Hybrid Accreditation & Regulatory Compliance Lead

Regions Hospital; Saint Paul (MN); Hybrid; USD 59.000 - 90.000; Vollzeit

Zusammenfassung

Regions Hospital is seeking an Accreditation and Regulatory Compliance Specialist to lead accreditation and regulatory initiatives, enabling continuous readiness and a culture of high reliability in patient care.

The role collaborates with leaders across Regions and Methodist campuses to identify risks, develop corrective actions, and sustain compliance with TJC, CMS, MDH, and other agencies. Hybrid schedule with on-site work three days per week.

Qualifikationen

• Bachelor's degree and at least three (3) years of healthcare-related project management experience, or an equivalent combination of education and experience.
• Two (2) years of experience in accreditation, regulatory compliance, quality, risk management, patient safety, clinical operations, or a related healthcare function.

Aufgaben

• Utilizes a systematic approach to improving regulatory readiness by proactively assessing the organization's compliance status and developing action plans to mitigate areas of risk.
• Actively leading, planning and execution of initiatives, projects, and proactive risk reduction strategies to build a culture of high reliability across service lines and departments.
• Maintains and grows a robust process for on-going monitoring of upcoming changes or new accreditation or regulatory requirements.
• This includes partnering with leaders and subject matter experts to conduct gap analyses and risk assessments.
• Optimizes use of audits/tracers to monitor, report, and address the organization's clinical and environmental risk areas.
• Conducts evaluation and surveillance of patient and clinical processes, systems, and environments within hospital departments to assess regulatory compliance.
• Participates in the planning and facilitation of onsite and virtual accreditation surveys and regulatory complaint investigations.

Kenntnisse

Healthcare project mgmt

Regulatory compliance knowledge

MS Office proficiency

Communication skills

Analytical/problem solving

Multitasking

Relationship building

Ausbildung

Bachelor's degree

Master's degree preferred

Tools

Microsoft Office

Jobbeschreibung

Regions Hospital is seeking an Accreditation and Regulatory Compliance Specialist to lead accreditation and regulatory initiatives, enabling continuous readiness and a culture of high reliability in patient care.

The role collaborates with leaders across Regions and Methodist campuses to identify risks, develop corrective actions, and sustain compliance with TJC, CMS, MDH, and other agencies. Hybrid schedule with on-site work three days per week.