Regulatory Affairs Specialist, Senior (Finance)
The Senior Regulatory Affairs Specialist is responsible for the successful implementation of regulatory goals and objectives. Accountable for creating a culture of continuous regulatory readiness through proactive risk assessment and mitigation efforts.
- Oversees and facilitates regulatory educational offerings including internal and external presentations
- Oversee JC Accreditation website and communicate to appropriate audiences. Maintains documents necessary for the system.
- Maintains up to date knowledge of JC/CMS/State regulations for all applicable programs, as evidenced by direct observation by leadership.
- Outlines/ leads regulatory project initiatives with deadlines to keep groups on task.
- Prepares reports on activities as needed for informing clinical, operations, and financial stakeholders, on time and errorfree.
- Leads attendance of needed departmental personnel in annual hospital training programs as required by The Joint Commission, law, or regulatory authorities.
- Provides/leads at least three (3) educational sessions in one calendar year within the System.
- Mentors' facilitation skills and partners with clinical leaders on projects to lead team.
- Conducts consultative mock surveys independently throughout the IDS. Evidenced by direct observation of leadership and customer feedback.
- Oversees departmental projects and tasks to ensure progression of departmental work portfolio.
- Acts as a Facilitator or Team Leader on projects as assigned.
- Independently conducts special projects as assigned at the direction of leadership.
- Independently provides regulatory consulting and analysis services to staff and physicians.
- Serves as Nemours liaison to JCR for coordination, scheduling, contracting, and billing of mock survey visits.
- Communicates with Joint Commission SIG group for questions regarding interpretation of accreditation issues. Inform appropriate parties of SIG ruling.
- Oversees and coordinates education and training to the AMP end users.
- Represents Accreditation at DV committee meetings and programs, as assigned. (may sit on committee but not sole representation)
- Ability to lead, facilitate, and participates in actual unannounced JC/CMS/State surveys. Role includes pre-planning, education, active participation in survey, and required follow-up.
- Leads annual Intracycle monitoring (ICM). Report findings and develop action plans. Monitor metrics monthly as required.
Leads in the internal mock survey program, which includes planning, development of tools, training, conducting mock surveys, reporting findings and follow-up as needed
Bachelor's degree is required.
RN or other clinical certification is preferred
- Minimum of five years of progressive hospital/healthcare experience required.
