.

•Conducts onsite and/or virtual assessments of focused topics within HCA Healthcare hospitals/ASCs including applicable federal, state, and local regulations and standards reviews, emergency services, nursing services, and other clinical areas of organizational and/or patient safety and risk. Incumbent travels and/or virtually/remotely provides consultation.

•Leads and oversees the development, submission, and implementation of plans of correction.

•Designs and presents educational programs for HCA Healthcare hospital/ASC and medical staff leaders regarding requirements of clinical performance improvement for operational compliance to public reporting including the hospital quality alliance, external quality agencies including TJC Hospital accreditation programs, CMS (including CMS-regulated analytes), state survey agencies, etc.

•Position is an expert in clinical performance improvement, clinical excellence, HCA Healthcare clinical agenda, TJC Hospital Accreditation Program (HAP), healthcare licensure regulations and CMS Conditions of Participation/Conditions for Coverage. Position is critical to advancement of HCA Healthcare facility delivery of safe, effective, efficient, compassionate and satisfying patient care as defined by the HCA Healthcare clinical improvement strategies.

Education & Experience:

Bachelor's degree required

Master's or Doctoral degree preferred

Current Registered Nurse (RN) License, Registered Pharmacist (RPh or Pharm.D.), other licensed clinical profession, or equivalent combination of education, experience, and/or certification supporting regulatory/accreditation/safety compliance Required

7+ years of relevant consultative and/or leadership experience or equivalent combination of education and/or experience

HCA Healthcare (Corporate), based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled resources and opportunities to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and career advancement opportunities, every person has a solid foundation for success. Nashville is also home to our Executive Development Program, where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Director Adverse Decisions opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.