Yale New Haven Health · 3 months ago
Regulatory Specialist
Bridgeport, CT
Full-time
Onsite
Mid, Senior Level
3+ years expYale New Haven Health is committed to integrity, patient-centered care, respect, accountability, and compassion. The Regulatory Specialist is responsible for assessing and organizing regulatory compliance and readiness, working with various departments to improve process efficiencies, and ensuring patient safety and clinical quality.
Health Care
Responsibilities
As necessary, acts as a key member of projects to improve clinical and non -clinical areas. Partners with internal and external departmental leadership in meeting goals and objectives. Interacts with Managers, Staff, Department Heads, Clinical Service Coordinators, Vice Presidents, and Chiefs of respective departments in relation to projects
Acts as an active participant in departmental process improvement to enhance clinical quality and patient safety
Provides key regulatory safety and quality data highlighting business and operational issues requiring management attention and resources
Participates in task forces, charters and committees to provide operational input and regulatory consultation. Participates in the coordination and completion of multidisciplinary efforts in regard to regulatory preparedness and completion of applications (e.g. Accreditation and Licensure, CMS Database Forms, ICM completion, measurement of success data, DPH/DOH or CMS corrective action plans, and clinical charter teams)
Creates, develops, and delivers educational and training programs and tools relating to compliance issues, safety and quality issues, and continuous regulatory readiness
Provides consultation to clinical and non-clinical departments and serves on multiple committees to continually assess aspects of DPH/DOH readiness and compliance
In conjunction with other JC/Regulatory Committee members, coordinates tracer rounds (mock surveys) to assess compliance with regulatory requirements and helps prioritize and remediate to improve performance
Facilitates and provides coordination of adverse/sentinel event and complaint investigations, root cause analysis, and ensures related improvement plans are met for safety issues recognized by JC, DPH/DOH, and CMS in conjunction with other committee members
Under the supervision of the department leadership, supports action plans and measurements of success processes in collaboration with functional and departmental leaders to ensure institution-wide oversight of all regulatory compliance needs related to CMS, DPH/DOH and TJC
Under the supervision of department leadership, verifies and validates evidence of action plans and measurements of success data related to regulatory compliance issues for departments or individual action plans in the health system designated delivery network(s). Collaborates with department leadership prior to document submission to an external agency
Works collaboratively with the unit and service level medical staff, to set goals /assess delivery network(s) performance, prioritize resources, implement change through facilitation and other activities, and assess individual project success
Ensures compliance with regulatory standards (TJC, CMS, DPH/DOH, etc.) for quality and safety reporting under the direction of the Director Accreditation and Regulatory Affairs and others as relevant
In collaboration with Director Accreditation and Regulatory Affairs develops and disseminates mock and real survey issues related to regulatory standards and policy compliance
Other projects, assignments, and responsibilities as indicated
Qualification
Required
An advanced degree (MBA, MPH, MSN, or other Masters degree in health related field) or enrollment and completion of a Masters Degree within 5 years of hire is required
Three (3) to five (5) years of progressive healthcare experience with one (1) to three (3) years of experience in program management, demonstrated teaching experience, and process improvement with clinical operations
Proven analytical/problem-solving skills
Outstanding communication, presentation and facilitation skills
Strong computer skills (e.g., Microsoft PP and Excel) and demonstrated ability to successfully lead process change are needed
Program or project management, effective communication, and planning experience are required
Healthcare background is required
Travel among assigned delivery network(s) and associated sites is required
Preferred
Current healthcare licensure preferred (e.g. RN, LCSW, RT/OT) in the state of Connecticut or Rhode Island, or the equivalent healthcare experience
Certification (HACP, CJCP, CPHQ are examples) is preferred
Experience and knowledge of TJC standards, CMS Conditions of Participation and experience with accreditation survey process preferred
Company
Yale New Haven Health
Yale New Haven Health is making it easier for people to access the latest medical treatments, advanced research and innovations through our five outstanding hospitals – Yale New Haven, Bridgeport, Greenwich, Lawrence + Memorial and Westerly – and our affiliation with the prestigious Yale University and its highly-ranked Yale School of Medicine.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Christopher O’Connor
Chief Executive Officer
Oliver Mayorga
SVP, Chief Medical Officer - Yale New Haven Health, Lawrence + Memorial Hospital/Westerly Hospital
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