Description

All the benefits and perks you need for you and your family:

• Benefits from Day One

• Paid Days Off from Day One

• Student Loan Repayment Program

• Career Development

• Whole Person Wellbeing Resources

• Mental Health Resources and Support

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full Time

Shift : Days

Location: 2325 S Downing St. Denver, 8021

The role you’ll contribute:

Responsible for the coordination of continuous regulatory, licensure, and accreditation compliance in accordance with all applicable regulations and standards across Advent Hospitals. Develops leading practice regulatory program, structures and processes to drive optimal regulatory compliance and competence. Serves as primary expert, facilitator, and consultant for regulatory matters.

The value you’ll bring to the team:

• Lead the regulatory structure, committee and/or council. Ensure proficiency and efficacy of chapter/standard leaders. Oversee, verify, and finalize annual regulatory compliance assessments.

• Coordinate all state licensure, federal and accreditation surveys. Participate I other regulatory reviews (i.e. Board of Pharmacy, Radiology, Lab, Food Services) as appropriate. Oversee post-survey procedures.

• Facilitate entity-level regulatory education

• Leads proactive compliance assessments, tracers, audits, direct observations, and interviews. Coordinate tracer teams. Participates in development of system education and tracer tools, and data repository needs.

• Coordinate the regulatory plan of activities. Participates in mock or actual surveys at other enterprise locations with supervisor approval.

• Coordinate plans that address actual or potential survey findings. Participate in and lead resolution of system vulnerabilities.

• Analyze compliance assessment data to determine regulatory priorities.

• Develop and manage regulatory dashboards

• Serves as the entity point person for standards interpretation and clarification, and/or entity=based correspondence with regulatory agencies.

• Ensure policies, procedures and guidelines are compliant with regulations

• Collaborates with entity, group, and enterprise quality leadership and staff to address potential vulnerabilities, ensure regulatory compliance and promote leading practice

Qualifications

The expertise and experiences you’ll need to succeed :

Minimum qualifications :

• Bachelor’s degree

• Three years of experience in a healthcare setting

• One year of Project Management, Performance Improvement, and/or Change Facilitation experience

• Advanced skills in written and oral communication Experience in development of educational tools Exemplary skill with computer applications

Preferred qualifications:

• Healthcare or clinical degree

• Experience in healthcare related field, oversight and coordination of regulatory/accreditation readiness program, survey preparation, coordination, and response/ follow

• Past participation in regulatory activities

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Category: Quality/Clinical Effectiveness

Organization: AdventHealth Rocky Mountain

Schedule: Full-time

Shift: 1 - Day

Req ID: 23028738

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.