Job Title : Manager Regulatory Mgmt Job Summary :

• The Manager of Regulatory will have the responsibility to oversee Regulatory activities and internal/external reporting requirements. This employee is responsible for analyzing and evaluating standards that relate to accreditation/certification and compliance with local, state, and federal regulations. Additionally, activities that support compliance management and educational development to insure that staff have the necessary tools that promote Everyday Excellence.

Experience, Education, Training, Special Skills, and Licensure :

• 3 years of applicable healthcare experience; Regulatory compliance experience preferred
• BS in healthcare or BSN required; Masters degree preferred.
• Evidence of training regarding standards such as CMS or Joint Commission compliance

Job Function :

• Program Effectiveness
• Directs and supports hospital departments, medical staff leaders and senior management to facilitate cross functional regulatory compliance efforts utilizing tracer/second generation tracers and SAFER technology, tools, and analysis
• Works independently and effectively with stakeholders at all levels to analyze the purpose of their requests and provide suggestions so that resulting outcome meets needs assessed
• Assists and consults with regard to staff development in the area of Regulatory compliance to address needs-based education
• Subject matter expert for Regulatory management, specifically Accreditation, Certification, local, state in addition to federal rules and regulations
• Plans and prepares an organizational survey plan to include survey calendar, pre-survey agendas, and pertinent workgroups and information to insure a smooth and successful survey outcome
• Serves on designated OLOL committees as applicable
• Trains and mentors direct reports
• Compliance and Regulatory Service:
• Responsible for developing processes to support the reporting of pertinent information to stakeholders about regulatory compliance and areas of deficiency
• Consults in developing performance metrics that meet a Measure of Success for regulations that require Evidence of Standards compliance not limited to Plans of Correction
• Ensures a timely review of policies and procedures that impact regulatory compliance
• Ensures adherence to the most current regulatory and accreditation trends/best practices by staying abreast through personal learning, job relevant seminars and workshops, attendance at professional conferences and affiliations with local, national and state organizations
• Prepares a variety of reports as requested by Regulatory and accrediting agencies
• Organizational Stewardship
• Demonstrates selfishness by being supportive and cooperative with co-workers within the department and throughout the organization
• Meets all timelines for regulatory reporting and no delays would impede the performance of the organization

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Please refer the Job description for details