Hospital Regulatory and Quality Specialist
About The Position
The Regulatory and Accreditation member leads the strategic development, coordination, and execution of regulatory compliance and accreditation activities across the organization. This role ensures City of Hope meets or exceeds requirements established by federal and state regulatory bodies, national accrediting organizations, and internal policies to maintain compliance and support high-quality patient care. This position facilitates performance quality improvement projects, scope definition, timeline development and monitoring along with documentation of outcomes to help meet accreditation and quality standards. He/she is prepared to manage small projects that are short in duration from concept to implementation, assists in the development of communication strategies related to these projects (memos, newsletter articles, Intranet site framework and content development and maintenance, etc.), as well as participate in staffing more complex projects. He/she prepares internal and external project reports through gathering, analyzing, and summarizing data and information for management. He/she is responsible for managing and archiving all project related documents for the Quality team. He/she partners with clinical, administrative, legal, and quality teams to interpret changing regulations, guide readiness for surveys and inspections, and drive continuous improvement in compliance systems. Supports excellence, enterprise-wide initiatives, activities of the leadership team, departments, clinics, physicians, and administration. Cross coverage as necessary for quality team.
Requirements
- A degree in Healthcare Administration, Healthcare, Public Health, Compliance or Nursing
- Three years’ experience in clinical nursing and/or quality, risk, and regulatory activities
- BLS
Responsibilities
- Leads the strategic development, coordination, and execution of regulatory compliance and accreditation activities across the organization.
- Ensures City of Hope meets or exceeds requirements established by federal and state regulatory bodies, national accrediting organizations, and internal policies to maintain compliance and support high-quality patient care.
- Facilitates performance quality improvement projects, scope definition, timeline development and monitoring along with documentation of outcomes to help meet accreditation and quality standards.
- Manages small projects that are short in duration from concept to implementation.
- Assists in the development of communication strategies related to these projects (memos, newsletter articles, Intranet site framework and content development and maintenance, etc.).
- Participates in staffing more complex projects.
- Prepares internal and external project reports through gathering, analyzing, and summarizing data and information for management.
- Manages and archives all project related documents for the Quality team.
- Partners with clinical, administrative, legal, and quality teams to interpret changing regulations, guide readiness for surveys and inspections, and drive continuous improvement in compliance systems.
- Supports excellence, enterprise-wide initiatives, activities of the leadership team, departments, clinics, physicians, and administration.
- Cross coverage as necessary for quality team.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
