What are the responsibilities and job description for the Regulatory Affairs Coordinator position at VCU Health System?
The Regulatory Affairs Coordinator maintains regulatory survey readiness and coordinates scheduled and unannounced regulatory compliance activities for the assigned VCUHS clinical program area(s). Maintains expert knowledge of regulations and rulings affecting the organization. Uses regulatory expertise to make interpretations and decisions to promote compliance. Leads and/or participates in the ongoing education, advisement, and training of employees on regulatory matters in the assigned area(s).
Licensure, Certification, or Registration Requirements for Hire:
Current RN Licensure in Virginia or eligible or compact state required
and
Certified Professional in Healthcare Quality (CPHQ) or Certified Professional in Healthcare Risk (CPHRM) Or Certified Joint Commission Professional (CJCP) preferred
and/or
Lean Six Sigma Black Belt preferred
Licensure, Certification, or Registration Requirements for continued employment:
Current license by the Commonwealth of Virginia is required if incumbent holds a professional license
Lean training preferred
Experience REQUIRED:
Minimum of three (3) years clinical practice experience in in one or more of the following areas: Acute Care, Transplant, Dialysis, Ambulatory Care, and/or Ancillary Services
Two (2) years of experience in staff education, professional development (orientation, preceptorship, in-services education, etc.) or survey preparation and coordination
Previous experience with regulatory requirements for multiple regulatory agencies
Previous direct participation in performance improvement activities/processes
Coaching and consultation experience
Experience facilitating and/or leading interdisciplinary groups/committees
Experience developing and making complex presentations to senior leadership
Experience PREFERRED
Experience developing and implementing Joint Commission Evidence of Standard Compliance and facilitating the Measure of Success to compliance sustainability
Three (3) years of experience in survey preparation and coordination
Experience developing, implementing, and reporting on CMS -2567 Plan of Correction. Direct experience managing unannounced accreditation and regulatory surveys
Previous experience in an academic medical center environment
Previous experience developing and implementing new programs
Education/training REQUIRED:
Bachelors Degree in nursing
Education/training PREFERRED:
Bachelors or Masters Degree from an accredited School of Nursing
Masters degree in Healthcare Administration, Business Administration, or other healthcare-related field from an accredited program
Additional position requirements:
Some after hours, weekend work and/or flex scheduling will be required to meet deadlines.
Excellent verbal, written, and interpersonal communication skills.
Excellent organizational skills and attention to detail.
Good working knowledge and proficiency in Adobe and Microsoft Office 365 products (Word, Excel, Outlook, PowerPoint, Teams, Visio, etc.).
Independent action(s) required:
All day-to-day operations of the Regulatory Affairs Coordinator are conducted independently with advice and guidance being sought from the Manager on as as-needed basis or when there is a major impact on activity outside the unit.
Position involves direct communication with all regulatory agencies, so the incumbent must use critical thinking, quality decision-making, and verbal communication skills readily.
Position requires direct communication and relationship building with all levels of employees across the organization for the purpose of education and dissemination of regulatory requirements knowledge.
Incumbent makes decisions regarding standard interpretation and provides organization guidance in the specialty area(s) assigned.
Supervisory responsibilities (if applicable): N/A
Physical Requirements (includes use of assistance devices as appropriate):
Physical: Lifting < 20 lbs
Activities: Prolonged standing, Repetitive motion: Keyboard, Mouse
Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical Thinking
Emotional: Fast pace environment, Able to handle multiple priorities, Frequent and intense customer interactions, Able to adapt to frequent change
Days
EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
Licensure, Certification, or Registration Requirements for Hire:
Current RN Licensure in Virginia or eligible or compact state required
and
Certified Professional in Healthcare Quality (CPHQ) or Certified Professional in Healthcare Risk (CPHRM) Or Certified Joint Commission Professional (CJCP) preferred
and/or
Lean Six Sigma Black Belt preferred
Licensure, Certification, or Registration Requirements for continued employment:
Current license by the Commonwealth of Virginia is required if incumbent holds a professional license
Lean training preferred
Experience REQUIRED:
Minimum of three (3) years clinical practice experience in in one or more of the following areas: Acute Care, Transplant, Dialysis, Ambulatory Care, and/or Ancillary Services
Two (2) years of experience in staff education, professional development (orientation, preceptorship, in-services education, etc.) or survey preparation and coordination
Previous experience with regulatory requirements for multiple regulatory agencies
Previous direct participation in performance improvement activities/processes
Coaching and consultation experience
Experience facilitating and/or leading interdisciplinary groups/committees
Experience developing and making complex presentations to senior leadership
Experience PREFERRED
Experience developing and implementing Joint Commission Evidence of Standard Compliance and facilitating the Measure of Success to compliance sustainability
Three (3) years of experience in survey preparation and coordination
Experience developing, implementing, and reporting on CMS -2567 Plan of Correction. Direct experience managing unannounced accreditation and regulatory surveys
Previous experience in an academic medical center environment
Previous experience developing and implementing new programs
Education/training REQUIRED:
Bachelors Degree in nursing
Education/training PREFERRED:
Bachelors or Masters Degree from an accredited School of Nursing
Masters degree in Healthcare Administration, Business Administration, or other healthcare-related field from an accredited program
Additional position requirements:
Some after hours, weekend work and/or flex scheduling will be required to meet deadlines.
Excellent verbal, written, and interpersonal communication skills.
Excellent organizational skills and attention to detail.
Good working knowledge and proficiency in Adobe and Microsoft Office 365 products (Word, Excel, Outlook, PowerPoint, Teams, Visio, etc.).
Independent action(s) required:
All day-to-day operations of the Regulatory Affairs Coordinator are conducted independently with advice and guidance being sought from the Manager on as as-needed basis or when there is a major impact on activity outside the unit.
Position involves direct communication with all regulatory agencies, so the incumbent must use critical thinking, quality decision-making, and verbal communication skills readily.
Position requires direct communication and relationship building with all levels of employees across the organization for the purpose of education and dissemination of regulatory requirements knowledge.
Incumbent makes decisions regarding standard interpretation and provides organization guidance in the specialty area(s) assigned.
Supervisory responsibilities (if applicable): N/A
Physical Requirements (includes use of assistance devices as appropriate):
Physical: Lifting < 20 lbs
Activities: Prolonged standing, Repetitive motion: Keyboard, Mouse
Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical Thinking
Emotional: Fast pace environment, Able to handle multiple priorities, Frequent and intense customer interactions, Able to adapt to frequent change
Days
EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.