Senior Regulatory Manager

Role Overview

• Leads regulatory surveys and promotes utilization of continuous quality improvement (CQI) principles, methods, and tools
• Directs, investigates and resolves regulatory compliance concerns
• Leads coordination with Quality, Education and Operational management to ensure the continual improvement of regulatory compliance by company facilities
• Ensures compliance by company facilities to federal, state and local laws and regulations
• Serves as regulatory expert and resource
• Leads Clinical, and Operational teams in creating and sustaining a culture of regulatory compliance
• Acts as lead amongst Quality, Education and Technical departments to provide educational activities as needed to achieve compliance with federal, state, and local laws and regulations
• Identifies improvement opportunities to ensure compliance with company standards, policies and procedures, as well as federal, state and local regulations by conducting facility audits
• Conducts exit conferences with facility management staff to review survey findings and to make recommendations
• Provides guidance to operations in the development, implementation and monitoring of a Plan of Correction (POC), improvement projects and activities
• Monitors, trends and analyzes audit results, ensures thorough root cause analyses and recommends process changes as identified
• Conducts facility mock surveys to evaluate conformance to state licensure and CMS Conditions of Coverage to ensure safe operational condition and external survey readiness
• Educates and advances the use of the Quality Assessment and Improvement (QAI) Program tools and promotes utilization of Continuous Quality Improvement principles

Requirements

• RN license required
• Bachelor's Degree preferred
• 5+ years' clinical management experience in dialysis, nephrology nursing or related external experience (state surveyor)
• Experience in quality, risk management, case management, or infection control
• Strong organizational skills
• Excellent verbal and written communications skills
• Good understanding of the relationship between providers of health care services and regulatory agencies
• Good critical thinking skills and proven quality improvement experience
• Able to analyze & propose alternate solutions, assist in resolving sensitive to complex issues/problems
• Preferred experience teaching/consulting and working within complex organizations

Benefits

• Comprehensive benefits package including medical, dental, and vision insurance
• 401(k) with company match
• Paid time off
• Parental leave