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.

Position Details:

• Location: Mease Dunedin Hospital
• Travel required throughout service area to include BayCare hospitals located in Pinellas and Pasco Counties
• Status: Full time, salary
• Shift: 8:00 AM - 4:30 PM
• Occasional weekends
• On Call: No

Unlock your Career Potential: Join our Team and Enjoy our Outstanding Benefits!

• Medical benefits (Health, Dental, Vision)
• 401(k) match and additional yearly contributions
• Paid Time Off
• Tuition reimbursement
• Year performance appraisal 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!

Regulatory Compliance Coordinator key responsibilities:

• Understands and helps facilitate regulatory compliance relative to Joint Commission (and AAAHC, if applicable) accreditation and certifications for the Hospital System Division (and Ambulatory Division, if applicable).
• Assists the Regulatory System Manager to facilitate compliance of all regulatory standards set forth by Joint Commission and CMS or other accreditation agencies.
• Assist departmental leadership teams at each region 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.
• Coordinates survey activities including escorts surveyors, coordinates responses and assures that action plans are completed during surveys.
• As directed, assists with other assigned quality activities.
• Collaborates with Quality and Safety Managers to make improvements and resolve issues that prevent continued readiness.
• Acts as liaison for the facility with regulating agencies, through communications with surveyors, consultants and provides regulatory support.
• Assists hospital Quality & Safety 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 Regulatory Compliance Systems Manager.
• Serves as the expert in the use of regulatory software.
• Ensures that the East and West Region (and Ambulatory Surgery Centers, if applicable) maintain a highly reliable level of performance in accreditation and regulatory standards.

Certification:

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

Education:

• Diploma, Associates in Nursing
• Or Bachelors in clinical related field

Experience:

• 1 year regulatory experience and 3 years of nursing experience
• Or 3 years Clinical Specialty

Equal Opportunity Employer Veterans/Disabled