Key contributor in Integrated Resource Planning at Duke Energy. Prepare executives for regulatory testimonies on future energy demands and regulatory compliance.
About the role
- Manager overseeing regulatory compliance and readiness at healthcare facilities, including audits and investigations.
Responsibilities
- Create a culture of continuous regulatory readiness through continual proactive measures.
- Educate all levels of staff, including managers, directors and senior leaders to regulatory requirements including regulations and standards in development.
- Conduct regular assessments through audits (formal and informal), mock tracers and mock surveys.
- Respond to actual or potential noncompliance identified via these assessments by ensuring that appropriate corrective measures have been taken and that they have successfully eliminated the risk or deficiency; oversee ongoing monitoring to ensure sustained regulatory compliance.
- Support and participate in the Network continuous survey readiness effort: host mock surveys; participate in other hospitals mock surveys; participate in other hospitals investigations, inspections and surveys as appropriate.
- Manage all aspects of investigations, inspections and surveys conducted by regulatory and accrediting agencies: prepare for and facilitate visits, ensuring appropriate oversight of the regulators/surveyors; respond to deficiencies by ensuring that appropriate corrective measures have been taken and that they have successfully eliminated the deficiency; oversee ongoing monitoring to ensure sustained regulatory compliance.
- Serves as the hospital's liaison with regulatory and accrediting agencies, including but not limited to: The Joint Commission, The PA Department of Health, OSHA, and the FDA. In this role, represent the hospital during surveys and hearings before regulatory agencies.
- Ensure that hospital policies and procedures are consistent with laws, regulations and standards; ensure compliance with hospital policies via education, auditing, communicating results of audits, ensuring corrective actions are taken by management staff and overseeing sustained compliance.
Requirements
- Minimum Bachelor's degree in healthcare, regulatory or compliance or relevant experience and/or education as determined by the company in lieu of bachelor's degree
- 1 - 3 years work experience in the regulatory, accreditation or compliance field
- 1 - 3 years supervisory experience
- 3 - 5 years experience facilitating or coordinating investigations or surveys conducted by regulatory or accrediting agencies
- Preferred Master's degree in healthcare, regulatory or compliance
- 3 - 5 years work experience in the regulatory, accreditation or compliance field
- Certified Joint Commission Professional
Benefits
- Health insurance
- 401(k)
- Paid time off
- Flexible work arrangements
- Professional development opportunities
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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