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Virginia Mason Franciscan Health · 1 month ago

Regulatory Compliance Program Manager

Tacoma, WA

Full-time

Onsite

Senior Level

$49.78/hr - $74.05/hr

5+ years exp

Virginia Mason Franciscan Health is committed to providing exceptional healthcare and is seeking a Regulatory Compliance Program Manager to support and coordinate the implementation of Patient Safety and Accreditation programs. The role involves ensuring compliance with regulatory standards, facilitating ongoing compliance activities, and providing guidance to management to maintain continuous readiness for licensure and accreditation.

Health CareHospitalMedical

Responsibilities

Provides operational support and overall coordination for the strategic implementation of Patient Safety and Accreditation and Licensing programs

Ensures all facets of patient safety are identified, and coordinated into a comprehensive plan

Ensures assigned hospitals and clinics are aligned with Joint Commission and standards established through state and federal regulations

Facilitates on-going regulatory compliance activities through extensive rounding on clinical and non-clinical departments at VMFH

Work includes; policy and procedure implementation; survey preparation; survey management and follow-up; assessment of standards compliance and reporting of vulnerabilities to key stakeholders; conducting training in response to identified or potential deficiencies to management, educators and staff

Assists in review/trending of incident report information and provides quality information for internal quarterly review and ongoing physician performance evaluation

Provides guidance and coaching to management aimed at achieving a state of continuous readiness surrounding licensure, accreditation and certification programs as well as ensuring ongoing compliance with state and federal rules and regulations

Incumbent is accountable for keeping knowledge and skills current in assigned subject area through self-education, community networking and professional organization offerings

Qualification

Regulatory complianceQuality managementPatient safetyHealthcare administrationClinical experienceManagement experienceCPHQ certificationRN LicenseCoaching skillsTraining skillsNetworking skillsCommunication skills

Required

Bachelor's degree in healthcare administration, nursing or other healthcare-related field

Five years of progressively responsible related work experience that would demonstrate attainment of the requisite job knowledge

Minimum of three years of progressive management responsibility in an acute care setting, one (1) of which is related to managing an organization's or department Quality, Safety, or Regulatory Program

Minimum of two years of clinical, patient experience or equivalent

Experience developing, and implementing clinical, service and operation process initiatives, both small and large scale

Any equivalent combination of education and experience which meets requirements and provides the required knowledge, skills and abilities to perform the essential functions of the position

Preferred

Active Washington State RN License

Certified Professional in Healthcare Quality (CPHQ)

Company

Virginia Mason Franciscan Health

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Virginia Mason Franciscan Health (VMFH) is an integrated health system serving the Puget Sound region, including 10 hospitals and nearly 300 care sites.

Founded in 1987

Seattle, Washington, USA

10001+ employees