RN Analyst Full Time

Your job is more than a job. The Regulatory Program Coordinator is responsible for organization-wide Regulatory Compliance activities and functions. Implements the functions of the Regulatory Compliance Program and coordinates, facilitates proactive and reactive regulatory efforts. Functions as a multidisciplinary resource person for organizational regulatory preparation for surveys, licensure requirements and hospital representative during surveys. Daily Responsibilities Regulatory compliance: Facilitates and promotes the comprehensive system of organization-wide compliance with CMS regulations, laws, Joint Commission Standards, license boards and standards. Collaborates with leadership to implement, revise, monitor organization policies and procedures regarding regulatory compliance. Works with department leaders to develop, complete and facilitate monitoring to ensure compliance. Assists multidisciplinary personnel and physicians in addressing matters requiring regulatory advisement, in collaboration with the organization’s leadership staff. Standards of services: Reviews clinical and non-clinical records to assure compliance with standards of services delivered in the organization and takes steps to assess the risk regarding compliance. Reports critical issues for immediate action and/or administrative action. Collaborates with the departmental leaders to educate staff regarding new or updated standards. Audits: Performs clinical record audits. Reporting and documentation: Compiles reports for the leaders regarding internal and external surveys per defined timeline. Prepares all communication with regulatory bodies. Maintains action plans and files regarding licensure and compliance with state, federal agencies and with accrediting bodies. Data collection and analysis: Collects and analyzes data related to the process that supports care and treatment safety for patients, visitors, employees, contract staff, physicians, students and volunteers. Collaborates with appropriate team/department to ensure the processes are in place for relevant data collection, identifying high risk areas and educational needs throughout the organization. Collaboratively participates in content development for education. Annually coordinates with the Joint Commission application, Intracycle monitoring assessment and mock surveys. Engages leadership for completion and review. Qualifications 3 years Healthcare experience. 1 year Previous regulatory/compliance experience. Master's Degree required. Certification: Registered Nurse or Registered Respiratory Therapist. Adheres to Children's Hospital (LCMC) rules and regulations. Maintains standards based on accreditation bodies such as Joint Commission, CMS, etc. Maintains continuing education requirements commiserate with position. Background in healthcare regulatory compliance is essential. Extensive knowledge of regulatory agencies governing patient care. Ability to develop and implement recommendations to ensure compliance with local and national standards for hospital accreditation. Computer skills are a necessity. Effective written and verbal communication skills. Work Shift Days (United States of America) LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. #J-18808-Ljbffr LCMC Health