Responsible for governing the facilities regulatory compliance programs and takes the lead role in planning, organizing, and managing effective quality/performance improvement and risk management functions for all departments and divisions of ORHC Is the Patient Safety Officer and Patient Safety Field Manager for the facility Develops the National Quality Program with senior leadership Prepares monthly operating review quality and patient safety slide deck with details of the current state and focus on the future goal attainment action steps Facilitates the external surveys from accreditors, licensure, verifications, certifications, including mock surveys and those that occur related to complaints, reviews, annual, biennial, triennial Manages the readiness for survey programs Maintains regulatory readiness and conducts educational programs related to these Responsible for the electronic educational program for the organization Responsible for the infection control, prevention, and surv...