Program Manager, Regulatory Operations - Full Time Days

Texas Health Resources; Dallas (TX); On-site; USD 95,000 - 135,000; Full time

Benefits offered by this job

401k

PTO

Medical insurance

Dental insurance

Paid Parental Leave

Flexible spending

Tuition reimbursement

Student loan repayment

Job summary

Texas Health Resources in Dallas is seeking a Program Manager, Regulatory Operations to lead regulatory interpretation and ensure compliance with Joint Commission, CMS and other bodies, using data to drive quality, safety and cost-effectiveness.

You will coordinate the Joint Commission survey, conduct regulatory tracers, train staff on standards, and review policies to sustain accreditation and patient safety across the organization.

Qualifications

• Bachelor's degree in healthcare with 3 years of experience required.
• Master's degree in healthcare with 3 years of experience preferred.
• Five years of experience in a healthcare setting required.
• Three years of regulatory compliance and accreditation required.
• RN license upon hire required or other clinical licensure upon hire.
• CPHQ or CPPS certification within three years of hire required or preferred.

Responsibilities

• Accesses/interprets regulatory standards; explains impact on quality, safety and cost-effectiveness.
• Coordinate the Joint Commission survey process and other regulatory surveys.
• Conduct regulatory tracers based on risk assessments to ensure compliance with Joint Commission, CMS and others.
• Provide regulatory/accreditation training to staff as needed.
• Review policies and procedures to ensure adherence to standards.
• Proactively review upcoming standards and communicate regulatory updates.

Skills

Regulatory compliance

Healthcare quality

Policy interpretation

Data-driven decision making

Education

Bachelor's degree in healthcare

Master's degree in healthcare (preferred)

RN license or other clinical licensure

CPHQ certification (within 3 years)

CPPS certification (within 3 years)

Job description

Program Manager, Regulatory Operations

26007996

Bring your passion to Texas Health so we are Better + Together

Work location: Texas Health Dallas, 8200 Walnut Hill Ln, Dallas, TX 75231

Work hours: Full Time, 40 Hours

Departmental Highlights

• Opportunity to work with all levels of the healthcare team (staff, providers, executive leaders)
• Positively impact a wide variety of departments across the entire organization
• Use information and data to drive changes
• Engage with regulatory and healthcare standards to help maintain patient safety and hospital compliance

Here's What You Need

• Bachelor's degree in healthcare with 3 years of experience required
• Master's degree in healthcare with 3 years of experience preferred
• Five years of experience in a healthcare setting or environment required
• Three years of regulatory compliance and accreditation required
• RN - Registered Nurse upon hire required or
• Other clinical licensure upon hire required and
• CPHQ - Certified Professional in Healthcare Quality within three years of hire required or
• CPPS - Certified Professional in Patient Safety within three years of hire required

What You Will Do

• Accesses/interprets/explains applicable regulations and standards; communicates the impact and criticality of the applicable standards, including the added benefit to quality, safety and cost-effectiveness based on evidence-based practices. Use clinical knowledge and expertise to observe patient care, review documentation in the medical record, and evaluate compliance.
• Coordinate the entity triennial Joint Commission survey, support all JC disease specific surveys and other state regulatory surveys.
• Conduct entity level regulatory tracers based on annual and periodic risk assessments, to ensure compliance with Joint Commission, CMS and other regulatory bodies and requirements.
• Provide informal and formal regulatory/accreditation training to the entity as needs are identified.
• Review system and entity-based policies and procedures to ensure they adhere to regulatory standards.
• Proactively review upcoming standards and impacts and communicate regulatory updates.

For more than a half-century, Texas Health Dallas has been at the forefront of health care in North Texas. We're an 875-bed, Magnet-designated, full-service hospital serving our community in and around Dallas since 1966. We specialize in cancer care, cardiology, neurosciences, women's services and emergency medicine, we've got it. Plus, we're a renowned Level III neonatal intensive care unit, a Comprehensive Stroke and Bariatric Surgery Center of Excellence and provide wellness services, outpatient surgery and women's imaging services. Texas Health Dallas is a joint Commission-certified Comprehensive Stroke Center, a Level I Trauma Center, a Comprehensive Heart Attack Center, and a designated Magnet hospital. We're a top choice in North Texas for cancer and emergency services, bariatric services, cardiac care and much more. As part of the Texas Health family and its 28,000+ employees, we're one of the largest employers in the Dallas Fort Worth area. Our career growth and professional development opportunities are top-notch and our benefits are equally outstanding. Come be a part of our exceptional team as we improve the health of the people in our communities every day. You belong here.

Additional Perks Of Being a Texas Health Employee

• Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program, as well as several other benefits.
• Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice.
• Strong Unit Based Council (UBC).
• A supportive, team environment with outstanding opportunities for growth.

Learn More About Our Culture, Benefits, And Recent Awards.