Program Manager, Regulatory Operations - Full Time Days

Texas Health•Dallas, TX

2d•Onsite

About The Position

Bring your passion to Texas Health so we are Better + Together. Work location: Texas Health Dallas, 8200 Walnut Hill Ln, Dallas, TX 75231. Work hours: Full Time, 40 Hours. Departmental highlights: Opportunity to work with all levels of the healthcare team (staff, providers, executive leaders). Positively impact a wide variety of departments across the entire organization. Use information and data to drive changes. Engage with regulatory and healthcare standards to help maintain patient safety and hospital compliance. For more than a half-century, Texas Health Dallas has been at the forefront of health care in North Texas. We’re an 875-bed, Magnet-designated, full-service hospital serving our community in and around Dallas since 1966. We specialize in cancer care, cardiology, neurosciences, women’s services and emergency medicine, we’ve got it. Plus, we’re a renowned Level III neonatal intensive care unit, a Comprehensive Stroke and Bariatric Surgery Center of Excellence and provide wellness services, outpatient surgery and women’s imaging services. Texas Health Dallas is a joint Commission-certified Comprehensive Stroke Center, a Level I Trauma Center, a Comprehensive Heart Attack Center, and a designated Magnet hospital. We’re a top choice in North Texas for cancer and emergency services, bariatric services, cardiac care and much more. As part of the Texas Health family and its 28,000+ employees, we’re one of the largest employers in the Dallas Fort Worth area. Our career growth and professional development opportunities are top-notch and our benefits are equally outstanding. Come be a part of our exceptional team as we improve the health of the people in our communities every day. You belong here.

Requirements

Bachelor’s degree in healthcare with 3 years of experience required
Five years of experience in a healthcare setting or environment required
Three years of regulatory compliance and accreditation required
RN – Registered Nurse upon hire required or Other clinical licensure upon hire required
CPHQ – Certified Professional in Healthcare Quality within three years of hire required or CPPS – Certified Professional in Patient Safety within three years of hire required

Nice To Haves

Master’s degree in healthcare with 3 years of experience preferred

Responsibilities

Accesses/interprets/explains applicable regulations and standards; communicates the impact and criticality of the applicable standards, including the added benefit to quality, safety and cost-effectiveness based on evidence-based practices. Use clinical knowledge and expertise to observe patient care, review documentation in the medical record, and evaluate compliance.
Coordinate the entity triennial Joint Commission survey, support all JC disease specific surveys and other state regulatory surveys.
Conduct entity level regulatory tracers based on annual and periodic risk assessments, to ensure compliance with Joint Commission, CMS and other regulatory bodies and requirements.
Provide informal and formal regulatory/accreditation training to the entity as needs are identified.
Review system and entity-based policies and procedures to ensure they adhere to regulatory standards.
Proactively review upcoming standards and impacts and communicate regulatory updates.