Regulatory Affairs Coordinator

Healthcare Regulatory Affairs & Audit Coordinator

This Jobot Job is hosted by:
Dallas Gillespie
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Salary: $65,000 - $93,000 per year

A bit about us:

Healthcare organization known for being an employee centric organization

Why join us?

Excellent benefits and work culture

Job Details

The Accreditation and Regulatory Affairs Coordinator is responsible for duties related to Organizational Performance Improvement and Regulatory compliance. This includes, but is not limited to, coordinating regulatory surveys and ongoing survey preparedness. Supports high quality, safe care by ensuring organizational systems and processes comply with all regulatory requirements. Is responsible for communicating, maintaining and processing defined or designated confidential Performance Improvement information.

Will assist the VP with educational opportunities related to survey readiness. Must be professional and cooperative with patients, visitors, employees and members of the medical staff, in support of the hospital's customer service goals.
Needs to recognize that they have an affirmative duty and responsibility for reporting perceived misconduct, including actual or potential violations of laws, regulations, policies, procedures, or this organization’s standards/code of conduct.

The employee shall work well under pressure, meet multiple and sometimes competing deadlines; and the incumbent shall at all times demonstrate cooperative behavior with colleagues and supervisors.

EDUCATION/TRAINING/

EXPERIENCE:

Must have Bachelor's degree in a health related field. Prior experience of at least 2 yrs with survey readiness and accreditation related activities is required. Demonstrates independent judgment, autonomy and initiative in leadership skills, time management and organizational skills and the ability to prioritize projects/functions in a busy work environment.

To perform this job successfully, the individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
LICENSURE/

CERTIFICATIONS:

Bachelor's degree in health care related field required.

Responsibilities and

Essential Functions:

* Indicates Essential Function

1
* Along with the VP, provides oversight for all licensure, regulatory and accreditation efforts throughout the Organization.
2
* Collaborates with hospital departments to formulate corrective plans which correlate to the identified opportunities for improvement.
3
* Continually, analyses and interprets changes in legislation and requirements related to regulatory, accreditation and licensure issues. Provides reports to leadership and VP indicating organizational needs and compliance as it relates to these updates.
4
* Manages and reports on the ongoing professional practice evaluation process (OPPE) which ensures the timely data collection of information professional practice trends that may impact the quality and safety of care.

ACCREDITATION
1
* Coordinates all processes related to survey readiness activities including:
Focused Standards Assessment (FSA), Tracers, Chapter teams and unannounced response plans.
2
* Coordinates all activates related to licensure readiness by overseeing accreditation and regulatory readiness teams and committees, related to new business lines & hospital expansions
3
* Serves as an interface with regulatory/accrediting agencies in promoting compliance with standards.
4
* Interprets regulatory standards and demonstrates current knowledge of local, state, and national standards/codes/regulations via use of appropriate resources.
5
* Develops and manages a comprehensive system for assessing organizational compliance and risk based upon clinical quality data and outcomes, concurrent observation of practices, tracer findings, mock survey findings, and actual survey findings.

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Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories.

It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions.

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