Lead regulatory, accreditation, and preparedness programs across one or more facilities, ensuring compliance with The Joint Commission, Centers for Medicare & Medicaid Services, and applicable regulations.
Serve as a subject matter expert, drive survey readiness, conduct audits and tracers, oversee corrective action plans, and monitor compliance trends.
Prepare facilities/entities for surveys by evaluating standardized infection prevention/control and Environment of Care (EOC)/Life Safety (LSC) regulatory processes.
Conduct observations, tracers, building tours, document reviews and interviews to ascertain facility compliance with standards, rules and regulations.
Respond to notices of surveyor arrival at facilities by directing survey management activities, clarification of standards, support and assistance to the senior leadership team.

Requires knowledge as typically obtained through a Bachelor’s degree in nursing or other healthcare related field
Requires a strong knowledge of regulations and standards within area of focus as typically attained with five years relevant experience in a hospital setting, plus three years regulatory experience.
Requires the ability to manage programs, projects and databases.
Requires demonstrated excellence in interpersonal and written communication skills.
Must possess demonstrated flexibility in responding to the needs of multiple constituencies with a service oriented philosophy.
Demonstrated ability to lead and facilitate interdisciplinary teams.
Requires ability to perform complex statistical analysis and highly developed problem solving skills.

Regulatory Consultant

Key skills