Apply on Employer Site

Baylor Scott & White Health · 3 days ago

Regional Clinical Compliance Director, Greater Austin Region

Round Rock, TX

Full-time

Onsite

Lead/Staff, Director/Executive

3+ years exp

Baylor Scott & White Health is seeking a Regional Clinical Compliance Director responsible for planning, developing, and enforcing clinical compliance programs. The role involves ensuring compliance with laws and regulations, leading compliance activities, and collaborating with various departments to maintain standards across the organization.

FitnessHealth CareMedicalSports

Responsibilities

Directs clinical compliance programs for assigned area of responsibility for BSWH

Recommends and implements strategic and operational plans and priorities for clinical compliance aligned to BSWH business objectives

Leads clinical compliance activities to ensure assigned hospitals and ambulatory clinics comply with all required standards and have an integrated, consistent plan for continuous compliance with CMS, Texas Administrative Code, and Joint Commission standards

Maintains readiness for all random and unannounced surveys by Joint Commission, Texas Department of State Health Services (TDSHS), and other regulatory agencies

Reviews and recommends changes, additions, or deletions to policies, procedures, forms, documentation tools, plans of care, and other organizational plans as appropriate

Consults with hospitals, corporate departments, and system-wide councils in preparation for Joint Commission and other regulatory and accrediting agency surveys

Provides education on standards and regulations to corporate departments, hospital staff, and senior leadership within the organization

Designs, implements, and monitors standardized assessment tools and reporting mechanisms on compliance of policies and CMS standards

Directs preparation of written responses and development of corrective action plans regarding Joint Commission and other regulatory recommendations

Coordinates compliance with CMS Conditions of Participation (CoPs) and recommends necessary actions to maintain compliance

Qualification

Clinical complianceHealthcare regulationsLeadership experienceRegistered Nurse (RN)Problem-solving skillsVerbal communicationWritten communicationPresentation skills