Accreditation and Regulatory Program Manager Jobs in Omaha NE

Omaha, NE 68124

Posted: 08/14/2023 Industry: Healthcare Executive Job Number: JW25567562

Job Description

Join an award-winning pediatric hospital and the region's pediatric healthcare leader as an Accreditation and Regulatory Program Manager.

WHAT IS GREAT ABOUT THIS THIS OPPORTUNITY?

• Award-winning pediatric hospital

• Highly engaged and caring team

• $80000-$118000 plus sign-on/relocation bonus

• Great Benefits

• City offers family fun activities, excellent restaurants, large athletic events like the College World Series and Olympic Swim Trials, a world-class zoo, art and music, and a ton more

DO YOU ALIGN WITH THESE KEY QUALIFICATIONS?

• Bachelor’s degree in Nursing, Business, Healthcare Administration, Healthcare Information Management, or a related field from an accredited college or university required, Master’s degree preferred

• Minimum 3 years of experience in the healthcare-related industry required

• Minimum 3 years of experience with health care compliance and regulatory activities required

• Two years of project management experience and/or leadership experience preferred

• Current and valid Nebraska RN license/RN Compact license required if filled by a nurse.

• Current and valid Basic Life Support (BLS) required if filled by a nurse.

• Certified as Healthcare Accreditation Certified Professional or equivalent within 3 years of hire.

WHAT WILL YOU DO?

• Maintains up-to-date knowledge of TJC/CMS regulations for all applicable programs

• Ensures timely and appropriate communication of all new and updated regulatory requirements to provide guidance to the organization and clinical and non-clinical departments

• Facilitates the development and implementation of newly adopted clinical and non-clinical policies and procedures through active collaboration with the originating departments; facilitates the revision of current policies by providing direction in meeting and maintaining compliance with regulatory requirements

• Primary contact person for regulatory compliance throughout organization and provides direction to designated department leaders, monitors compliance with regulatory requirements at all levels of implementation

• Maintenance and support of the centralized survey tracer and audit database which provides tools to assist with a consistent assessment of organizational and departmental compliance with regulatory requirements

• Leads in the internal mock survey program, which includes planning, development of tools, training, conducting mock surveys, reporting findings, and follow-up as needed

• Works with leadership to plan, facilitate, participate, and follow up on findings of consultative surveys which include scheduling, contracting, and billing

• Performs walking rounds regularly to mentor leaders and staff and reinforce expected practices related to TJC, CMS, state law and regulation, and organizational policy/procedure

• Works with the Marketing Department to maintain and refresh the TJC resources available to staff on the internal intranet site.

• Leads annual intracycle monitoring, report findings and develop action plans, while monitoring metrics as required

• Oversee TJC website and communicate to appropriate audiences. Maintains necessary documents

• Leads survey preparations and serves as a leader during an actual survey by escorting and organizing other survey escorts/scribes

• Oversees and provides training to command center staff during a survey

DO YOU WANT TO KNOW MORE?

If you have a background that lines up well with the Accreditation and Regulatory Program Manager description and are interested in learning more about this opportunity, apply below NOW!

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