What are the responsibilities and job description for the Manager of Regulatory Services position at Columbia Memorial Hospital?
Manager of Regulatory Services serves as a point person providing leadership and support to assure a strong collaborative relationship throughout the hospital operations teams. Serves as a communication link for all the organizational accreditation processes, leading the clinical support teams such as, Accreditation, Infection Prevention, and Employee Health. Ensures licensing and accreditation by keeping up to date on the requirements for new, expanding, and existing facilities/services in relation to relevant accrediting standards. Consults with departments to ensure certification and conduct basic gap analysis for cases assigned. Serves as the subject matter expert by maintaining internal accreditation, infection prevention, and employee health policies and overseeing organizational compliance of these policies. Develops content and participates in development of education programs to align policies with regulatory requirements.
Job Requirements
Thorough knowledge and application of hospital accreditation requirements. Knowledge of professional nursing/health care standards and infection prevention. Must demonstrate managerial ability, organizational skills, and excellent communication skills. Ability to observe deficiencies and formulate actions to correct the situation, make assessments and recommendations, and educate healthcare professionals on regulatory needs. Ability to remain professional and exhibit a spirit of helpness. Ability to read, analyze, and interpret complex written documents such as professional journals, medical records, technical procedures, governmental regulations, and safety rules. Ability to interact with other agencies and community members. Ability to work with the governing body, management, medical staff, and other leaders in the hospital.
License/Certification
Current Oregon RN License preferred. Other clinical licensures will be considered, for example, Physical Therapist, Occupational Therapist, Speech and Language Pathologist.
Education And/or Experience
Preferred Credential from the Healthcare Accreditation Certification Program (HACP).
Associates Degree or higher required; Bachelors degree preferred,
At least 5 years’ experience in a clinical setting with regulatory guidelines preferred.
Preferred Experience In Accreditation, Quality, Or Infection Prevention.
Physical Demands and Work Environment Conditions / ADA Compliance
Position involves standing, walking, stooping, and occasional carrying and lifting of lightweight materials (up to 20 pounds). May be required to sit for extended periods of time. Requires visual acuity and depth perception to recognize 100% words and numbers; and hand and finger dexterity and hand/eye coordination to use a computer keyboard and common office equipment.
Job Requirements
Thorough knowledge and application of hospital accreditation requirements. Knowledge of professional nursing/health care standards and infection prevention. Must demonstrate managerial ability, organizational skills, and excellent communication skills. Ability to observe deficiencies and formulate actions to correct the situation, make assessments and recommendations, and educate healthcare professionals on regulatory needs. Ability to remain professional and exhibit a spirit of helpness. Ability to read, analyze, and interpret complex written documents such as professional journals, medical records, technical procedures, governmental regulations, and safety rules. Ability to interact with other agencies and community members. Ability to work with the governing body, management, medical staff, and other leaders in the hospital.
License/Certification
Current Oregon RN License preferred. Other clinical licensures will be considered, for example, Physical Therapist, Occupational Therapist, Speech and Language Pathologist.
Education And/or Experience
Preferred Credential from the Healthcare Accreditation Certification Program (HACP).
Associates Degree or higher required; Bachelors degree preferred,
At least 5 years’ experience in a clinical setting with regulatory guidelines preferred.
Preferred Experience In Accreditation, Quality, Or Infection Prevention.
Physical Demands and Work Environment Conditions / ADA Compliance
Position involves standing, walking, stooping, and occasional carrying and lifting of lightweight materials (up to 20 pounds). May be required to sit for extended periods of time. Requires visual acuity and depth perception to recognize 100% words and numbers; and hand and finger dexterity and hand/eye coordination to use a computer keyboard and common office equipment.