Coordinator - Healthcare Regulatory Affairs

CO010 Memorial Healthcare System; United States; On-site; USD 65,000 - 90,000; Full time

Job summary

Memorial Healthcare System seeks a Regulatory Affairs support professional to improve regulatory readiness across clinical and non-clinical areas. You will assist with surveys, research standards, and support policy committees with nursing and system-wide policy updates.

The role requires at least an associates degree and 1 year of patient-facing hospital experience, with emphasis on communication and documentation to ensure compliance.

Qualifications

• Associates degree required.
• One year patient-facing hospital experience.
• Experience with regulatory surveys preferred.

Responsibilities

• Assist with ongoing regulatory readiness for Joint Commission, AHCA, CMS and specialty accreditations.
• Participate in mock surveys with oversight in clinical and non-clinical departments.
• Assist surveys on-site and virtually under guidance of Regulatory Affairs leadership.
• Organize policy committee agendas and ensure nursing and pharmacy policies are reviewed.
• Take minutes and format policy changes for leadership approval and intranet posting.

Skills

Regulatory knowledge

Communication

Documentation

Education coordination

Education

Associates degree

Job description

At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.

Summary

Assist with improving knowledge of staff, physicians and leaders in ongoing regulatory readiness for The Joint Commission, AHCA, CMS and specialty accreditations and certifications. Perform mock surveys, with oversight, in clinical and non-clinical departments. Research regulations to be able to share current standards. Provide assistance to the Clinical Practice Council and MHS System Policy Committee for general nursing policies and systemwide standard practices.

Responsibilities

• Participate in task forces specific to sentinel event alerts, challenging standards and best practice roll-out.
• Assist with on-site and virtual surveys.
• Work in the survey command center under the guidance of Director or VP of Regulatory Affairs.
• Assist with formal and informal education to improve knowledge of staff, physicians and leaders in ongoing regulatory readiness.
• Assist hospitals and other MHS programs with regulatory readiness.
• Assist with communicating regulations such as Joint Commission, AHCA and CMS.
• Assist to determine failure modes and opportunities and provide assistance to improve compliance.
• Organize policy committee agendas for Clinical Practice Council and MSH System Policy Committees to ensure nursing policies, nursing/pharmacy policies are reviewed annually.
• Work with pharmacy lead to facilitate nursing/pharmacy policies.
• Take minutes at each meeting.
• Format policy changes, dates etc. Send to leader to obtain CNO approval and then place on the intranet document center.
• Work on special projects as designated such as research, organizing survey documents, preparing presentations etc.

Competencies

• ACCOUNTABILITY
• CUSTOMER SERVICE
• EFFECTIVE COMMUNICATION - EDUCATION
• HEALTHCARE REGULATORY ENVIRONMENT
• JOINT COMMISSION
• PROBLEM SOLVING
• PROJECT MANAGEMENT
• RESPONDING TO CHANGE
• STANDARDS OF BEHAVIOR

Education and Certification Requirements

Associates (Required)

Additional Job Information

Complexity of Work: This role requires critical thinking skills, effective communication, decisive judgment, and the ability to build and foster positive relationships. The incumbent must be able to lead others and take appropriate action when required.

Required Work Experience

One (1) year patient facing experience in hospital setting.

Other Information

Additional Education Info: in a health related field.

Working Conditions and Physical Requirements

• Bending and Stooping = 60%
• Climbing = 0%
• Keyboard Entry = 80%
• Kneeling = 0%
• Lifting/Carrying Patients 35 Pounds or Greater = 0%
• Lifting or Carrying 0 - 25 lbs Non-Patient = 60%
• Lifting or Carrying 25 - 75 lbs Non-Patient = 0%
• Lifting or Carrying 75 lbs or Greater = 0%
• Pushing or Pulling 0 - 25 lbs Non-Patient = 60%
• Pushing or Pulling 26 - 75 lbs Non-Patient = 0%
• Pushing or Pulling > 75 lbs Non-Patient = 0%
• Reaching = 60%
• Repetitive Movement Foot/Leg = 0%
• Repetitive Movement Hand/Arm = 80%
• Running = 0%
• Sitting = 80%
• Squatting = 0%
• Standing = 80%
• Walking = 80%
• Audible Speech = 80%
• Hearing Acuity = 80%
• Smelling Acuity = 0%
• Taste Discrimination = 0%
• Depth Perception = 80%
• Distinguish Color = 80%
• Seeing - Far = 80%
• Seeing - Near = 80%
• Bio hazardous Waste = 0%
• Biological Hazards - Respiratory = 0%
• Biological Hazards - Skin or Ingestion = 0%
• Blood and/or Bodily Fluids = 0%
• Communicable Diseases and/or Pathogens = 0%
• Asbestos = 0%
• Cytotoxic Chemicals = 0%
• Dust = 60%
• Gas/Vapors/Fumes = 0%
• Hazardous Chemicals = 0%
• Hazardous Medication = 0%
• Latex = 60%
• Computer Monitor = 80%
• Domestic Animals = 0%
• Extreme Heat/Cold = 0%
• Fire Risk = 0%
• Hazardous Noise = 0%
• Heating Devices = 0%
• Hypoxia = 0%
• Laser/High Intensity Lights = 0%
• Magnetic Fields = 0%
• Moving Mechanical Parts = 0%
• Needles/Sharp Objects = 0%
• Potential Electric Shock = 0%
• Potential for Physical Assault = 0%
• Radiation = 0%
• Sudden Decompression During Flights = 0%
• Unprotected Heights = 0%
• Wet or Slippery Surfaces = 0%

Disclaimer

This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification. Wages shown on independent job boards reflect market averages, not specific to any employer.

Equal Opportunity Employer

Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity. Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law. We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program. Employment is subject to post offer, pre-placement assessment, including drug testing.

Veteran’s Preference

Veteran’s Preference allows for the first choice in interviewing, hiring, retention, and promotion after deployment when all other applicant qualifications are equal. However, Veteran's Preference does not guarantee a job. Who is eligible for Veteran’s Preference? We are proud to offer preference to internal and external applicants who identify within these categories: veterans, disabled veterans, spouse of a disabled veteran, unremarried veteran widow/widower, certain family members, active reservists and members of the National Guard. What should I do if I am eligible for Veteran’s Preference? You must claim your Veteran’s Preference status on your application. If selected for a job, you must provide documentation regarding your status. How does Memorial verify that someone is eligible for Veteran’s Preference? We require specific documentation as determined by the basis for which someone claims preference. For example, the documentation for a disabled veteran is different from the documentation required for the spouse of a veteran killed in the line of duty. How often can an eligible person claim Veteran's Preference at Memorial? There is no limit to how often internal or external applicants can use preference when a job is posted externally on our career website or elsewhere. What if there are two equally qualified, preference-eligible job applicants? In this case, the selection is based on the eligibility category in accordance with Florida law.

• First preference is given to: An honorably discharged veteran who has served on active duty and has a service-connected, compensable disability.
• A spouse of a person who has a total, permanent, service-connected disability and cannot qualify for employment.
• A spouse of a person missing in action, captured or forcibly detained or interned by a foreign government or power.

What do I do if I am denied Veteran's Preference? If you feel you have been unfairly denied Veteran’s Preference by Memorial Healthcare System, please contact [e-mail]. You may also file a complaint with the Florida Department of Veterans’ Affairs (FDVA).

Corporate Vision

Be where care matters. At Memorial Healthcare System, we are dedicated to improving the health, well-being, and quality of life of the people entrusted to our care. This unwavering commitment to our service vision makes the difference and is the foundation of The Memorial Experience. Deeper Caring. Smarter Healthcare. Talk to our patients and their families about “Deeper Caring,” and they'll tell you stories about miracle babies, lives saved through sheer determination, and the comforting kindness of others. About people who advocated for the family’s best interests and cared for them in body, mind, and spirit. For our employees, “Smarter Healthcare” means constantly improving how we deliver care. It could be a new technology, a streamlined process, or a cutting-edge program leveraging our system strengths. But, no matter how you look at it, our service vision is integral to our culture today and what we strive to be tomorrow. We invite you to share in the Memorial Experience – where touching lives, lifting spirits, and healing the human body is our profession’s greatest privilege and reward. Be where you are valued.

Florida Civil Rights Act and Related Notices

Florida Civil Rights Act Equal Employment Opportunity is the Law (EEO) Family and Medical Leave Act (FMLA) Employee Polygraph Protection Act (EPPA) E-Verify™ Participation Notice – English Right To Work Notice – English E-Verify™ Participation Notice – Spanish Right To Work Notice – Spanish Memorial Healthcare System is subject to the Florida Public Records Law. All information provided in connection with your application for employment will be a public record and subject to release upon request, unless considered exempt or confidential.