Sr. Program Manager Regulatory Affairs - Risk Management - FT Days

University of California, Irvine•Orange, CA

3d•Hybrid

About The Position

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., an academic hospital in Irvine at the UCI Campus, four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County. Reporting to the Director, Risk & Regulatory Affairs, the Accreditation & Regulatory Affairs Manager directs and coordinates accreditation, policy and regulatory affairs initiatives for UC Irvine Health; serves as the organizational liaison with The Joint Commission (TJC), California Department of Public Health (CDPH), and other pertinent regulatory agencies. The incumbent performs a variety of duties including development of strategies for compliance, analysis of accreditation standards, regulations, and policies impacting UC Irvine Health and operations; and collaborates with hospital departments, services, clinics, and business partners in understanding and complying with accreditation standards, regulatory agencies, and hospital policies.

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.
Excellent presentation and computer skills.
Must be able 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.
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.
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
Current RN License

Responsibilities

Directs and coordinates accreditation, policy and regulatory affairs initiatives for UC Irvine Health.
Serves as the organizational liaison with The Joint Commission (TJC), California Department of Public Health (CDPH), and other pertinent regulatory agencies.
Develops strategies for compliance.
Analyzes accreditation standards, regulations, and policies impacting UC Irvine Health and operations.
Collaborates with hospital departments, services, clinics, and business partners in understanding and complying with accreditation standards, regulatory agencies, and hospital policies.