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HCA Healthcare · 1 day ago

Sr Manager Clinical Compliance Reg Accreditation

Nashville, TN

Full-time

Hybrid

Senior Level

5+ years exp

HCA Healthcare is an organization that invests in its employees, and they are seeking a Senior Manager Clinical Compliance and Regulatory Accreditation. This role involves overseeing audits and assessments to ensure compliance with healthcare regulations and standards, working closely with various management teams to enhance overall compliance efforts.

BiotechnologyHealth CareHospitalMedicalPrimary and Urgent Care

Responsibilities

Demonstrates a thorough understanding of The Joint Commission (TJC), The Centers for Medicare and Medicaid Services (CMS), federal and state regulations

Performs onsite and/or remote focused assessments of regulatory and accreditation compliance including applicable federal, state, and local regulations and standards, emergency services, nursing services, and other clinical areas of organizational and/or patient safety and risk at HCA Healthcare facilities

Conducts reviews of hospital/center systems to ensure compliance with applicable legal, regulatory and licensure requirements as defined by TJC, CMS, federal and state regulations and company policy for areas such as emergency services, nursing services, and other clinical areas of organizational and/or patient safety and risk

Understands HCA Healthcare’s business and the healthcare industry from a global perspective by recognizing business trends and emerging technical and industry developments of relevance and communicates these to the client engagement team and applicable management personnel

Discusses complex auditing issues with engagement team and client management

Communicates the objectives of each review and planned other services to the client engagement team and establishes/communicates team members’ roles in the process

Executes audit procedures, analyzes evidence, reaches conclusions, identifies issues, develops strategies, and makes decisions for complex, judgmental issues related to the review procedures executed. Consults with others in the Company, as necessary, on complex issues

Reviews working papers and memoranda for consistency with applicable authoritative guidance and the requirements of the department

Develops detailed reports specifying compliance issues identified during the audit

Assists the facility with action plan development, follow-up questions. Completes process follow-up as necessary

Provides input and guidance in the development of, as well as the review of the detailed audit/review programs particularly focusing on complex audit issues

Participates in the audit quality assurance program

Assists with educational and administrative matters (e.g. professional development programs, process improvement team initiatives, recruiting efforts, and special projects as requested by the Director)

Qualification

TJC knowledgeCMS knowledgeRegulatory complianceRN LicensureExcel proficiencyWord processingMultitaskingCommunication skillsTeamwork

Required

Active RN Licensure with 5 or more years' experience required

BSN (from accredited School of Nursing) required

Experience, and/or certification supporting regulatory/accreditation/safety compliance required

Excellent communication skills in writing, speaking, and presenting

Superior client service and business development skills, dedication to teamwork

Ability to multitask and work well with deadlines/related time pressures

Proficient with Excel spreadsheet and Word processing software

Preferred

Master's degree preferred

Nursing management/supervisory experience preferred

Ability to travel up to 25-30%

Benefits

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

Free counseling services and resources for emotional, physical and financial wellbeing

401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

Employee Stock Purchase Plan with 10% off HCA Healthcare stock

Family support through fertility and family building benefits with Progyny and adoption assistance.

Referral services for child, elder and pet care, home and auto repair, event planning and more

Consumer discounts through Abenity and Consumer Discounts

Retirement readiness, rollover assistance services and preferred banking partnerships

Education assistance (tuition, student loan, certification support, dependent scholarships)

Colleague recognition program

Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Company

HCA Healthcare

Glassdoor3.3

HCA Healthcare provides medical education and healthcare services in locally managed facilities. It is a sub-organization of North Florida Endoscopy Center.

Founded in 1968

Nashville, Tennessee, USA

10001+ employees