- 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.
- 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
- 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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Regulatory Program Manager - Baton Rouge, United States - Franciscan Missionaries of Our Lady Health System
Description
Job DescriptionJob Title : Manager Regulatory Mgmt Job Summary :