Regulatory Standard Manager

NYU Langone Health • New York, NY

3d • $152,240 - $161,200

About The Position

The Regulatory Standard Manager supports regulatory activities, including survey readiness and compliance with applicable licensing and accreditation agencies across NYU Langone Hospitals and related ambulatory sites. The role acts as a liaison to hospital administration as designated by senior leadership and provides clinical expertise and education for NYU Langone Hospitals. Working with Office of Regulatory Affairs leadership and staff, the manager helps ensure regulatory compliance is achieved and maintained in support of high reliability, patient-centered care, hospital goals, patient and family needs, professional standards, established policies and procedures, and the Hospitals’ research, education, and patient care mission.

The manager supports regulatory readiness and quality through monitoring, identification of vulnerabilities, survey preparation, education, and implementation of improvements. The role collaborates with hospital and site leadership and participates in committees, rounds, and meetings to help maintain compliance and an environment of excellence.

Requirements

• Registered Professional Nurse with a current New York State professional license.
• Bachelor’s degree in Nursing.
• At least five years of clinical practice.
• Knowledge of regulatory processes, programs, quality performance measurement, and improvement techniques.
• Knowledge of basic Microsoft package.
• Ability to develop, guide, motivate, nurture, and coach others.
• Strong interpersonal and effective communication skills, and creative problem-solving ability.
• Knowledge of educational processes, including adult learning and change management.
• Membership in pertinent professional organizations.
• Ability to communicate effectively with all levels of the organization.

Nice To Haves

• Master’s degree in Business Administration, Nursing, Health Care Management, or a related field.
• Certification in Safety and/or Quality.
• Certification in a relevant practice area.

Responsibilities

• Demonstrate knowledge of accreditation and licensing standards, codes, rules, regulations, and organizational Service Standards, and incorporate them into work.
• Perform other duties as assigned.
• Maintain clinical competency and pursue professional development through continuing education, seminars, webinars, and applicable journals or newsletters.
• Represent the regulatory perspective on administrative and clinical committees as requested.
• Support patient safety, regulatory, and quality initiatives through participation in rounds and meetings.
• Work with Senior Directors Regulatory to ensure data monitoring is timely and acted upon to support improvement.
• Identify actual and potential vulnerabilities related to patient safety and survey readiness for licensing, accrediting, and certifying agencies; communicate site progress; recommend and implement effective improvements supporting compliance with the Regulatory Readiness Plan.
• Participate in and support preparation for accreditation, reaccreditation, certification reviews, validation, allegation, and unannounced surveys, including preparation and review of specialty program applications and other documents.
• Use evidence-based standards, practices, and guidelines to help achieve and maintain regulatory compliance.
• Support the hospital in maintaining an environment of excellence.
• Orient, educate, and coordinate with hospital and site leadership on survey preparation activities, including implementation of the Regulatory Readiness Plan, Mock Tracers, participation in Perception of Safety, and weekly Walk Rounds.
• Formulate, integrate, and implement policies, procedures, and programs.

Benefits

• Comprehensive benefits and wellness package.
• Financial security benefits.
• Generous time-off program.
• Employee resource groups for peer support.
• Holistic employee wellness program covering physical, mental, nutritional, sleep, social, financial, and preventive care.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager