Regulatory Affairs Coordinator

VCU HealthRichmond, VA
1d

About The Position

The Regulatory Affairs Coordinator maintains regulatory survey readiness and coordinates scheduled and unannounced regulatory compliance activities for the assigned VCUHS clinical program area(s). Maintains expert knowledge of regulations and rulings affecting the organization. Uses regulatory expertise to make interpretations and decisions to promote compliance. Leads and/or participates in the ongoing education, advisement, and training of employees on regulatory matters in the assigned area(s).

Requirements

  • Current RN Licensure in Virginia or eligible or compact state required
  • Certified Professional in Healthcare Quality (CPHQ) or Certified Professional in Healthcare Risk (CPHRM) Or Certified Joint Commission Professional (CJCP) preferred and/or Lean Six Sigma Black Belt preferred
  • Current license by the Commonwealth of Virginia is required if incumbent holds a professional license
  • Minimum of three (3) years clinical practice experience in in one or more of the following areas: Acute Care, Transplant, Dialysis, Ambulatory Care, and/or Ancillary Services
  • Two (2) years of experience in staff education, professional development (orientation, preceptorship, in-services education, etc.) or survey preparation and coordination
  • Previous experience with regulatory requirements for multiple regulatory agencies
  • Previous direct participation in performance improvement activities/processes
  • Coaching and consultation experience
  • Experience facilitating and/or leading interdisciplinary groups/committees
  • Experience developing and making complex presentations to senior leadership
  • Bachelors Degree in nursing
  • Some after hours, weekend work and/or flex scheduling will be required to meet deadlines.
  • Excellent verbal, written, and interpersonal communication skills.
  • Excellent organizational skills and attention to detail.
  • Good working knowledge and proficiency in Adobe and Microsoft Office 365 products (Word, Excel, Outlook, PowerPoint, Teams, Visio, etc.).
  • Position involves direct communication with all regulatory agencies, so the incumbent must use critical thinking, quality decision-making, and verbal communication skills readily.
  • Position requires direct communication and relationship building with all levels of employees across the organization for the purpose of education and dissemination of regulatory requirements knowledge.
  • Incumbent makes decisions regarding standard interpretation and provides organization guidance in the specialty area(s) assigned.
  • Physical: Lifting <20 lbs
  • Activities: Prolonged standing, Repetitive motion: Keyboard, Mouse
  • Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical Thinking
  • Emotional: Fast pace environment, Able to handle multiple priorities, Frequent and intense customer interactions, Able to adapt to frequent change

Nice To Haves

  • Certified Professional in Healthcare Quality (CPHQ) or Certified Professional in Healthcare Risk (CPHRM) Or Certified Joint Commission Professional (CJCP) preferred and/or Lean Six Sigma Black Belt preferred
  • Lean training preferred
  • Experience developing and implementing Joint Commission Evidence of Standard Compliance and facilitating the Measure of Success to compliance sustainability
  • Three (3) years of experience in survey preparation and coordination
  • Experience developing, implementing, and reporting on CMS -2567 Plan of Correction.
  • Direct experience managing unannounced accreditation and regulatory surveys
  • Previous experience in an academic medical center environment
  • Previous experience developing and implementing new programs
  • Bachelors or Masters Degree from an accredited School of Nursing
  • Masters degree in Healthcare Administration, Business Administration, or other healthcare-related field from an accredited program

Responsibilities

  • Maintains regulatory survey readiness
  • Coordinates scheduled and unannounced regulatory compliance activities
  • Maintains expert knowledge of regulations and rulings
  • Uses regulatory expertise to make interpretations and decisions to promote compliance
  • Leads and/or participates in the ongoing education, advisement, and training of employees on regulatory matters
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