Experienced Administrative nurse manager of 2-8 bed FSEDs. Knowledgeable in site operations. Experienced Staff Registered Nurse with a demonstrated history of working in the hospital & health care industry. Skilled in Medication Administration, Pediatric Advanced Life Support (PALS), Emergency Medicine, Advanced Cardiac Life Support (ACLS), and U.S. Health Insurance Portability and Accountability Act (HIPAA). Quality and Patient safety with a strong concentration on emergency department metrics including throughput. Accreditation. Responsible for monitoring campus-wide compliance with Joint Commission, CMS and the State Department of Health regulations. Coordinate the overall assessment, design/development and implementation of the continuous readiness. Perform analytical and project management work to support the accreditation process, and assist in the assessment, measurement, and reporting of ongoing compliance with Joint Commission and other regulatory requirements. Perform coordination of accreditation survey activities campus-wide, to oversee system compliance with Accreditation, State and Federal regulations and license requirements. Collaboration with Infection Prevention, the Safety Officer and other Compliance/ Accreditation/QI staff in the development and management of data systems that support ongoing regulatory compliance. Monitors compliance with regulatory standards (TJC, CMS, ODH, ODMH, and other regulatory agencies) and provides feedback to leaders and staff. Facilitate and assist with the implementation of necessary changes in practice, policy and procedures to maintain compliance with changes in regulatory requirements. Core Measure abstractions.