Regulatory & Compliance HC Specialist 4 - Risk Management FT Days

University of California, Irvine•Orange, CA

1d•Hybrid

About The Position

Supports the coordination of accreditation, regulatory, and licensing activities for UCI Health. The incumbent independently performs a wide range of functions related to the Medical Center’s Regulatory Compliance Program including the submission of necessary documentation to regulatory/accreditation entities such as the California Department of Public Health (CDPH), The Joint Commission (TJC), and Centers for Medicare and Medicaid (CMS). Involves the review and evaluation of healthcare regulatory compliance controls and programs. Develops regulatory policies and systems from a strategic perspective; keeps abreast of regulatory issues, plans for changes and / or integration as new healthcare affiliations are assumed. Provides education and consultation to hospital and medical staff regarding the integration of compliance regulatory standards with programs and operations. Acts as a channel of communication to direct compliance issues to appropriate resources for investigation and resolution.

Requirements

Strong knowledge of CMS Conditions of Participation, Federal and State (Titles 22 & 24) regulations, and The Joint Commission accreditation standards.
Experience in a key role in CMS and Joint Commission surveys.
Strong analytical skills to comprehend complex reports and provide an analysis to support actionable decision making.
Excellent presentation and computer skills.
Customer service skills appropriate to the job.
Ability to work flexible hours and locations based on the organization's needs.
Minimum of five years’ experience in a quality or regulatory compliance role within a hospital or health care organization.
Excellent written and verbal communication skills in English.
Effective written and verbal communication skills; ability to communicate with customers/staff with diverse educational backgrounds.
Demonstrated ability to problem solve, think critically and creatively, and provide leadership through a consultative role.
Bachelor's Degree in a health-related field, RN, or equivalent experience in Quality & Patient Safety.
Ability to manage numerous diverse projects simultaneously through effective priority setting.
Ability to maintain a work pace appropriate to the workload.
Ability to establish and maintain effective working relationships across the Health System.
Ability to be self-directed and function independently with minimal supervision/direction.
Must be able to provide proof of work authorization.

Nice To Haves

Recent experience leading a CMS or Joint Commission survey.
Master's Degree in health related field.
Knowledge of University and medical center organizations, policies, procedures and forms.
Current RN License.

Responsibilities

Coordinate accreditation, regulatory, and licensing activities for UCI Health.
Perform functions related to the Medical Center’s Regulatory Compliance Program.
Submit necessary documentation to regulatory/accreditation entities such as CDPH, TJC, and CMS.
Review and evaluate healthcare regulatory compliance controls and programs.
Develop regulatory policies and systems from a strategic perspective.
Stay informed about regulatory issues and plan for changes or integration with new healthcare affiliations.
Provide education and consultation to hospital and medical staff regarding compliance regulatory standards.
Act as a channel of communication for compliance issues to appropriate resources for investigation and resolution.