Director Regulatory Compliance RN

Job Summary and Qualifications

The Internal Audit Department provides an independent appraisal function to validate management control systems and support corporate management in the effective discharge of their responsibilities and efforts to achieve the Company's overall mission. The Clinical Compliance Team works on various audit engagements, performing onsite and/or remote assessments of regulatory and accreditation compliance, including applicable federal, state, and local regulations and standards, emergency services, nursing services, and other clinical areas of organizational and/or patient safety and risk at HCA Healthcare facilities.

What You Will Do in This Role

• Demonstrates a thorough understanding of The Joint Commission (TJC), The Centers for Medicare and Medicaid Services (CMS), federal and state regulations.
• Performs onsite and/or remote focused assessments of regulatory and accreditation compliance.
• Conducts reviews of hospital/center systems to ensure compliance with applicable legal, regulatory, and licensure requirements as defined by TJC, CMS, federal and state regulations and company policy for areas such as emergency services, nursing services, and other clinical areas of organizational and/or patient safety and risk.
• Understands HCA Healthcare’s business and the healthcare industry from a global perspective by recognizing business trends and emerging technical and industry developments of relevance and communicates these to the client engagement team and applicable management personnel.
• Communicates the objectives of each review and planned other services to the client engagement team and establishes/communicates team members’ roles in the process.
• Executes audit procedures, analyzes evidence, reaches conclusions, identifies issues, develops strategies, and makes decisions for complex, judgmental issues related to the review procedures executed.
• Consults with others in the Company, as necessary, on complex issues.
• Reviews working papers and memoranda for consistency with applicable authoritative guidance and the requirements of the department.
• Develops detailed reports specifying compliance issues identified during the audit.
• Assists the facility with action plan development, follow-up questions.
• Completes process follow-up as necessary.
• Provides input and guidance in the development of, as well as the review of the detailed audit/review programs particularly focusing on complex audit issues.
• Participates in the audit quality assurance program.
• Assists with educational and administrative matters (e.g., professional development programs, process improvement team initiatives, recruiting efforts, and special projects as requested by the Director).

Qualifications

• Active RN Licensure with 10 or more years’ experience required.
• BSN (from accredited School of Nursing) required.
• Master’s degree preferred.
• Experience, and/or certification supporting regulatory/accreditation/safety compliance required.
• Nursing management/supervisory experience preferred.
• Ability to travel up to 50%.

Benefits

• Medical, Dental, Vision, Life Insurance and Flexible Spending
• Paid Time Off (PTO) and Personal Leave
• 401K (100% annual match - 3% to 9% of pay based on years of service)
• Academic Assistance and Reimbursements for Tuition and Student Loans
• Employee Discounts including Tickets, Retail, Mental Health Apps, Education Apps, Identity Theft Protection etc.
• Home, Auto, and Pet Insurance
• Employee Stock Purchase Program (ESPP)
• Short Term & Long Term Disability coverage
• Adoption Assistance
• Legal Benefits
• lots more!