Coordinator - Healthcare Regulatory Affairs

job title

at memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of the memorial experience.

assist with improving knowledge of staff, physicians and leaders in ongoing regulatory readiness for the joint commission, ahca, cms and specialty accreditations and certifications. Perform mock surveys, with oversight, in clinical and non-clinical departments. Research regulations to be able to share current standards. Provide assistance to the clinical practice council and mhs system policy committee for general nursing policies and systemwide standard practices.

participate in task forces specific to sentinel event alerts, challenging standards and best practice roll-out. Assist with on-site and virtual surveys. Work in the survey command center under the guidance of director or vp of regulatory affairs. Assist with formal and informal education to improve knowledge of staff, physicians and leaders in ongoing regulatory readiness. Assist hospitals and other mhs programs with regulatory readiness.

Assist with communicating regulations such as joint commission, ahca and cms. Assist to determine failure modes and opportunities and provide assistance to improve compliance. Organize policy committee agendas for clinical practice council and msh system policy committees to ensure nursing policies, nursing/pharmacy policies are reviewed annually. Work with pharmacy lead to facilitate nursing/pharmacy policies. Take minutes at each meeting. Format policy changes, dates etc.

Send to leader to obtain cno approval and then place on the intranet document center. Work on special projects as designated such as research, organizing survey documents, preparing presentations etc.

accountability, customer service, effective communication - education, healthcare regulatory environment, joint commission, problem solving, project management, responding to change, standards of behavior

associates (required)

• bending and stooping = 60%
• keyboard entry = 80%
• lifting or carrying 0 - 25 lbs non-patient = 60%
• pushing or pulling 0 - 25 lbs non-patient = 60%
• reaching = 60%
• repetitive movement hand/arm = 80%
• sitting = 80%
• standing = 80%
• walking = 80%
• audible speech = 80%
• hearing acuity = 80%
• depth perception = 80%
• distinguish color = 80%
• seeing - far = 80%
• seeing - near = 80%
• dust = 60%
• latex = 60%
• computer monitor = 80%