Regulatory & Accreditation Coordinator
Nemours is seeking a Regulatory & Accreditation Coordinator (hybrid) to join our Nemours Children’s Health team in DE or FL.
The coordinator will support regulatory teams to be continually ready for and meet the requirements of any surveying body who accredits Nemours Children’s Health.
This role will guide improvement, assist with facilitation of survey occurrences, and develop plans for sustaining the improvements and compliance. The coordinator assists with onsite surveys across the campus, provides education, manages tracer activity data, and accepts other duties as assigned.
Essential Functions
• Assist with action planning elements including agendas, minutes, templates, meeting scheduling.
• Responsible for coordinating the regulatory programs at Nemours Children`s Health
• Prepare for and facilitate regulatory visits and construction occupancies by ensuring appropriate documentation, sessions, and actions are in place for seamless onsite survey occurrence.
• Coordinates verbal and written communication with The Joint Commission (TJC) and other regulatory bodies.
• Works closely with medical staff, nursing/hospital staff, and department directors and managers to ensure ongoing regulatory and accreditation readiness and compliance.
• Coordinates and participates in the execution of educational activities and the development of educational materials for continuous readiness preparation at all levels of staff, including nursing, other patient care providers, other non-clinical hospital staff as appropriate, Medical Staff and Administration.
• Supports the enterprise regulatory teams in managing regulatory and accreditation compliance initiatives.
• Manage all administrative tasks for regulatory project work across the departments.
• Contacts those responsible for reporting data to determine status and collaborates as needed to achieve compliance with program specifications.
• Assists with the development and documentation of an action plan for each of the functional chapters to ensure consistency and improvement of identified non-compliance issues.
• Other related duties
• Regulatory Committee management, preparation, and communications
• Ownership of all regulatory administrative duties including organizational updates, communications, data awareness, etc.
• Assist with creating organizational action plans and monitoring compliance.
• Ability to assume lead in regulatory initiatives.
• Collaboration with the departments of quality and safety to ensure readiness rounding and integration into yearly goal considerations.
• Independent facilitation of regulatory related projects
Requirements
Bachelor’s degree required; three (3) years progressive hospital/healthcare experience preferred. Knowledge of Joint Commission, Centers for Medicare/Medicaid Services (CMS) or State Health Department regulations preferred. Strong project management experience. Excellent communication (both written and oral), strong interpersonal and leadership skills. Ability to prioritize and function effectively with teams.
Knowledge of accreditation standards, survey readiness processes, and regulations applicable to hospitals and healthcare settings.
RN or other clinical certification preferred.
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