Regulatory Program Coordinator

Your job is more than a job.

The Regulatory Program Coordinator is responsible for organization-wide Regulatory Compliance activities and functions. Implements the functions of the Regulatory Compliance Program and coordinates, facilitates proactive and reactive regulatory efforts. Functions as a multidisciplinary resource person for organizational regulatory preparation for surveys, licensure requirements and hospital representative during surveys.

Your every day

• Regulatory compliance:
• Facilitates and promotes the comprehensive system of organization wide compliance with Centers of Medicare/Medicaid Services regulations, laws, Joint Commission Standards, license boards and standards.
• Collaborates with the leadership to implement, revise, monitor organization policies and procedures regarding regulatory compliance. Works with department leaders to develop, complete and facilitate monitoring to ensure compliance.
• Assists multidisciplinary personnel and physicians in addressing matters requiring regulatory advisement, in collaboration, with the organization’s leadership staff.
• Standards of services:
• Reviews clinical and non-clinical records to assure compliance with standards of services delivered in the organization and takes steps to assess the risk regarding compliance. Reports critical issues for immediate action and/or administrative action.
• Collaborates with the departmental leaders to educate staff regarding new or updated standards.
• Audits: Performs clinical record audits.
• Reporting and documentation:
• Compiles reports for the leaders regarding internal and external surveys per defined timeline.
• Prepares all communication with regulatory bodies.
• Maintains action plans and files regarding licensure and compliance with state, federal agencies and with accrediting bodies.
• Data collection and analysis:
• Collects and analyzes data related to the process that support care and treatment. Safety provided patients, visitors, employees, contract staff, physicians, students and volunteers.
• Collaborates with appropriate team/department to ensure the processes are in place for relevant data collection, identifying high risk areas and educational needs throughout the organization. Collaboratively participates in content development for education.
• Annually coordinates with the Joint Commission application, Intracycle monitoring assessment and mock surveys. Engages the leadership for completion and review.
  
  

This job description is intended to describe the general nature and level of work performed by employees assigned to this department. This is not an exhaustive list of all duties and responsibilities, and LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

Your must haves

• 3 years Healthcare experience.
• 1 year Previous regulatory/compliance experience.
• Required: Master's Degree
• Certification Name: Registered Nurse or Registered Respiratory Therapist
• Issuer:
• Licensure Speciality:
• Entity
• Adheres to Children's Hospital rules and regulations.
• Maintains standards based on accreditation bodies such as Joint Commission, CMS, etc.
• Maintains continuing education requirements commiserate with position.
• A background in healthcare regulatory compliance is essential.
• Must have extensive knowledge of expectations of various regulatory agencies which govern the principles and practices of patient care.
• In addition, must have skills necessary to develop and implement recommendations to ensure compliance with the local and national standards to meet the requirements for hospital accreditation.
• Computer skills is a necessity.
• The incumbent must have the ability to effectively communicate utilizing written and verbal skills.
  

Work Shift

Days (United States of America)

LCMC Health is a community.

Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary

About University Medical Center

University Medical Center, a world class academic medical center in LCMC Health’s incredible community of care, is the largest medical training center for healthcare professionals in Louisiana and has long served as the region’s safety net hospital for poor and underserved communities for 300 . Learn more about University Medical Center’s legacy and our vision of becoming the epicenter of medical care, education, and research.

Your extras

• Deliver healthcare with heart.
• Give people a reason to smile.
• Put a little love in your work.
• Be honest and real, but with compassion.
• Bring some lagniappe into everything you do.
• Forget one-size-fits-all, think one-of-a-kind care.
• See opportunities, not problems – it’s all about perspective.
• Cheerlead ideas, differences, and each other.
• Love what makes you, you - because we do
  
  

You are welcome here.

LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

Simple things make the difference.

• To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information.
• To ensure quality care and service, we may use information on your application to verify your previous employment and background.
• To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed.
• To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.
  
  

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