- Location: Mease Dunedin Hospital
- Travel required throughout service area to include BayCare hospitals located in Pinellas and Pasco Counties
- Status: Full time, salary
- Shift: 8:00 AM - 4:30 PM
- Occasional weekends
- On Call: No
- Medical benefits (Health, Dental, Vision)
- 401(k) match and additional yearly contributions
- Paid Time Off
- Tuition reimbursement
- Year performance appraisal and team award bonus
- Extensive training and mentorship along with amazing career growth opportunities
- Community discounts and more
- AND the chance to be part of an amazing team and a great place to work
- Understands and helps facilitate regulatory compliance relative to Joint Commission (and AAAHC, if applicable) accreditation and certifications for the Hospital System Division (and Ambulatory Division, if applicable).
- Assists the Regulatory System Manager to facilitate compliance of all regulatory standards set forth by Joint Commission and CMS or other accreditation agencies.
- Assist departmental leadership teams at each region ensuring compliance with regulatory agencies.
- Assures that facility administration and managers are knowledgeable about current standards, accreditation interpretations and best practices for meeting the standards.
- Coordinates Joint Commission Tracers and Readiness Rounds and conducts audits and inspections to assess readiness.
- Participates in new team member training and annual Team Member Essentials pertaining to regulatory requirements.
- Promotes and educates staff to improve readiness and compliance.
- Supports BayCare initiatives for regulatory standardization.
- Takes action to ensure that our hospitals are in a state of continuous survey readiness.
- Coordinates survey activities including escorts surveyors, coordinates responses and assures that action plans are completed during surveys.
- As directed, assists with other assigned quality activities.
- Collaborates with Quality and Safety Managers to make improvements and resolve issues that prevent continued readiness.
- Acts as liaison for the facility with regulating agencies, through communications with surveyors, consultants and provides regulatory support.
- Assists hospital Quality & Safety Managers when responding to inquiries and surveys on behalf of their Hospital.
- Performs other tasks to promote quality and compliance under the direction of the Regulatory Compliance Systems Manager.
- Serves as the expert in the use of regulatory software.
- Ensures that the East and West Region (and Ambulatory Surgery Centers, if applicable) maintain a highly reliable level of performance in accreditation and regulatory standards.
- RN License
- Or licensure or certification in a related clinical specialty with a Bachelor's degree is acceptable in lieu of RN License
- Diploma, Associates in Nursing
- Or Bachelors in clinical related field
- 1 year regulatory experience and 3 years of nursing experience
- Or 3 years Clinical Specialty
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Regulatory Compliance Coordinator - Dunedin, United States - BayCare Health System
Description
At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence.
Position Details:
