Regulatory Affairs Coordinator

Regulatory Affairs Coordinator Overview

The Regulatory Affairs Coordinator maintains regulatory survey readiness and coordinates scheduled and unannounced regulatory compliance activities for the assigned VCUHS clinical program area(s). Maintains expert knowledge of regulations and rulings affecting the organization. Uses regulatory expertise to make interpretations and decisions to promote compliance. Leads and/or participates in the ongoing education, advisement, and training of employees on regulatory matters in the assigned area(s).

Licensure,

Certification, or Registration Requirements for Hire

• Current RN Licensure in Virginia or eligible or compact state required
• Certified Professional in Healthcare Quality (CPHQ) or Certified Professional in Healthcare Risk (CPHRM) or Certified Joint Commission Professional (CJCP) preferred
• Lean Six Sigma Black Belt preferred

Licensure, Certification, or Registration Requirements for Continued Employment

• Current license by the Commonwealth of Virginia is required if incumbent holds a professional license
• Lean training preferred

Experience REQUIRED

• Minimum of three (3) years clinical practice experience in one or more of the following areas:
  Acute Care, Transplant, Dialysis, Ambulatory Care, and/or Ancillary Services
• Two (2) years of experience in staff education, professional development (orientation, preceptorship, in‑services education, etc.) or survey preparation and coordination
• Previous experience with regulatory requirements for multiple regulatory agencies
• Previous direct participation in performance improvement activities/processes
• Coaching and consultation experience
• Experience facilitating and/or leading interdisciplinary groups/committees
• Experience developing and making complex presentations to senior leadership

Experience PREFERRED

• Experience developing and implementing Joint Commission Evidence of Standard Compliance and facilitating the Measure of Success to compliance sustainability
• Three (3) years of experience in survey preparation and coordination
• Experience developing, implementing, and reporting on CMS‑2567 Plan of Correction. Direct experience managing unannounced accreditation and regulatory surveys
• Previous experience in an academic medical center environment
• Previous experience developing and implementing new programs

Education/training REQUIRED

• Bachelor's Degree in nursing

Education/training PREFERRED

• Bachelor's or Master's Degree from an accredited School of Nursing
• Master's degree in Healthcare Administration, Business Administration, or another healthcare‑related field from an accredited program

Additional

Position Requirements

• Some after‑hours, weekend work and/or flex scheduling will be required to meet deadlines
• Excellent verbal, written, and interpersonal communication skills
• Excellent organizational skills and attention to detail
• Good working knowledge and proficiency in Adobe and Microsoft Office 365 products (Word, Excel, Outlook, PowerPoint, Teams, Visio, etc.)

Independent Action(s) Required

All day‑to‑day operations of the Regulatory Affairs Coordinator are conducted independently, with advice and guidance sought from the Manager as needed or when there is a major impact on activity outside the unit. The position involves direct communication with all regulatory agencies, so the incumbent must use critical thinking, quality decision‑making, and verbal communication skills readily. The position requires direct communication and relationship building with all levels of employees across the organization for the purpose of education and dissemination of regulatory requirements knowledge.

Incumbent makes decisions regarding standard interpretation and provides organization guidance in the specialty area(s) assigned.

Supervisory Responsibilities (if applicable)

N/A

Physical Requirements (includes use of assistance devices as appropriate)

• Physical:
  Lifting