Regulatory Coordinator

Phoenix Children's Hospital, Inc.; Phoenix (AZ); On-site; USD 65,000 - 85,000; Full time

Job summary

Phoenix Children's Hospital, Inc. is seeking a Regulatory Coordinator to lead enterprise-wide accreditation efforts and maintain continuous survey readiness for announced and unannounced visits.

You will interpret CMS and DNV standards, coordinate cross-functional teams, drive process improvements, and communicate findings to hospital leadership. This full-time, day-shift role is based in Phoenix and supports the CORP | Accreditation and Regulatory department.

Qualifications

• Two years project management/coordination in a team environment
• Three or more years experience in acute care
• Working knowledge of DNV standards, CMS Conditions of Participation, and State licensing laws

Responsibilities

• Expertise in accreditation processes; lead change and manage projects.
• Develops system for assessing compliance and risk using clinical data and survey findings.
• Serves as subject matter expert for DNV, CMS, and State licensing law.
• Leads internal efforts to prep for unannounced surveys with action plans.
• Facilitates accreditation and PI teams using Performance Improvement Methodology.
• Develops organization-wide communication on survey information and standards.
• Performs miscellaneous duties.

Skills

Project management

Coordination

Education

Bachelor’s Degree in Healthcare field

Master’s Degree in Healthcare Field and/or project management certification

Advanced training in related/aligned specialty certification programs

Job description

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 communications 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

Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.

Education

Do you meet this requirement or have the ability to obtain it within the timeframe listed in the requirement?

• 1. Bachelor’s Degree in Healthcare field, or equivalent combination of post-secondary education and related work experience. Required Yes No
• 2. Master’s Degree in Healthcare Field and/or project management certification. Preferred Yes No
• 3. Advanced training in related/aligned specialty certification programs Preferred Yes No

Experience

Do you meet this requirement or have the ability to obtain it within the timeframe listed in the requirement?

• 1. At least two (2) years project management/coordination in a team environment; coordinating multiple projects. Required Yes No
• 2. Three or more years of experience in acute care environment. Required Yes No
• 3. Working knowledge of DNV standards, CMS Conditions of Participation, and State licensing laws required. Required Yes No

Additional Requirements

Do you meet this requirement or have the ability to obtain it within the timeframe listed in the requirement?

• 1. Professional Certification in aligned area (healthcare quality, joint commission, project management) Preferred Yes No

Physical Requirements & Occupational Exposure/Risk Potential

• 1. Physical Requirement - Climbing - Occasional
• 2. Physical Requirement - Feeling (sensing textures and temperatures) - Frequently
• 3. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) - Constantly
• 4. Physical Requirement - Hearing - Constantly
• 5. Physical Requirement - Pushing/pulling - Occasionally
• 6. Physical Requirement - Reaching - Occasionally
• 7. Physical Requirement - Sitting - Frequently
• 8. Physical Requirement - Standing - Occasionally
• 9. Physical Requirement - Stooping/crouching/kneeling/crawling - Occasionally
• 10. Physical Requirement - Talking - Constantly
• 11. Physical Requirement - Tasting/smelling - Occasionally
• 12. Physical Requirement - Walking - Frequently
• 13. Physical Requirement - Near Vision - Frequently
• 14. Physical Requirement - Far Vision - Frequently
• 15. Physical Requirement - Color Discrimination - Occasionally
• 16. Physical Requirement - Use of keyboard, mouse and/or computer equipment - Constantly
• 17. Physical Requirement - Lift up to 35 pounds without assistance - Occasionally
• 18. Occupational Exposure/Risk Potential - Inside office environment - Applicable