Regulatory Standard Manager

NYU Langone Health is a fully integrated health system that consistently achieves the best patient outcomes through a rigorous focus on quality that has resulted in some of the lowest mortality rates in the nation. For the fourth consecutive year, Vizient Inc. ranked NYU Langone No. 1 for quality care in the nation and U.S. News & World Report recently placed 12 of its clinical specialties among the top 10 in the nation.

NYU Langone offers a comprehensive range of medical services with one high standard of care across 6 inpatient locations, its Perlmutter Cancer Center, and over 320 outpatient locations in the New York area and Florida. With $14.2 billion in revenue this year, the system also includes two tuition-free medical schools, in Manhattan and on Long Island, and a vast research enterprise with over $1 billion in active awards from the National Institutes of Health.

For more information, go to NYU Langone Health, and interact with us on Linked In, Glassdoor, Indeed, Facebook, X, You Tube and Instagram.

We have an exciting opportunity to join our team as a Regulatory Standard Manager. In this role, the successful candidate This role supports regulatory activities, including survey readiness and compliance with all applicable licensing and accreditation agencies across NYU Langone Hospitals and related ambulatory sites. Functions include acting as a liaison to hospital administration as designated by senior leadership; providing clinical expertise and functioning as a clinical expert and educator for NYU Langone Hospitals.

Works with the Office of Regulatory Affairs leadership and staff to ensure regulatory compliance is achieved and maintained;
Activities are conducted to ensure high reliability and patient centered care enterprise wide, in accordance with hospital stated goals, patient and family needs, professional standards, established policies and procedures, and in support of the Hospitals mission of research, education and patient care.

• Demonstrates knowledge of the Accreditation and Licensing standards, codes, rules and regulations and organization Service Standards and incorporates them into the performance of duties
• Performs other duties as assigned
• Maintains clinical competency and pursues a planned program of professional development through continuing education, seminars, webinars, and applicable journal newsletter
• Represents regulatory perspective through participation on administrative & clinical committees as requested
• Supports patient safety, regulatory and quality initiatives through participation in rounds and meetings
• Works with Senior Directors Regulatory to assure that data monitoring is timely and acted upon to support improvement.
• Identifies areas of concern:
  
  Identify actual and potential vulnerabilities related to patient safety and survey readiness for all licensing and survey readiness for all licensing, accrediting and certifying agencies.
  
  Communicates site progress
  
  Provides recommendations in order to develop and implement effective improvements
  
  Implements effective improvements to support compliance with the Regulatory Readiness Plan
• Participates in and supports survey preparation for accreditation, reaccreditation, certification reviews, validation, allegation and unannounced surveys as required including supporting preparation and review of specialty program applications/other documents.
• Uses evidence based standards, practices & guidelines to assist in achieving & maintaining regulatory compliance
• Supports the hospital to maintain an environment of excellence
• Orients, educates, and coordinates with Hospital and Site Leadership in performing survey preparation activities including but not limited to:
  
  Implementation of the Regulatory Readiness Plan and Mock Tracers Active participation in Perception of Safety and weekly Walk Rounds Formulates, integrates and implements policies, procedures and programs

• To qualify you must have a Registered Professional Nurse with a current Professional License in New York State
• Bachelor's degree in Nursing
• Minimum of five years of clinical practice
• Knowledge of regulatory process, programs & quality performance measurement & improvement techniques
• Knowledge of basic Microsoft package
• Demonstrates ability to develop, guide, motivate, nurture, and coach others
• Evidence of strong interpersonal skills, effective communication skills, and creative problem solving
• Knowledge of educational processes: adult learning…