Regional Regulatory Program Manager

Hartford Healthcare•Bridgeport, CT

10d

About The Position

The Regional Regulatory Program Manager designs, develops, and implements performance improvement and compliance activities within the Fairfield Region of Hartford HealthCare. The role supports regulatory readiness, accreditation, licensure, quality, and patient safety initiatives across the region. The position provides subject matter expertise on accreditation standards and regulatory requirements through training and coaching, tracer activities, program assessments, and data collection and analysis. It helps maintain continuous readiness for accreditation and licensure surveys, leads or participates in surveys and performance improvement initiatives, and works with regional leadership and front-line staff to address quality and safety concerns. The role uses clinical knowledge and internal and external data to identify trends, recommend improvement strategies, and evaluate care processes and outcomes.

Requirements

Bachelor’s degree in Nursing, Hospital Administration, Public Health, or another related field.
Five years of nursing experience in an acute-care hospital setting.
Current Connecticut Nursing License.
Strong written and oral communication skills.
Strong interpersonal skills and ability to collaborate with others to achieve common objectives.
Ability to compile data from various sources and analyze and interpret it to provide alternatives and make recommendations.
Ability to use Microsoft Office, including Word, Excel, PowerPoint, and Outlook.
Ability to manage multiple priorities and projects from initiation to completion within prescribed schedules and resource constraints.

Nice To Haves

Three years of experience with accreditation and regulatory survey processes, development, and follow-up of corrective action plans, or an equivalent combination of education and experience.

Responsibilities

Participate in or lead Department of Public Health and CMS licensure and investigative surveys, including coordinating follow-up activities.
Provide expertise on accreditation standards and regulatory requirements through training, coaching, tracer activities, program assessments, and data collection and analysis of outcomes.
Design, develop, and implement performance improvement and monitoring activities to meet or exceed accreditation and regulatory requirements and maintain continuous readiness for accreditation and licensure surveys.
Perform routine tracers and audits in clinical and non-clinical areas to identify improvement opportunities.
Lead performance improvement initiatives with departmental clinical leadership and front-line staff to establish a comprehensive quality assessment and performance improvement plan.
Use internal and external data to identify issues and trends affecting patient safety and quality of care.
Collaborate with regional leadership and front-line staff to develop plans addressing identified concerns.
Examine data using clinical knowledge and recommend strategies to improve clinical performance and enhance patient safety.
Participate in or lead performance improvement teams according to organizational priorities.
Perform quality and safety monitoring activities to support ongoing evaluation of care processes and outcomes by clinical and administrative staff.