Compliance Coordinator

Conemaugh Health System, Duke LifePoint Healthcare; Roaring Spring (Blair County); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Comprehensive Benefits

PTO & Insurance Coverage

Tuition Assistance

Wellness Programs

Career Development

Job summary

Conemaugh Memorial Medical Center, a part of LifePoint Health, seeks a Compliance Coordinator to ensure adherence to federal, state, and local standards across the medical center. You will support readiness programs, monitor plans of correction, and collaborate with hospital leadership to maintain high quality care and patient safety.

The role emphasizes regulatory knowledge, cross-functional collaboration, and proactive problem-solving to uphold Joint Commission, DOH, and insurer requirements

Qualifications

• Knowledge of regulatory standards (TJC, CMS, state licensure) and ability to monitor compliance
• Ability to conduct root-cause analyses and develop corrective action plans
• Strong communication and collaboration across departments involved in compliance

Responsibilities

• Ensure system and processes comply with regulatory agencies (TJC, PA DOH, insurers, fire protection, etc.).
• Develop and maintain continuous readiness programs for compliance.
• Monitor plans of correction and report variances to facility leadership.
• Conduct root-cause analyses and create action plans with facility leadership.
• Educate leaders across disciplines on regulatory changes and incorporate into the program.
• Track Opportunities for Improvement and sentinel events to focus on high risk areas.

Skills

Regulatory compliance knowledge

Problem solving

Communication

Project management

Education

High School Diploma or GED

Associates Degree in Computer Science or Business Management

Tools

Tracer/audit tracking tools

Job description

Your experience matters

Conemaugh Memorial Medical Center is part of LifePoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As

Description

Your experience matters

Conemaugh Memorial Medical Center is part of LifePoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As Compliance Coordinator joining our team, you're embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.

More About Our Team

Join a collaborative, mission-driven team dedicated to delivering high-quality care to our communities.

How You'll Contribute

We are seeking an experienced and relationship-driven Compliance Coordinator to join our growing health system. This is an exciting opportunity to play a key role in shaping the future of our medical staff and advancing access to high-quality care across our communities. The Compliance Coordinator is responsible to ensure system and processes are in compliance with all regulatory agencies including but not limited to The Joint Commission, PA Department of Health, Insurance Carriers, contracted fire protection engineering firms, and other regulatory agencies conducting surveys. This position supports the medical center's commitment to comply with all federal, state, and local standards, with an emphasis on compliance. The Regulatory Compliance Coordinator develops and maintains the continuous readiness programs that contains all necessary elements to sustain regulatory compliance.

Other Duties Include

• Supports exceptional clinical outcomes and patient safety using knowledge of all TJC, CMS and state licensure standards and/or regulations; uses tracer, audit and tracking tools to monitor all Conditions of Participation and DOH/TJC standards on a rotating basis throughout the year; identifies areas of high risk for more intense monitoring and intervention.
• Maintains a regulatory scorecard that identifies metrics for compliance with the regulatory standards and provides reports as needed to the facility CEO, CNO, and PSO; takes an active role in resolving barriers to 100% achievement of the metrics.
• Responds to inquiries by regulatory and accreditation bodies.
• Conducts root-cause analyses on known DOH/TJC standards and develops action plans to address all causes in collaboration with facility leadership.
• Monitors implementation of all regulatory plans of correction, reporting variances or deviation from the plan.
• Reviews available quality and patient safety data to identify areas of high risk for standard deviation; develops action plans to correct deficiencies and ensures implementation and monitoring of those plans.
• Works collaboratively with organizational development, infection prevention, pharmacy, plant operations, laboratory and other disciplines to educate leaders at every level on changes in standards; incorporates changes into the regulatory compliance program.
• In coordination with the facility's quality team, monitors OFIs (Opportunities for Improvement) and sentinel event reports to focus on high risk areas that may negatively affect standards compliance.
• Why join us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage - with medical plans starting at just $10 per pay period - tailored benefit options for part-time and PRN employees, and more.
• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Professional Development: Ongoing learning and career advancement opportunities.

What We're Looking For

Must be able to manage problems that are broad, complex and abstract, often involving company-wide issues, develop solutions using substantial creativity, resourcefulness, innovation, negotiation and diplomacy.

Education

Required: High School Diploma or GED

Preferred: Associates Degree in Computer Science, Business Management or related field

More About Conemaugh Memorial Medical Center

Conemaugh Memorial Medical Center is a 537 inpatient, behavioral health, rehabilitation, and transitional care beds hospital. Conemaugh Memorial Medical Center, a Duke LifePoint hospital, is the flagship hospital of Conemaugh Health System. A regional referral hospital known for clinical excellence, Conemaugh Memorial is home to the highest level of care designations for Neonatal Care (Level 3) and Trauma Care (Level 1). Conemaugh Memorial has received recognition by the American Heart Association with the Stroke Gold Plus Quality Achievement Award. Conemaugh Memorial is proudly committed to being a teaching hospital including seven medical residency programs, School of Nursing, and Allied Health education programs.

Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran

LifePoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.