Apply on Employer Site

UChicago Medicine · 23 hours ago

Regulatory Compliance Manager

Chicago, IL

Full-time

Hybrid

Mid, Senior Level

$122K/yr - $143K/yr

3+ years exp

UChicago Medicine is a world-class academic healthcare system, and they are seeking a Regulatory Compliance Manager for their Clinical Compliance department. This role involves providing ongoing support and facilitation to ensure compliance with patient care-related regulatory standards and collaborating with various departments to maintain compliance oversight across the healthcare system.

Health CareHospitalMedicalMedical Device

Responsibilities

Works collaboratively with Director of Regulatory Compliance to provide on-going oversight, support, instruction, and facilitation to all aspects of UChicago Medicine Health Care System to meet and exceed all patient care related regulatory agency standards, including but not limited to: DNV, Joint Commission, Centers for Medicare and Medicaid Services, Illinois Department of Public Health, College of American Pathologists, Chicago Board of Health

Monitor and disseminate standards, regulations, articles, etc. to the appropriate departments within UChicago Medicine Health Care System

Leads and participates in the development, implementation, and promotion of compliance activities to ensure appropriate and safe delivery of patient care and successful completion of accreditation surveys and inspections

Maintains a program philosophy of “Constant State of Readiness” and demonstrates sustained compliance with standards

Serve as a liaison to regulatory agencies and accreditation bodies including on-site facilitation of any scheduled or for cause survey process

Provide documentation and other information as requested by regulatory and accrediting bodies

Maintain and organize all documentation in support of agency visits through communication, preparation, scheduling, reporting: manage all agency site visits and follow-up reports, activities, and historical files

Recommend potential appeals or other follow-up actions, including implementations for all plans of correction. Participates in Emergency Management/HICS planning, drill, and responses

Works collaboratively with Director to support the UChicago Medicine Health Care System Policies and Procedures process

Develops and maintains a robust process to ensure timely review and development of policies

Works collaboratively and participates in the following across the enterprise:

Root Cause Analysis

Committees (Medication Safety, Medical Executive, Quality, Infection Control et al)

Performs other duties assigned by the Director

Qualification

Regulatory ComplianceHealth InformaticsJoint Commission StandardsEMR ExperienceData ManagementCommunication SkillsOrganizational Skills

Required

Masters or B.S in a health-related field, or equivalent experience

Hospital experience of at least 3-5 years in a clinical or administrative role with specific experience in dealing with patient safety, risk management, compliance, and/or quality

Working EMR experience, in the use and build of reports to drive quality, patient safety and compliance

Health Informatics experience, preferably with Epic

Working knowledge of Joint Commission, DNV, HFAP and CMS standards

Excellent oral, and interpersonal written communication skills, poise in teaching and consulting

Strong organizing and data management skills, including word processing, spreadsheets, data base and graphics to design and implement monitoring and evaluation tools

Fluent in the use of Microsoft Word, Excel, Smartsheet

Advanced experience with Epic and the ability to build and run reports directly from Epic