Clinical Regulatory Specialist

About the role

Regulatory Specialist designs, directs and facilitates implementation of effective systems to evaluate compliance and assure continuous accreditation and regulatory compliance. Scope includes Mount Carmel owned and affiliated entities managed by Mount Carmel Health System.

Responsibilities

• Accountable for the preparation and support of wholly owned facilities, relative to regulatory and licensure compliance.
• Responsibility includes multi-site locations and requires travel to each of the facilities.
• Assists in scheduled/unannounced surveys by regulatory agencies.
• Assists in evaluation of regulatory compliance and operations from a process perspective across departments and/or multiple service areas.
• Facilitates and uses change principles to accomplish regulatory compliance and continuous survey readiness.
• Serves as a role model to demonstrate openness to new ways of thinking.
• Serves as a liaison with external agencies (CMS, ODH, JCAHO, etc) as well as Trinity Health System.
• Provides consultation for practical and reasonable interpretations of regulatory requirements.
• Assists in organizational planning for integration of regulatory requirements into daily work activities.
• Manages medical staff dynamics to facilitate effective discussions and participation in regulatory compliance activities.
• Works with diverse groups, settings and varied kinds of complexities.
• Develops and/or assists in conducting educational programs or in-services related to regulatory requirements as needed or requested by the organization.
• Serves as project manager as needed for organizational endeavors.
• Provides, as requested, consulting services to non-MCHS owned health care entities for purposes of building targeted relationships.
• Tailors implementation approaches to different sites and processes.
• Aids managers in identifying solutions to challenging regulatory issues.
• Provides assistance to the Privacy Officer as needed.
• Serves as the Chairperson for the MCHS Administrative Policy Team.
• Serves as the administrative liaison with organ procurement agencies.
• Participates in activities which promote own professional growth and development.

Requirements

• Minimum Education Requirement: Baccalaureate Degree in Health Care field required. Master’s in Nursing, Allied Health, or Business preferred.
• Experience: Minimum of five (5) years recent hospital practice. Clinical and management experience preferred.
• Broad based clinical or management leadership experience with knowledge of complex systems and systems change with demonstrated success in tactical and analytical thinking.
• Knowledge of performance improvement systems and process thinking principles and designs.
• Current knowledge of regulatory and accrediting requirements.
• Proficient computer, written and verbal communications skills; excellent presentation skills with ability to relate effectively to physicians, all levels of the organization and employees in a flexible and adaptive fashion.
• Innovative, self directed, flexible, and collaborative.
• Readily accepts change and influences organizational change.
• Understands and applies group process skills.
• Demonstrates a high tolerance for ambiguity.
• Able to incorporate standards interpretation into day-to-day operations.
• Able to mobilize action; interactive.

Qualifications

• None specified

Skills

• Excellent communication skills
• Ability to manage and lead teams
• Strong problem-solving abilities
• Effective interpersonal skills
• Ability to work independently and as part of a team

Benefits

• Competitive compensation and benefits packages including medical, dental, and vision coverage
• Retirement savings account with employer match starting on day one
• Generous paid time off programs
• Employee recognition incentive program
• Tuition/professional development reimbursement
• Relocation assistance (geographic restrictions apply)
• Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing

Pay

• Not specified

Schedule

• Not specified