Regulatory Coordinator

Role Overview

• Provide oversight, direction, and coordination for constant survey readiness and compliance with regulatory agencies; monitors licensing and other document renewal for the hospital.
• Serve as the hospital expert and consultant for all regulatory standards, maintaining current knowledge for standards/requirements, changes, and updates.
• Lead the QMS Audit program, ensuring QMS Auditors are trained and competent at the hospital.
• Maintains the internal and external audit log with respective action plans.
• Facilitates the hospital’s mock survey, participate in other mock surveys and patient tracers according to regulatory requirements.
• Ensures adequate mock surveyors representing hospital site.
• Provide ongoing coordination of data and information necessary for accreditation and regulatory bodies, including participating in data collection and providing education and support of the use of software programs utilized for documenting and communicating compliance and appropriate actions.
• Develop, disseminate, and implement education for leadership, team members, and medical staff regarding accreditation standards and constant survey readiness.
• Ensures corrective action plans address identified deficiencies and coordinates timely responses to requests.
• Prepares and presents reports on key regulatory requirements, including maintaining a dashboard on key performance metrics.
• Facilitates the coordination of all survey visits, both announced and unannounced.
• Ensures a consistent process is in place for reviewing and revising hospital policies, procedures, documents, and other documented information.

Requirements

• Bachelor’s degree in healthcare related field
• Typically requires 5 years in health care which includes 3 years regulatory experience
• Knowledge and experience of applying CMS, state agency, and accreditation organization rules, regulations, and standards
• Knowledge of ISO 9001 standards through application and use
• Ability to meet tight deadlines for regulatory responses
• Proficient use of Microsoft Office suite
• Ability to problem solve, lead multi-disciplinary teams, use conflict management, and team building skills
• Detail oriented and able to prioritize and organize data and projects
• Excellent interpersonal, written, and verbal communication skills.

Benefits

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short
• and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program
• Competitive compensation
• Premium pay such as shift, on call, and more based on a teammate's job
• Opportunity for annual increases based on performance