Regulatory Compliance Coordinator

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence.

Regulatory Compliance Coordinator Position Details:

• Location: St. Joseph's Hospital

• Status: Full time, salary

• Shift: 8:00 AM - 4:00 PM

• Occasional weekends

• On Call: no

Regulatory Compliance Coordinator Key Responsibilities:

• Understands and helps facilitate regulatory compliance relative to Joint Commission (JC) accreditation and certifications for the Hospital Division.

• Assists the Manager in facilitating compliance with all regulatory standards set forth by Joint Commission and Centers for Medicare & Medicaid Services (CMS).

• Assists departmental leadership teams at each hospital ensuring compliance with regulatory agencies.

• Assures that facility administration and managers are knowledgeable about current standards, accreditation interpretations, and best practices for meeting the standards.

• Coordinates Joint Commission Tracers and Readiness Rounds and conducts audits and inspections to assess readiness.

• Participates in new team member training and annual Team Member Essentials pertaining to regulatory requirements.

• Promotes and educates staff to improve readiness and compliance.

• Supports BayCare initiatives for regulatory standardization.

• Takes action to ensure that our hospitals are in a state of continuous survey readiness.

• As directed, assists with other assigned quality/regulatory activities.

• Collaborates with hospital Quality Managers to make improvements and resolve issues that prevent continued readiness.

• Acts as liaison for the facility with regulatory agencies, through communications with surveyors, consultants and provides regulatory support.

• Assists hospital Quality Managers when responding to inquiries and surveys on behalf of their Hospital.

• Performs other tasks to promote quality and compliance under the direction of the Manager.

• Serves as the expert in the use of regulatory software.

Qualifications:

Experience:

• 1 year regulatory experience and 3 years of nursing experience

• Or 1 year regulatory experience and 3 years Clinical Specialty

Education:

• Diploma or Associates in Nursing

• Or Bachelors in clinical related field

Certification:

• RN License

• Or licensure or certification in a related clinical specialty with a Bachelor's degree is acceptable in lieu of RN License

BayCare is all about making the most of your life and loving your career. With this in mind, BayCare provides an array of benefits to help you meet the daily challenges of balancing all aspects of your life and career goals.

• Medical benefits (Health, Dental, Vision)

• Paid time off

• Tuition reimbursement

• 401k match and additional yearly contribution

• Yearly performance appraisals and team award bonus

• Extensive training and mentorship along with amazing career growth opportunities

• Community discounts and more

• AND the Chance to be part of an amazing team and a great place to work!

Equal Opportunity Employer Veterans/Disabled

Position Regulatory Compliance Coordinator

Location Tampa:St Josephs | Nursing | Full Time

Req ID 139180