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Manager- Patient Services Regulatory Compliance/ Patient Safety

Company: County of Ventura
Location: Ventura
Posted on: May 3, 2021

Job Description:


Under general direction of the Chief Hospital Operations, the Manager- Patient Services is responsible for planning; supervising, and coordinating the administrative activities of hospital department(s). The responsibilities include but are not limited to guiding regulatory compliance, functioning as a liaison with the regulatory/licensing agencies, investigation of patient safety events, serving as a facilitator for a variety projects as well as identified risk management duties.

Distinguishing Characteristics:

This position requires familiarity with hospital regulatory and compliance standards, acute care hospital policy and procedures as well as patient safety principles. The individual in this position must be self-directed with positive interpersonal skills and be able to effectively interface with staff, management, and medical staff members.

PAYROLL TITLE: Manager, Patient Services

CERTIFICATION PAY: Incumbents in this classification are eligible for certification pay at a rate of $0.813 per hour based on this or her scheduled work week hours and not to exceed the scheduled work week hours for each qualified certification possessed up to a maximum of five (5) certifications. Only Nurses licensed in the State of California are eligible for certification pay.

EDUCATIONAL INCENTIVE: Some positions may be eligible for educational incentive. This incentive may be 2.5%, 3.5%, or 5% for incumbents in eligible positions based on completion of an Associate's, Bachelor's, or Master's degree that is not required for the classification.

BILINGUAL INCENTIVE: Some positions may be eligible for bilingual incentive depending on the applicable memorandum of agreement and the needs of the department. In order to qualify for this incentive, incumbents in eligible positions must take and pass the applicable bilingual fluency exam with a score of seventy percent (70%) or higher.

AGENCY/DEPARTMENT: Health Care Agency - Ventura County Medical Center and Santa Paula Hospital

Manager, Patient Services is a Management classification and is not eligible for overtime compensation. Incumbents in this classification are eligible for benefits at the MB4 level.

Effective 12/27/20, incumbents in this classification will receive a two and one-half percent (2.5%) general salary increase (GSI).

The eligible list established from this recruitment may be used to fill current and future Regular (including Temporary and Fixed-term), Intermittent, and Extra Help vacancies for this position only. There is currently one (1) Regular vacancy.


OPENING DATE: November 10, 2020

CLOSING DATE: Continuous

Examples Of Duties

Duties may include but are not limited to the following:

  • Participates in hospital surveys (scheduled and unannounced) and oversees development of corrective actions, measures of success, and monitors completion and compliance to plans of correction;
  • Develops timelines and action plans to assure readiness and a system of checks and balances to assess compliance for any survey (accreditation or regulatory);
  • Functions as the liaison to the regulatory agencies, which includes coordination of investigation and follow-up responses to the appropriate agencies;
  • Monitors accreditation, regulatory standards, and related laws and communicates changes to the organization (i.e. The Joint Commission (TJC), The California Department of Public Health (CDPH), the Centers for Medicare and Medicaid Services (CMS), etc.);
  • Participates with County Risk Management in injury/illness review;
  • Supports the Patient Safety Officer;
  • Provides oversight of the complaint and grievance process to ensure that we maintain compliance with CMS standards; supervises the Patient Advocate process;
  • Acts as a resource and liaison to departments, senior leadership, and the medical staff of the facility for education, interpretation and suggestions for evidence of compliance related to any accreditation or regulatory standards, and policy and procedures;
  • Supports the Patient Safety/Risk Management functions for the hospitals;
  • Assists in the Root Cause Analysis (RCA's) and gap analysis completion for areas of patient safety improvement for the hospitals and ambulatory care;
  • Monitors risk reduction strategies for patient safety events;
  • Monitors event reporting notification system to ensure that required follow-up actions are addressed;
  • Acts as a resource/liaison to departments to help identify opportunities to enhance employee engagement;
  • Works in concert with the hospitals leadership team to ensure that key patient safety initiatives are communicated and introduced as appropriate; and
  • Performs other related duties as required.

Typical Qualifications

These are entrance requirements to the exam process and assure neither continuance in the process nor placement on an eligible list.


  • Graduation from an accredited school of nursing or other medical professional program
  • Four (4) years of professional level administrative experience in a hospital setting, including two (2) years in the practice of an acute care setting and two (2) years of supervisory experience


  • A Bachelor's degree in a professional medical related discipline may substitute for one (1) year of experience
  • A Master's degree in a professional medical related discipline may substitute for two (2) years of experience


  • A current, valid license as a Registered Nurse issued by the State of California
  • A Bachelor's degree in a healthcare related field or business administration
  • Recent work history in a regulatory or quality management aspect of acute care.
  • Master's Degree in Business or Healthcare Administration

Knowledge, Skills, and Abilities:

Working knowledge of:

  • Regulatory standards related to healthcare
  • The structure and content of the English language including rules of composition and grammar
  • Business and management principles involved in resource allocation and coordination of people and resources

Skilled in:

  • MS Office Suite
  • Critical thinking using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems
  • Communication including speaking, writing, reading comprehension, and active listening

Ability to:

  • Advise others on legal or regulatory compliance matters
  • Conduct or direct the internal investigation of regulatory and patient issues
  • Establish and maintain good relations with patients, coworkers, managers, and regulatory bodies
  • Develop operating strategies, plans, or procedures

Recruitment Process

FINAL FILING DATE: This is a continuous recruitment and may close at any time; therefore, apply as soon as possible if you are interested in it. Your application must be received by County of Ventura Human Resources no later than 5:00 p.m. on the closing date.

To apply on-line, please refer to our web site at If you prefer to fill out a paper application form, please call (805) 654-5129 for application materials and submit them to County of Ventura Human Resources, 800 South Victoria Avenue, L-1970, Ventura, CA 93009.

Note to Applicants: It is essential that you complete all sections of your application and supplemental questionnaire thoroughly and accurately to demonstrate your qualifications. A resume and/or other related documents may be attached to supplement the information in your application and supplemental questionnaire; however, they may not be submitted in lieu of the application and supplemental questionnaire.

SUPPLEMENTAL QUESTIONNAIRE - qualifying: All applicants are required to complete and submit the questionnaire for this examination AT THE TIME OF FILING. The supplemental questionnaire may be used throughout the examination process to assist in determining each applicant's qualifications and acceptability for the position. Failure to complete and submit the questionnaire will result in the application being removed from consideration.

APPLICATION EVALUATION - qualifying: All applications will be reviewed to determine whether or not the stated requirements are met. Those individuals meeting the stated requirements will be invited to continue to the next step in the screening and selection process.

TRAINING and EXPERIENCE EVALUATION 100%: A Training and Experience Evaluation (T&E) is a structured evaluation of the job application materials submitted by a candidate, including the written responses to supplemental questions. The T&E is a method for determining the better qualified applicants among those shown to meet the stated requirements. Using a T&E, applicants may be scored or ranked according to criteria that most closely meet the business needs of the department. When the pool of candidates is exceptionally strong and large, candidates are typically scored or ranked in relation to one another; consequently, some qualified candidates may receive a score or rank which is moderate or lower resulting in them not being advanced in the process.

Applicants successfully completing the exam process may be placed on an eligible list for a period of one (1) year.

NOTE: If presently permanently employed in another "merit" or "civil service" public agency/entity in the same or substantively similar position as is advertised, and if appointed to that position by successful performance in a "merit" or "civil service" style examination, then appointment by "Lateral Transfer" may be possible. If interested, please click here for additional information.

BACKGROUND INVESTIGATION: A thorough pre-employment, post offer background investigation which may include inquiry into past employment, education, criminal background information and driving record may be required for this position.

For further information about this recruitment, please contact Liz Gonzalez via email at or by telephone at (805) 677-5191.

Keywords: County of Ventura, Ventura , Manager- Patient Services Regulatory Compliance/ Patient Safety, Other , Ventura, California

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