Regulatory Compliance Nurse Coordinator

HCA Healthcare

Nashville (TN)

On-site

USD 75,000 - 110,000

Full time

14 days+
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Benefits offered by this job

Comprehensive benefits
Wellbeing support
Paid time off and family leave
401(k) match

Job summary

TriStar Summit Medical Center is seeking a Regulatory Compliance Nurse Coordinator to design and implement systems ensuring continual regulatory, licensure, and accreditation compliance. The role centers on audits, survey readiness, and coordinating state and federal survey activity.

The ideal candidate holds a Tennessee RN license (or compact state), BLS, and 3 years of clinical experience, with a preference for CPHQ. On-site work with a strong focus on education and policy review is expected.

Qualifications

  • RN license in Tennessee (or compact state).
  • Current BLS certification.
  • 3 years clinical experience.
  • Experience with regulatory compliance and survey readiness.
  • CPHQ certification preferred.

Responsibilities

  • Organize and conduct internal audits to measure survey readiness.
  • Track and trend regulatory compliance issues.
  • Prepare quarterly leadership report.
  • Coordinate PPR completion and submission.
  • Coordinate QRS Survey and all on-site regulatory surveys.
  • Identify resources to correct regulatory deviations.
  • Oversee survey responses and action plans.
  • Educate hospital staff on regulatory requirements.

Skills

Regulatory compliance
Audit & survey readiness
Nursing
Healthcare regulations
Leadership
Education of staff

Education

Bachelor of Science in Nursing
Graduate of an Accredited School of Nursing

Job description

Do you want to join an organization that invests in you as a Regulatory Compliance Nurse Coordinator? At TriStar Summit Medical Center, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Job Summary and Qualifications

The Regulatory Compliance Nurse Coordinator is accountable for designing and implementing systems to ensure a state of continual regulatory, licensure and accreditation compliance.

What you will do in this role:
  • Organize, schedule, and conduct internal audit processes to measure survey readiness (mock surveys, tracer activities, etc.).

  • Track and trend regulatory compliance issues.

  • Prepare quarterly leadership report regarding regulatory compliance.

  • Assure measurement of all required PPR elements.

  • Coordinate PPR completion and submission.

  • Coordinate QRS Survey.

  • Coordinate all on site regulatory, licensure, and accreditation surveys including but not limited to The Joint Commission, American College of Surgeons, State Department of Health, CMS, CAP/AABB, Radiology (i.e. mammography), Pharmacy, OSHA, FDA, and Disease certification.

  • Identify resources to correct deviations from regulation.

  • Oversee survey response and action plan compliance (i.e. measures of success).

  • Control all regulatory, licensure, and accreditation documents.

  • Monitor and act on rule/regulation/standard changes.

  • Educate hospital staff, medical staff, and leadership regarding regulatory requirements/changes.

  • Provide input on service or process design to assure regulatory compliance.

  • Provide direction to policy/procedure review/revision to assure regulatory compliance.

  • Conduct annual State and CMS regulatory compliance assessment.

  • Facilitate functional groups to ensure regulatory compliance and improvement activities.

What qualifications you will need:
  • Graduate of an Accredited School of Nursing required; Bachelor of Science in Nursing preferred.

  • Current licensure as a Registered Nurse (RN) in the state of Tennessee or compact state required.

  • American Heart Association or Red Cross BLS required.

  • Experience with regulatory compliance and survey readiness required.

  • 3 years of clinical experience required.

  • Healthcare management experience preferred.

  • CPHQ certification preferred.

Benefits

TriStar Summit Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services

  • Wellbeing support, including free counseling and referral services

  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence

  • Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling

  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing

  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location.

TriStar Summit is a 230+ bed comprehensive facility. We serve Davidson, Wilson and surrounding counties. We include a Level III Trauma Center. We offer a full array of acute care services. These include cardiology, oncology, orthopaedics/spine, rehabilitation and women’s services. We are an Accredited Chest Pain Center with PCI. We are a Primary Stroke Center. TriStar Summit is a leading provider of emergency heart and stroke care.

"Good people beget good people."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

Our Talent Acquisition team is reviewing applications for our Regulatory Compliance Nurse Coordinator opening.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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