Clinical Regulatory Specialist

Trinity Health; Columbus (OH); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Relocation assistance (geographic)*

Job summary

Mount Carmel Health System, part of Trinity Health, seeks a Regulatory Specialist to design and implement processes ensuring accreditation and regulatory compliance across owned facilities. Travel to multiple sites is required, with collaboration across departments and external agencies.

Ideal candidates bring 5+ years hospital practice, strong performance improvement knowledge, and excellent communication and leadership skills to drive regulatory readiness and organizational change.

Qualifications

• Minimum education: bachelor’s degree in health care; master’s preferred.
• Minimum of five years of recent hospital practice; clinical/management experience preferred.
• Knowledge of performance improvement systems and process thinking.
• Proficient in written and verbal communication; strong presentation skills.
• Ability to lead, collaborate and manage change across departments.

Responsibilities

• Prepare and support regulatory and licensure compliance for owned facilities.
• Travel to multiple sites to support regulatory activities.
• Assist surveys by regulatory agencies and evaluate compliance processes.
• Facilitate communication with external agencies (CMS, ODH, JCAHO).
• Serve as liaison with Trinity Health System and internal teams.
• Provide consultation on regulatory requirements and daily implementation.
• Participate in development of education programs on regulatory topics.
• Chair the MCHS Administrative Policy Team.

Skills

Regulatory compliance

Process thinking

Performance improvement

Communication

Presentation skills

Project management

Leadership

Change management

Education

Baccalaureate degree in Health Care

Master’s in Nursing/Allied Health/Business preferred

Job description

Employment Type: Full time Shift: Description:

Why Mount Carmel?

With five hospitals , over 60 free-standing outpatient clinics , a college of nursing , a Medicare Advantage plan , and extensive outreach and community wellness programs, Mount Carmel Health System serves more than a million patients in central Ohio each year, and we've been a pillar of this community for more than 130 years. As a proud member of Trinity Health , one of the nation's largest Catholic healthcare delivery systems, our network of caring spans 22 states, 94 hospitals, and 133,000 colleagues nationwide.

We know that exceptional patient care starts with taking care of our colleagues, so we invest in great people and all that we ask in return is that you come to work ready to make a difference and do the right thing.

What we offer:

• Competitive compensation and benefits packages including medical, dental, and vision coverage
• Retirement savings account with employer match starting on day one
• Generous paid time off programs
• Employee recognition incentive program
• Tuition/professional development reimbursement
• Relocation assistance (geographic restrictions apply)
• Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing

Why Columbus?

The nation's 14th largest city, Columbus, Ohio is one of the fastest growing major metropolitan areas in the Midwest – ranked #1 for population growth, #1 for job growth, #1 for wage growth, and #1 real estate market. And with a vibrant blend of professional sports, world-class attractions, creative cuisines, and a flourishing music and arts scene, you'll never be found wanting for entertainment and experiences to call your own in Columbus. Learn more at www.experiencecolumbus.com !

About the job:

Regulatory Specialist designs, directs and facilitates implementation of effective systems to evaluate compliance and assure continuous accreditation and regulatory compliance. Scope includes Mount Carmel owned and affiliated entities managed by Mount Carmel Health System.

What you'll do:

• Accountable for the preparation and support of wholly owned facilities, relative to regulatory and licensure compliance.
• Responsibility includes multi-site locations and requires travel to each of the facilities.
• Assists in scheduled/unannounced surveys by regulatory agencies.
• Assists in evaluation of regulatory compliance and operations from a process perspective across departments and/or multiple service areas.
• Facilitates and uses change principles to accomplish regulatory compliance and continuous survey readiness.
• Serves as a role model to demonstrate openness to new ways of thinking.
• Facilitates communication both external and internal to affiliated organizations as necessary to meet regulatory requirements.
• Advises on matters regarding regulatory requirements in the development and implementation of organization plans or activities.
• Serves as a liaison with external agencies (CMS, ODH, JCAHO, etc) as well as Trinity Health System.
• Provides consultation for practical and reasonable interpretations of regulatory requirements.
• Assists in organizational planning for integration of regulatory requirements into daily work activities.
• Manages medical staff dynamics to facilitate effective discussions and participation in regulatory compliance activities.
• Works with diverse groups, settings and varied kinds of complexities.
• Develops and/or assists in conducting educational programs or in-services related to regulatory requirements as needed or requested by the organization.
• Serves as project manager as needed for organizational endeavors.
• Provides, as requested, consulting services to non-MCHS owned health care entities for purposes of building targeted relationships.
• Tailors implementation approaches to different sites and processes.
• Assists managers in identifying solutions to challenging regulatory issues.
• Provides assistance to the Privacy Officer as needed.
• Serves as the Chairperson for the MCHS Administrative Policy Team.
• Serves as the administrative liaison with organ procurement agencies.
• Participates in activities which promote own professional growth and development.

What we're looking for:

• Minimum Education Requirement Baccalaureate Degree in Health Care field required. Master’s in Nursing, Allied Health, or Business preferred.
• Experience: Minimum of five (5) years recent hospital practice. Clinical and management experience preferred.
• Broad based clinical or management leadership experience with knowledge of complex systems and systems change with demonstrated success in tactical and analytical thinking.
• Knowledge of performance improvement systems and process thinking principles and designs.
• Current knowledge of regulatory and accrediting requirements.
• Proficient computer, written and verbal communications skills; excellent presentation skills with ability to relate effectively to physicians, all levels of the organization and employees in a flexible and adaptive fashion.
• Innovative, self directed, flexible, and collaborative.
• Readily accepts change and influences organizational change.
• Understands and applies group process skills.
• Demonstrates a high tolerance for ambiguity.
• Able to incorporate standards interpretation into day-to-day operations.
• Able to mobilize action; interactive.

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Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, physical disability or any other classification protected under local, state or federal law.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.