Accreditation and Regulatory Compliance (ARC) Coordinator - FT - Day

About the role

Responsible for comprehensive health system efforts to maintain continuous compliance with regulatory requirements including Joint Commission standards, National Patient Safety Goals, CMS Conditions of Participation, Maryland COMAR, and other regulatory agencies. Educates hospital staff on regulatory requirements and follow through with compliance to regulations. Actively works with Joint Commission chapter leaders to initiate, develop, and monitor requirements of compliance to regulations. Promotes a safe, functional and supportive environment within the health system so that quality care and safety are preserved. Assists Health System’s staff to remain in a state of continual readiness for any regulatory survey. Facilitates and or/supports other quality initiatives of the Accreditation and Regulatory Compliance Division, including but not limited to, Root Cause Analysis and Failure Mode and Effects Analysis. Ensures compliance with CMS complaints, Department of Health, Office of Health Care Quality Complaints, and Joint Commission Complaints.