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Quality & Patient Safety Specialist / Joint Commission Tracer

Unizontechnology

Job Title: Quality & Patient Safety Specialist / Joint Commission Tracer



Location: 525 E 68th St, New York, NY 10065

Pay Rate: $64/hr



Start Date: October 19, 2026



Duration: 14 weeks listed in the system; JD states through 12/31/2026 (17 weeks)



Schedule: Monday Friday, 9:00 AM 5:00 PM



Work Type: Local / On-site



Role Summary

This is a senior hospital Quality & Patient Safety / Regulatory Compliance role focused on Joint Commission, CMS, and NYS Department of Health (DOH) readiness .

The person will have prepared for regulatory surveys, conducted tracers/mock surveys, identified compliance risks, analyzed data, and worked with hospital departments to create and monitor corrective action plans.

Required Qualifications

  • Bachelor's degree Required

  • Master's degree Preferred

  • 5+ years of healthcare experience Required

  • Hospital healthcare experience Required

  • Quality Assurance experience Crucial

  • Knowledge/experience with Joint Commission, CMS, and DOH requirements

  • Experience with regulatory surveys or Joint Commission activity

  • Strong data management and interpretation skills

  • Excellent written and verbal communication

  • Advanced Microsoft Office skills: Outlook, Word, Excel, PowerPoint

  • Ability to manage multiple projects and meet deadlines

  • Able to work with clinical, operational, and senior leadership teams

Preferred

  • 3+ years of Project Management experience

  • Experience planning and leading projects

  • Developing project plans and managing timelines

  • Experience facilitating teams and corrective action plans

Main Responsibilities

  • Conduct Joint Commission tracers, internal mock surveys, and focused standards assessments .

  • Assess hospital compliance with Joint Commission, CMS, and DOH standards .

  • Identify regulatory/compliance risks.

  • Review hospital and departmental data to measure compliance.

  • Develop and monitor Corrective Action Plans (CAPs) .

  • Work with clinical departments, operations, and leadership on regulatory readiness.

  • Respond to surveyor requests and help departments prepare documentation.

  • Serve as a liaison between hospital leadership and surveyors .

  • Coordinate survey activities and obtain information from different departments.

  • Provide training and education on regulatory requirements.

  • Present compliance risks and mock-survey results to leadership.

  • Participate in survey escort, survey runner, and tracing activities.

  • Maintain records of hospital survey activity and provide reports to leadership.

  • Participate in Quality committees, workgroups, and enterprise-wide quality projects.

Vacancy posted 1 day ago
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