Regulatory Standard Manager

NYU Langone Health • New York, NY

1d • $152,240 - $161,200 • Onsite

About The Position

This role supports regulatory activities, including survey readiness and compliance with all applicable licensing and accreditation agencies across NYU Langone Hospitals and related ambulatory sites. Functions include acting as a liaison to hospital administration as designated by senior leadership; providing clinical expertise and functioning as a clinical expert and educator for NYU Langone Hospitals. Works with the Office of Regulatory Affairs leadership and staff to ensure regulatory compliance is achieved and maintained; Activities are conducted to ensure high reliability and patient centered care enterprise wide, in accordance with hospital stated goals, patient and family needs, professional standards, established policies and procedures, and in support of the Hospitals mission of research, education and patient care.

Requirements

• Registered Professional Nurse with a current Professional License in New York State
• Bachelor's degree in Nursing
• Minimum of five years of clinical practice
• Knowledge of regulatory process, programs & quality performance measurement & improvement techniques
• Knowledge of basic Microsoft package
• Demonstrates ability to develop, guide, motivate, nurture, and coach others
• Evidence of strong interpersonal skills, effective communication skills, and creative problem solving
• Knowledge of educational processes: adult learning and change management
• Membership in pertinent professional organizations
• Qualified candidates must be able to effectively communicate with all levels of the organization.

Nice To Haves

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

Responsibilities

• Demonstrates knowledge of the Accreditation and Licensing standards, codes, rules and regulations and organization Service Standards and incorporates them into the performance of duties
• Performs other duties as assigned
• Maintains clinical competency and pursues a planned program of professional development through continuing education, seminars, webinars, and applicable journal newsletter
• Represents regulatory perspective through participation on administrative & clinical committees as requested
• Supports patient safety, regulatory and quality initiatives through participation in rounds and meetings
• Works with Senior Directors Regulatory to assure that data monitoring is timely and acted upon to support improvement.
• Identifies actual and potential vulnerabilities related to patient safety and survey readiness for all licensing, accrediting and certifying agencies.
• Communicates site progress
• Provides recommendations in order to develop and implement effective improvements
• Implements effective improvements to support compliance with the Regulatory Readiness Plan
• Participates in and supports survey preparation for accreditation, reaccreditation, certification reviews, validation, allegation and unannounced surveys as required including supporting preparation and review of specialty program applications/other documents.
• Uses evidence based standards, practices & guidelines to assist in achieving & maintaining regulatory compliance
• Supports the hospital to maintain an environment of excellence
• Orients, educates, and coordinates with Hospital and Site Leadership in performing survey preparation activities including but not limited to:Implementation of the Regulatory Readiness Plan and Mock Tracers Active participation in Perception of Safety and weekly Walk RoundsFormulates, integrates and implements policies, procedures and programs

Benefits

• financial security benefits
• a generous time-off program
• employee resources groups for peer support
• holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care.

What This Job Offers

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