RN Analyst Full Time

LCMC Health•New Orleans, LA

19d•Onsite

About The Position

The Regulatory Program Coordinator is responsible for organization-wide Regulatory Compliance activities and functions. Implements the functions of the Regulatory Compliance Program and coordinates, facilitates proactive and reactive regulatory efforts. Functions as a multidisciplinary resource person for organizational regulatory preparation for surveys, licensure requirements and hospital representative during surveys.

Requirements

3 years Healthcare experience.
1 year Previous regulatory/compliance experience.
Master's Degree
Registered Nurse or Registered Respiratory Therapist Certification
Adheres to Children's Hospital (LCMC) rules and regulations.
Maintains standards based on accreditation bodies such as Joint Commission, CMS, etc.
Maintains continuing education requirements commiserate with position.
A background in healthcare regulatory compliance is essential.
Must have extensive knowledge of expectations of various regulatory agencies which govern the principles and practices of patient care.
In addition, must have skills necessary to develop and implement recommendations to ensure compliance with the local and national standards to meet the requirements for hospital accreditation.
Computer skills is a necessity.
The incumbent must have the ability to effectively communicate utilizing written and verbal skills.

Responsibilities

Facilitates and promotes the comprehensive system of organization wide compliance with Centers of Medicare/Medicaid Services regulations, laws, Joint Commission Standards, license boards and standards.
Collaborates with the leadership to implement, revise, monitor organization policies and procedures regarding regulatory compliance. Works with department leaders to develop, complete and facilitate monitoring to ensure compliance.
Assists multidisciplinary personnel and physicians in addressing matters requiring regulatory advisement, in collaboration, with the organization’s leadership staff.
Reviews clinical and non-clinical records to assure compliance with standards of services delivered in the organization and takes steps to assess the risk regarding compliance. Reports critical issues for immediate action and/or administrative action.
Collaborates with the departmental leaders to educate staff regarding new or updated standards.
Performs clinical record audits.
Compiles reports for the leaders regarding internal and external surveys per defined timeline.
Prepares all communication with regulatory bodies.
Maintains action plans and files regarding licensure and compliance with state, federal agencies and with accrediting bodies.
Collects and analyzes data related to the process that support care and treatment. Safety provided patients, visitors, employees, contract staff, physicians, students and volunteers.
Collaborates with appropriate team/department to ensure the processes are in place for relevant data collection, identifying high risk areas and educational needs throughout the organization. Collaboratively participates in content development for education.
Annually coordinates with the Joint Commission application, Intracycle monitoring assessment and mock surveys. Engages the leadership for completion and review.