Description

　　Introduction

　　Do you want to join an organization that invests in you as a(an) Manager of Regulatory Compliance? At HCA Florida JFK Hospital, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

　　Benefits

　　HCA Florida JFK Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

　　Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

　　Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

　　Free counseling services and resources for emotional, physical and financial wellbeing

　　401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

　　Employee Stock Purchase Plan with 10% off HCA Healthcare stock

　　Family support through fertility and family building benefits with Progyny and adoption assistance.

　　Referral services for child, elder and pet care, home and auto repair, event planning and more

　　Consumer discounts through Abenity and Consumer Discounts

　　Retirement readiness, rollover assistance services and preferred banking partnerships

　　Education assistance (tuition, student loan, certification support, dependent scholarships)

　　Colleague recognition program

　　Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

　　Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

　　Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

　　Note: Eligibility for benefits may vary by location.

　　You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Manager of Regulatory Compliance like you to be a part of our team.

　　Job Summary and Qualifications

　　The Manager of Regulatory Compliance is responsible for administration and oversight of all activities concerning the achievement of continuous regulatory, accreditation readiness, and quality excellence. The role provides oversight for matters including the Centers for Medicare and Medicaid Services (CMS), The Joint Commission (TJC), and other external agencies for regulatory compliance. This position works closely with facility leadership, and department leaders across the organization to support facilitation, development, and implementation of systems to ensure compliance.

　　Demonstrates understanding of compliance with the national patient safety goals as appropriate to their role.

　　Supports and participates in the goals of the organization’s quality improvement, risk management and patient safety program.

　　Follows established guidelines for reporting a significant medical error or unanticipated outcome in the patient's care which results in patient's harm.

　　Attends in-service presentations and completes mandatory education week, including, but not limited to, infection control, patient safety, quality improvement, MSDS and OSHA standards (PPE, First Aide and Bloodborne Pathogens, Hazardous Communications, Emergency Procedures and Job Safety).

　　Adheres to hospital/department dress code.

　　Is knowledgeable of the need to report actual and potential patient safety issues to their supervisor and/or through the facility occurrence reporting system as evidenced by verbalizing examples of reportable patient safety issues and appropriately submitting occurrence reports.

　　Demonstrates knowledge of the occurrence reporting system. Uses system to report potential patient safety issues.

　　Under the direction of the VP of Quality, oversees the day to day program and operations and provides oversight of all activities concerning the achievement of continuous regulatory and survey readiness. Ensures strategic and operational implementation of regulatory requirements, guidelines, and standards of federal, state, and local licensing agencies, accrediting and certifying organizations.

　　Directs strategic and operational implementation of regulatory requirements, guidelines, and standards of federal, state, and local licensing agencies, accrediting and certifying organizations, along with safety policies and procedures and professional standards of the organization.

　　Assists in the establishment of operational performance measurements and the monitoring of trends in key performance indicators to evaluate effectiveness, reliability, and efficiency

　　Maintains knowledge of current accreditation and regulatory trends, guidance, standards, and requirements to ensure facility survey readiness and compliance.

　　Establishes and maintains proactive system for continual survey readiness with key stakeholders and department leaders. Manages the system’s tracer process and audits where appropriate. Recommends monitoring activities and determines effectiveness of interventions to meet desired outcomes.

　　Develops and leads CMS, TJC, and state hospital licensure regulatory and quality compliance plan for the organization:

　　Monitors the organization’s survey readiness activities for compliance.

　　Identifies opportunities and notifies appropriate leaders of necessary changes.

　　Serves as an internal resource to address and resolve any accreditation questions or issues.

　　Coaches others in the development of accreditation improvement capabilities.

　　Identifies areas of improvement for the organization based on the information that flows through this position, working with others in the organization to encourage improvement.

　　Demonstrates knowledge and application of TJC standards and elements of performance, CMS Conditions of Participation, and state hospital licensure requirements.

　　Oversees activities related to safety regulations, ensuring that all TJC, CMS, and state guidelines for the physical Environment of Care standards at the facility remain compliant.

　　Prepares and distributes accurate and timely reports on quality and survey monitoring efforts regarding regulatory requirements and standards.

　　Manages post-survey activities. Works with key stakeholders to identify and address areas of non-compliance and to develop, submit, and implement plans of correction. Oversees post-survey compliance activities to ensure successful implementation of process changes. Monitors re-evaluation results to ensure performance improvement.

　　Collaborates with Compliance, Patient Safety/Risk Management to assure prompt investigation and resolution of patient grievances.

　　Develops and maintains strong, collaborative relationships with other key stakeholders, including infection prevention, nursing, patient safety, facilities, etc.

　　Performs other duties as assigned.

　　Practices and adheres to the “Code of Conduct” and “Mission and Value Statement.”

　　What qualifications you will need:

　　Bachelors degree or Master’s degree

　　Currently licensed as a registered nurse or health professional in the state(s) of practice and/or has an active compact license, in accordance with law and regulation.

　　License/certification (specify): Certified Professional in Healthcare Quality (CPHQ) - 12 months grace period (Or CHCQM). Certification in Healthcare Quality Management (CHCQM) - 12 months grace period (Or CPHQ).

　　1 – 3 years’ experience with 1+ years of technical and managerial experience in accreditation

　　HCA Florida JFK Hospital was named in honor of our 35 th president. We have grown and have four Palm Beach County locations. Our main campus is a 558-bed acute care facility. We are known for services including: emergency services, cardiovascular care, neurosciences and robotic surgery. We offer orthopedic and spine care, bariatrics, behavioral health and obstetrics. HCA Florida JFK Hospital is a Joint Commission certified Primary Stroke Center. We are a certified Ventricular Assist Device program. We are an American College of Cardiology Chest Pain Center. Our hospital is an American College of Surgeons Commission on Cancer accredited Comprehensive Community Cancer Program. We offer two off-site ERs in Palm Beach Gardens and West Boynton Beach. They provide the same emergency treatment for adults and children. We are located in the city of Atlantis. We are near the coastal cities of Lake Worth and Boynton Beach. We are by the beach, restaurants and shopping. There is something for everybody. We invite you to join a dynamic team of clinical professionals in a fast-paced environment while living in Palm Beach County.

　　HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

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　　"Good people beget good people."- Dr. Thomas Frist, Sr.

　　HCA Healthcare Co-Founder

　　We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Manager of Regulatory Compliance opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

　　We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.