What are the responsibilities and job description for the Coordinator - Healthcare Regulatory Affairs position at Memorial Healthcare System?
At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.
Summary
Assist with improving knowledge of staff, physicians and leaders in ongoing regulatory readiness for The Joint Commission, AHCA, CMS and specialty accreditations and certifications. Perform mock surveys, with oversight, in clinical and non-clinical departments. Research regulations to be able to share current standards. Provide assistance to the Clinical Practice Council and MHS System Policy Committee for general nursing policies and systemwide standard practices.
Responsibilities
Participate in task forces specific to sentinel event alerts, challenging standards and best practice roll-out.Assist with on-site and virtual surveys. Work in the survey command center under the guidance of Director or VP of Regulatory Affairs.Assist with formal and informal education to improve knowledge of staff, physicians and leaders in ongoing regulatory readiness.Assist hospitals and other MHS programs with regulatory readiness. Assist with communicating regulations such as Joint Commission, AHCA and CMS. Assist to determine failure modes and opportunities and provide assistance to improve compliance.Organize policy committee agendas for Clinical Practice Council and MSH System Policy Committees to ensure nursing policies, nursing/pharmacy policies are reviewed annually. Work with pharmacy lead to facilitate nursing/pharmacy policies. Take minutes at each meeting. Format policy changes, dates etc. Send to leader to obtain CNO approval and then place on the intranet document center.Work on special projects as designated such as research, organizing survey documents, preparing presentations etc.
Competencies
ACCOUNTABILITY, CUSTOMER SERVICE, EFFECTIVE COMMUNICATION - EDUCATION, HEALTHCARE REGULATORY ENVIRONMENT, JOINT COMMISSION, PROBLEM SOLVING, PROJECT MANAGEMENT, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR
Education And Certification Requirements
Associates (Required)
Additional Job Information
Complexity of Work: This role requires critical thinking skills, effective communication, decisive judgment, and the ability to build and foster positive relationships. The incumbent must be able to lead others and take appropriate action when required. Required Work Experience: One (1) year patient facing experience in hospital setting. Other Information: Additional Education Info: in a health related field.
Working Conditions And Physical Requirements
Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.
Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process.
Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.
Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law.
We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.
Employment is subject to post offer, pre-placement assessment, including drug testing.
If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email TalentAcquisitionCenter@mhs.net
Summary
Assist with improving knowledge of staff, physicians and leaders in ongoing regulatory readiness for The Joint Commission, AHCA, CMS and specialty accreditations and certifications. Perform mock surveys, with oversight, in clinical and non-clinical departments. Research regulations to be able to share current standards. Provide assistance to the Clinical Practice Council and MHS System Policy Committee for general nursing policies and systemwide standard practices.
Responsibilities
Participate in task forces specific to sentinel event alerts, challenging standards and best practice roll-out.Assist with on-site and virtual surveys. Work in the survey command center under the guidance of Director or VP of Regulatory Affairs.Assist with formal and informal education to improve knowledge of staff, physicians and leaders in ongoing regulatory readiness.Assist hospitals and other MHS programs with regulatory readiness. Assist with communicating regulations such as Joint Commission, AHCA and CMS. Assist to determine failure modes and opportunities and provide assistance to improve compliance.Organize policy committee agendas for Clinical Practice Council and MSH System Policy Committees to ensure nursing policies, nursing/pharmacy policies are reviewed annually. Work with pharmacy lead to facilitate nursing/pharmacy policies. Take minutes at each meeting. Format policy changes, dates etc. Send to leader to obtain CNO approval and then place on the intranet document center.Work on special projects as designated such as research, organizing survey documents, preparing presentations etc.
Competencies
ACCOUNTABILITY, CUSTOMER SERVICE, EFFECTIVE COMMUNICATION - EDUCATION, HEALTHCARE REGULATORY ENVIRONMENT, JOINT COMMISSION, PROBLEM SOLVING, PROJECT MANAGEMENT, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR
Education And Certification Requirements
Associates (Required)
Additional Job Information
Complexity of Work: This role requires critical thinking skills, effective communication, decisive judgment, and the ability to build and foster positive relationships. The incumbent must be able to lead others and take appropriate action when required. Required Work Experience: One (1) year patient facing experience in hospital setting. Other Information: Additional Education Info: in a health related field.
Working Conditions And Physical Requirements
- Bending and Stooping = 60%
- Climbing = 0%
- Keyboard Entry = 80%
- Kneeling = 0%
- Lifting/Carrying Patients 35 Pounds or Greater = 0%
- Lifting or Carrying 0 - 25 lbs Non-Patient = 60%
- Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0%
- Lifting or Carrying > 75 lbs Non-Patient = 0%
- Pushing or Pulling 0 - 25 lbs Non-Patient = 60%
- Pushing or Pulling 26 - 75 lbs Non-Patient = 0%
- Pushing or Pulling > 75 lbs Non-Patient = 0%
- Reaching = 60%
- Repetitive Movement Foot/Leg = 0%
- Repetitive Movement Hand/Arm = 80%
- Running = 0%
- Sitting = 80%
- Squatting = 0%
- Standing = 80%
- Walking = 80%
- Audible Speech = 80%
- Hearing Acuity = 80%
- Smelling Acuity = 0%
- Taste Discrimination = 0%
- Depth Perception = 80%
- Distinguish Color = 80%
- Seeing - Far = 80%
- Seeing - Near = 80%
- Bio hazardous Waste = 0%
- Biological Hazards - Respiratory = 0%
- Biological Hazards - Skin or Ingestion = 0%
- Blood and/or Bodily Fluids = 0%
- Communicable Diseases and/or Pathogens = 0%
- Asbestos = 0%
- Cytotoxic Chemicals = 0%
- Dust = 60%
- Gas/Vapors/Fumes = 0%
- Hazardous Chemicals = 0%
- Hazardous Medication = 0%
- Latex = 60%
- Computer Monitor = 80%
- Domestic Animals = 0%
- Extreme Heat/Cold = 0%
- Fire Risk = 0%
- Hazardous Noise = 0%
- Heating Devices = 0%
- Hypoxia = 0%
- Laser/High Intensity Lights = 0%
- Magnetic Fields = 0%
- Moving Mechanical Parts = 0%
- Needles/Sharp Objects = 0%
- Potential Electric Shock = 0%
- Potential for Physical Assault = 0%
- Radiation = 0%
- Sudden Decompression During Flights = 0%
- Unprotected Heights = 0%
- Wet or Slippery Surfaces = 0%
Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.
Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process.
Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.
Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law.
We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.
Employment is subject to post offer, pre-placement assessment, including drug testing.
If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email TalentAcquisitionCenter@mhs.net