Regulatory Compliance Specialist

Spectrum Health; Grand Rapids (MI); Sur place; USD 70 000 - 110 000; Plein temps

Avantages offerts par ce poste

Comprehensive benefits package

On-demand pay program Payactiv

Discounts directory on health and well

Identity protection and insurance

Résumé du poste

Corewell Health in Grand Rapids is seeking a Compliance and Accreditation professional to assist with management of standards, laws and regulations. You will support audits, investigations, and corrective actions, while helping develop and maintain compliant policies and procedures across the organization.

This role requires a Bachelor's degree and 2 years of relevant experience, with CHC preferred. The team emphasizes a culture of compliance and continuous improvement within a large health

Qualifications

• Bachelor's degree or equivalent in Business, health care operations, nursing or related area.
• 2 years of relevant experience.
• Experience in an organization of size and complexity of Corewell Health.
• Preferred CRT-Healthcare Compliance, Certified (CHC) - HCCA Health Care Compliance Association.

Responsabilités

• Assists with management of compliance and/or accreditation standards, laws, rules and regulations.
• Supports audits and investigations of compliance and/or accreditation concerns; documents findings and follows up to complete resolution.
• Supports development, implementation and maintenance of process improvements and policies ensuring compliance with laws and standards.
• Maintains knowledge of laws, regulations and standards impacting healthcare delivery.

Connaissances

Compliance knowledge

Formation

Bachelor's degree or equivalent

Description du poste

Job Summary

Assists with management of compliance and/or accreditation standards, laws, rules and regulations. Supports the resolution of compliance and/or accreditation investigations and follows up with various parties to assure complete resolution. Supports the management and administration of the Compliance and/or Accreditation Plan(s). Identifies root causes and assures plans and standards are in place including development, education and implementation of related procedures and policies. Maintains thorough knowledge of compliance and/or accreditation policies, procedures, issues, and trends.

Essential Functions

Supports audits and investigations of compliance and/or accreditation concerns; performs necessary research, documents findings, and follows up with applicable parties through complete resolution. Collects, collates, monitors and audits data and activities to assure accuracy and to prevent, detect and correct non-compliance, illegal activities, and potential or actual fraud, waste or abuse. Supports regulatory surveyor site visits including preparation and corrective action response. Exercises administrative judgment and assumes responsibility for decisions, consequences and results having an impact on people, costs, and quality of service. Assists with the development, implementation and maintenance of process improvement including departmental and/or organizational policies, procedures and methodologies and medical record design - assuring compliance with laws, regulations and standards while using accumulated data. Reviews and monitors adherence to documented plans and programs including the Code of Excellence. Assists in the review of regulatory standards, evaluation of the level of compliance, identification of challenges, proposal of solutions, monitoring of compliance and management of evidence documents. Assists with continuous readiness activities. Collaborates with operational and other areas in investigations and to implement ongoing risk identification and mitigation measures. Proactively consults with operational areas and leadership through both formal (meetings, education) and informal means. Maintains knowledge of laws, regulations and standards impacting healthcare delivery. Applies laws, regulations and standards in daily situations while educating others through various means including formal training and education. Performs or supports related assessments to assure compliance to laws, regulations, standards and policies and procedures. Assists in a variety of projects related to compliance and accreditation. Identifies best practices and research and evaluates its implementation within our organization. Assists in the development of recommendations and action plans. Maintains attention to detail, documents details appropriately, and effectively articulates recommendations and outcomes both verbally and in writing in both small and large group forums.

Qualifications

Required Bachelor's Degree or equivalent Business, health care operations, nursing or other related area, or equivalent combination of education and experience. 2 years of relevant experience. Related Experience Required Working in a organization of size and complexity of Corewell Health. Preferred CRT-Healthcare Compliance, Certified (CHC) - HCCA Health Care Compliance Association.

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status

Primary Location

SITE - Corewell Health Place - 100 Corewell Drive NW - Grand Rapids Department Name System Compliance - Corporate Employment Type Full time Shift Day (United States of America) Weekly Scheduled Hours 40 Hours of Work 8 a.m. - 5 p.m. Days Worked Monday to Friday Weekend Frequency N/A

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief. Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

People are at the heart of everything we do, and the inspiration for our legacy of outstanding outcomes, innovation, strong community partnerships, philanthropy and transparency. Corewell Health is a not-for-profit health system that provides health care and coverage with an exceptional team of 60,000+ dedicated people—including more than 11,500 physicians and advanced practice providers and more than 15,000 nurses providing care and services in 22 hospitals, 300+ outpatient locations and several post-acute facilities - and Priority Health, a provider-sponsored health plan serving more than 1.2 million members. Through experience and collaboration, we are reimagining a better, more equitable model of health and wellness.