Regulatory Consultant

Banner Health; United States; Presencial; USD 90 000 - 120 000; Tempo integral

Resumo da oferta

Banner Health in Mesa, Arizona is seeking a Regulatory Consultant to support regulatory compliance, patient safety and quality care across east valley acute care facilities. The role includes on-site support during state surveys, mock surveys, coaching staff, and rounds, while also attending virtual meetings, data reviews, and other tasks remotely from home.

The schedule is 8AM - 4:30PM, Monday - Friday, with no weekends or holidays.

Qualificações

• Bachelor’s degree in nursing or healthcare field.
• Five years hospital experience plus three years regulatory experience.
• Ability to manage programs, projects and databases.
• Excellence in interpersonal and written communication.
• Flexibility in serving multiple constituencies with a service-oriented approach.
• Ability to lead and facilitate interdisciplinary teams.
• Strong analytic and problem solving capabilities.

Responsabilidades

• Implement regulatory requirements using standardized processes in facilities.
• Prepare facilities for surveys by evaluating infection prevention and life safety controls.
• Develop and update policies ensuring regulatory compliance with standards.
• Coordinate surveys, provide guidance during notices of surveyor arrival and post-survey activities.
• Educate leaders and staff on regulatory changes and gaps in compliance.
• Lead regulatory meetings and chair committees related to compliance.
• Monitor regulatory trends and report to senior leadership.
• Maintain ongoing regulatory expertise through study and professional engagement.

Conhecimentos

Regulatory compliance

Patient safety

Quality care

Interpersonal skills

Written communication

Formação académica

Bachelor's degree in nursing or healthcare field

Descrição da oferta de emprego

Primary City/State: Mesa, Arizona Department Name: Regulatory Readiness-Corp Work Shift: Day Job Category: Risk, Quality and Safety Innovation and highly trained staff.

Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care. As a Regulatory Consultant with Banner Health, your focus will be on supporting regulatory compliance, patient safety and quality care across several east valley acute care facilities. This role requires minimal travel but allows the opportunity to visit many Banner sites and play an enterprise-level role in organizational success. You will provide on-site support during state surveys, perform mock surveys to continuously assess compliance and coach staff and conduct rounds and team member education, while attending virtual meetings, data review and other tasks remotely from home. The schedule for this position is 8AM - 4:30PM, Monday - Friday, no weekends, or holidays. Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position plans, coordinates, implements and evaluates facility(ies)/entity(ies) and regulatory programs for preparedness and accreditation/certification/licensure requirements. This position acts as a subject matter expert to leadership, staff and system teams/work groups as related to regulatory requirements to ensure standards are met. Work processed by the incumbent is confidential and protected from discovery by subpoena pursuant to state, department of health services, the Joint Commission and CMS regulations.

CORE FUNCTIONS

1. Responsible for the implementation of regulatory requirements using standardized regulatory processes in one or more facilities/entities. Prepares facilities/entities for surveys by evaluating standardized infection prevention/control and Environment of Care (EOC)/Life Safety (LSC) regulatory processes. Reviews, evaluates and assists in the development and implementation of of facility/entity policies, procedures and guidelines as they relate to regulatory compliance. Makes recommendations on all facility matters related to compliance with Joint Commission, CMS, national/ state/local regulations and/or professional standards.
2. Conducts observations, tracers, building tours, document reviews and interviews to ascertain facility compliance with standards, rules and regulations. Documents findings and provides facility with reports and recommendations for change. Completes and updates the Joint Commission application.
3. Provides direction and education to facility functional team leads on completion of the Periodic Performance Review, standardized metrics and action plans for resolution of identified non-compliance with regulations and standards. Provides tools for ongoing measurement and reporting of compliance with regulatory standards. Supports development and monitors completion of facility plans of correction. Oversees and assists functional teams and department managers in the development of corrective actions.
4. Responds to notices of surveyor arrival at facilities by directing survey management activities, clarification of standards, support and assistance to the senior leadership team. Initiates and directs post survey activities to ensure the facility meets regulatory process requirements. Schedules and participates in unannounced corporate surveys system-wide. Works with facility leadership and staff to prepare for survey readiness. Identifies and coordinates compliance activities of regulatory content experts such as infection control and EOC/LS specialists.
5. Provides support and guidance to responders to life safety, environment of care, emergency management and infection control events. Evaluates events to ensure standards and regulatory requirements are not compromised.
6. Reports to senior leadership on compliance trends and recommends improvement strategies. Presents data and reports deficiencies identified during internal observations/tracers, and the status of implementation of action plans to senior leadership and at facility regulatory meetings. Reports facility survey readiness status on an ongoing basis. Updates senior leadership on system regulatory compliance trends and certification/accreditation bodies most frequently scored standards.
7. Serves as a subject matter expert on internal and external regulatory standards. Provides education to address regulatory changes and gaps in regulatory compliance. Provides guidance to leaders and staff to ensure they understand regulatory requirements. Serves on assigned committees, as chair or co-chair as appointed. Schedules and maintains regulatory meetings, updating the committees on current and future plans and procedures, capabilities and actions. Chairs the facility function team and is actively involved in the regulatory workgroup.
8. Maintains regulatory expertise through independent study as well as attending education workshops, tracking and reviewing regulatory changes, reviewing professional publications, establishing personal networks, and participating in professional societies.
9. This position has multi-facility responsibility, as well as involvement in system-wide regulatory activities. This position functions very autonomously and is responsible for education of leaders and staff system-wide on regulatory issues. Internal customers include: leaders, physicians and employees. External customers include: public regulatory bodies, surveyors and the community.

MINIMUM QUALIFICATIONS

• Requires knowledge as typically obtained through a Bachelor’s degree in nursing or other healthcare related field.
• Requires a strong knowledge of regulations and standards within area of focus as typically attained with five years relevant experience in a hospital setting, plus three years regulatory experience.
• Requires the ability to manage programs, projects and databases.
• Requires demonstrated excellence in interpersonal and written communication skills.
• Must possess demonstrated flexibility in responding to the needs of multiple constituencies with a service oriented philosophy.
• Demonstrated ability to lead and facilitate interdisciplinary teams.
• Requires ability to perform complex statistical analysis and highly developed problem solving skills.

PREFERRED QUALIFICATIONS

• Prior experience with in a surveyor role and experience in process improvement, regulatory/accreditation programs, data management and analysis, including graphic development and presentations is also preferred.
• For clinical assignments, current clinical license/certification preferred.
• For life safety and environment of care assignments, Certified Safety Professional (CSP), Certified Health Care Safety Professional (CHCSP) or similar certification preferred.
• Additional related education and/or experience preferred.

EEO/Disabled/Veterans

Our organization supports a drug‑free work environment.

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Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee. We are proud to offer a comprehensive benefit package for all benefit‑eligible positions. Please visit our Benefits Guide for more information.

Banner Health supports a drug‑free work environment.