Regulatory Compliance Specialist

2 weeks ago


Westminster, Maryland, United States LifeBridge Health Full time
Job Title: Regulatory Compliance Specialist

LifeBridge Health is seeking a highly skilled Regulatory Compliance Specialist to join our team. As a key member of our accreditation and regulatory readiness team, you will be responsible for ensuring our hospital's compliance with The Joint Commission (TJC) accreditation standards and CMS Conditions of Participation (CoPs), as well as other state and federal regulatory agencies.

Key Responsibilities:
  • Lead hospital and system-wide activities to evaluate and improve adherence to TJC accreditation standards and CMS CoPs.
  • Facilitate and ensure ongoing readiness for accreditation surveys and regulatory complaint investigation surveys.
  • Establish and sustain organization-wide processes and systems to maintain compliance with TJC standards, CMS CoPs, COMAR regulations, and State Agency - Office of Healthcare Quality (OHCQ) requirements.
  • Monitor compliance with regulatory standards and organizational policies and procedures by monitoring tracer completion, results, and data.
  • Provide regulatory planning support for initiatives related to the development and implementation of clinical and administrative programs throughout our hospital.
  • Assist with external regulatory agency reviews and on-site surveys as needed.
Requirements:
  • Seasoned professional knowledge; equivalent to a Master's degree; knowledge in more than one discipline.
  • Bachelor's degree in Organizational Development, Healthcare Administration, or related healthcare field.
  • 5-7 years of experience in regulatory compliance and accreditation.
  • Proficient in managing databases, creating data reports, and interpreting statistical reports.


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