Regulatory Affairs Coordinator

Capital Health (US)Hopewell, NJ
$94,557 - $124,176Onsite

About The Position

The Regulatory Affairs Coordinator, reporting to the Manager of Regulatory Affairs, is responsible for coordinating organization-wide and program-specific activities related to the regulatory process and governing bodies such as the NJ Department of Health, Centers for Medicare and Medicaid Services (CMS), and DNV. This role involves coordinating activities for continuous survey readiness, including tracer activity, and serving as a resource for staff on regulations and requirements. The coordinator will assist teams in planning for disease-specific or program-specific certifications and accreditations, coordinate on-site and other surveys, and help develop action plans to measure compliance. Additionally, this position participates in the submission of Novi Surveys to the Department of Health, works with policy owners to support the PolicyStat system, and participates in the Policy, Procedure, and Forms Committee to ensure policies and forms are reviewed and published.

Requirements

  • Bachelor of Science of Nursing.
  • Two years of experience in regulatory affairs.
  • Experience working with project management and/or supporting teams to improve clinical quality and regulatory non-conformances.
  • Registered Nurse - NJ
  • Registered Nurse - PA
  • Knowledge of DNV, CMS, and NJ and PA Department of Health standards.
  • Ability to access and search standards to assist clinical teams in meeting goals and maintaining compliance.
  • Knowledge of quality and performance improvement tools and techniques.
  • Demonstrates knowledge of data collection, interpretation, and presentation.
  • Must have the ability to work on multiple projects and support various tasks simultaneously, exercising discretion and independent judgment to achieve CH goals and objectives.
  • Must have excellent written and verbal communication skills.
  • Must have proficiency in the use of Word, Excel, and PowerPoint.
  • Must be proficient in the development and use of tracking tools.

Nice To Haves

  • Master of Science in Nursing, Education, or a related field preferred.

Responsibilities

  • Coordinates organization-wide and program-specific activities related to the regulatory process and respective governing bodies, including NJ Department of Health, Centers for Medicare and Medicaid Services (CMS), DNV and others.
  • Coordinates activities related to continuous survey readiness, including tracer activity.
  • Acts as a resource for Capital Health staff regarding regulations and requirements.
  • Assists teams in planning for disease-specific or program-specific certifications and accreditations.
  • Assists with coordinating activities related to on-site and other surveys.
  • Assists teams in the development of action plans and measurement of these actions to measure compliance.
  • Participates in the submission of Novi Surveys to the Department of Health.
  • Works closely with policy owners and users to support the implementation, development, and maintenance of PolicyStat.
  • Participates in the Policy, Procedure, and Forms Committee to ensure that all policies and forms are reviewed and published once finalized.
  • Coordinates organizational and/or departmental activities for regulatory surveys by external agencies such as the NJ Department of Health, the PA Department of Health, and DNV.
  • Works collaboratively with department heads to assure success in the achievement of accreditations, certifications, and recertification’s.
  • Ensures preparation and ongoing readiness related to regulatory standards compliance.
  • Maintains up-to-date knowledge of regulatory requirements and coordinates process changes within Capital Health to ensure compliance.
  • Develops comprehensive and accurate responses to regulatory reports, citations, and requirements for improvement.
  • Works collaboratively with other hospital leaders to ensure timely responses.
  • Coordinates the data collection and submission for the Regulatory Affairs Committee.
  • Assures validated data submission and documentation.
  • Prepares gap analyses and recommends detailed plans for improvement.
  • Works with various departments to develop tracking tools and other mechanisms to measure regulatory compliance.
  • Coordinates DNV Tracer activity with follow-up reports.
  • Provides consultation to policy owners and users on implementation, revision, and maintenance of policies.
  • Supports the Policy, Procedure, and Forms Committee to ensure policies and forms are disseminated for review and posted to Capital Link when finalized.
  • Performs other duties as assigned.

Benefits

  • Medical Plan
  • Prescription drug coverage & In-House Employee Pharmacy
  • Dental Plan
  • Vision Plan
  • Flexible Spending Account (FSA) - Healthcare FSA
  • Flexible Spending Account (FSA) - Dependent Care FSA
  • Retirement Savings and Investment Plan
  • Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
  • Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
  • Disability Benefits – Long Term Disability (LTD)
  • Disability Benefits – Short Term Disability (STD)
  • Employee Assistance Program
  • Commuter Transit
  • Commuter Parking
  • Supplemental Life Insurance - Voluntary Life Spouse
  • Supplemental Life Insurance - Voluntary Life Employee
  • Supplemental Life Insurance - Voluntary Life Child
  • Voluntary Legal Services
  • Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
  • Voluntary Identity Theft Insurance
  • Voluntary Pet Insurance
  • Paid Time-Off Program
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