Regulatory Affairs Specialist

3 days ago

Richmond, Virginia, United States Virginia Commonwealth University Health Systems Full time
Job Summary

This role is 100% on-site in Richmond, VA, and requires current RN licensure in Virginia or an eligible or compact state. The Regulatory Affairs Coordinator maintains regulatory survey readiness and coordinates scheduled and unannounced regulatory compliance activities for the assigned VCUHS clinical program area(s).

Key Responsibilities
  • Maintains expert knowledge of regulations and rulings affecting the organization.
  • Uses regulatory expertise to make interpretations and decisions to promote compliance.
  • Led and/or participates in the ongoing education, advisement, and training of employees on regulatory matters in the assigned area(s).
  • Coordinates scheduled and unannounced regulatory compliance activities.
  • Develops and implements Joint Commission Evidence of Standard Compliance and facilitates the Measure of Success to compliance sustainability.
  • Experience developing and implementing CMS-2567 Plan of Correction and managing unannounced accreditation and regulatory surveys.
Requirements
  • Minimum of five (5) years clinical practice experience in one or more of the following areas: Acute Care, Transplant, Dialysis, Ambulatory Care, and/or Ancillary Services.
  • Two (2) years of experience in staff education, professional development (orientation, preceptorship, in-services education, etc.) or survey preparation and coordination.
  • Previous experience with regulatory requirements for multiple regulatory agencies.
  • Previous direct participation in performance improvement activities/processes.
  • Coaching and consultation experience.
  • Experience facilitating and/or leading interdisciplinary groups/committees.
  • Experience developing and making complex presentations to senior leadership.
Preferred Qualifications
  • Experience developing and implementing Joint Commission Evidence of Standard Compliance and facilitating the Measure of Success to compliance sustainability.
  • Three (3) years of experience in survey preparation and coordination.
  • Experience developing, implementing, and reporting on CMS-2567 Plan of Correction.
  • Direct experience managing unannounced accreditation and regulatory surveys.
  • Previous experience in an academic medical center environment.
  • Previous experience developing and implementing new programs.
Education/Training
  • Bachelor's Degree in nursing.
  • PREFERRED: Bachelor's or Master's Degree from an accredited School of Nursing.
  • Masters degree in Healthcare Administration, Business Administration, or other healthcare-related field from an accredited program.
Additional Position Requirements
  • Some after hours, weekend work and/or flex scheduling will be required to meet deadlines.
  • Excellent verbal, written, and interpersonal communication skills.
  • Excellent organizational skills and attention to detail.
  • Good working knowledge and proficiency in Adobe and Microsoft Office 365 products (Word, Excel, Outlook, PowerPoint, Teams, Visio, etc.).
Independent Action

All day-to-day operations of the Regulatory Affairs Coordinator are conducted independently with advice and guidance being sought from the Manager on an as-needed basis or when there is a major impact on activity outside the unit.

Position involves direct communication with all regulatory agencies, so the incumbent must use critical thinking, quality decision-making, and verbal communication skills readily.

Position requires direct communication and relationship building with all levels of employees across the organization for the purpose of education and dissemination of regulatory requirements knowledge.

Incumbent makes decisions regarding standard interpretation and provides organization guidance in the specialty area(s) assigned.

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