Regulatory Coordinator

Phoenix Children's; Phoenix (AZ); On-site; USD 70,000 - 90,000; Full time

Job summary

Phoenix Children's seeks a Regulatory Coordinator to lead enterprise-wide accreditation and survey readiness, ensuring continuous preparation for announced and unannounced surveys and adherence to licensing laws, CMS Conditions of Participation, DNV standards, and other deeming agencies. The role coordinates cross-functional teams, drives process improvements, and communicates findings to leaders.

It requires strong change management, extensive knowledge of survey processes, and the ability to

Qualifications

• Experience with accreditation processes is desirable.
• Knowledge of CMS, DNV, and state licensing requirements is beneficial.

Responsibilities

• Expertise in accreditation process, leading change and managing projects.
• Integrates risk issues into operational improvements and monitors compliance.
• Scope includes inpatient and outpatient areas.
• Develops and manages a system for assessing organizational compliance and risk based on clinical data, tracers, mock surveys, and actual surveys.
• Provides quarterly updates to administrative leadership on progress and improvements.
• Acts as subject matter expert for DNV, CMS, and State licensing law interpretations.
• Leads internal efforts to prepare for unannounced surveys with actionable improvement plans.
• Facilitates accreditation-related teams and PI teams using performance improvement methodology.
• Communicates survey-related information across the organization and to local area leaders.

Job description

Regulatory Coordinator

Department: CORP | Accreditation and Regulatory

Location: Phoenix

Shift: Mon-Fri, Days, 8am-5pm

Category: Legal/Risk/Reg Compliance

Posting #: 1061726

Employee Type: Full-Time

Position Summary

The Regulatory Coordinator is a leader with expertise in the accreditation and survey process. This role has enterprise wide responsibility related to maintaining a continuous level of preparation for all announced and unannounced surveys. This position utilizes process improvement principles to evaluate and address adherence to state licensing laws, CMS Conditions of Participation, DNV standards or other deeming agencies.

Position Duties

• Expertise in accreditation process including but not limited to interpretation/assessment of standards and regulations, leading change, managing projects and issue resolution using collaboration and effective leadership skills.
• Understands and has expertise in accreditation process, internal assessments, monitoring and process improvement activities and integrates risk issues into operational improvements.
• Scope of work includes inpatient and outpatient areas.
• Develops and manages a comprehensive system for assessing organizational compliance and risk based upon clinical quality data and outcomes, concurrent observation of practices, tracer findings, mock survey findings, and actual survey findings.
• Provides at least quarterly updates on progress for organizational improvements aligns resources and communication this information to the appropriate administrative personnel.
• Serves as primary subject matter expert for DNV, CMS, and State licensing law interpretation.
• Leads all internal efforts to assess, improve and proactively prepare the organization for unannounced surveys with development of effective action plans to improve performance.
• Independently facilitates accreditation related teams and PI teams integrating expertise with Performance Improvement Methodology
• Proficient in change management and working effectively in multiple forums with multiple levels of staff. Uses subject matter experts externally as needed to ensure interpretation of regulations is accurate.
• Develops and manages an effective organization wide communication system related to all relevant survey related information including but not limited to the survey process, survey process changes, and compliance results, new and changes standards.
• Disseminates critical information and interpretation of standards and regulations enterprise wide. Prepares material pre, during the post survey to local area leaders, aligning accountability as appropriate.
• Performs miscellaneous job related duties as requested.

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

• Offering the most comprehensive care across ages, communities and specialties
• Investing in innovative research, including emerging treatments, tools and technologies
• Advancing education and training to shape the next generation of clinical leaders
• Advocating for the health and well-being of children and families

Values

• We place children and families at the center of all we do
• We deliver exceptional care, every day and in every way
• We collaborate with colleagues, partners and communities to amplify our impact
• We set the standards of pediatric healthcare today, and innovate for the future
• We are accountable for making the highest quality care accessible and affordable