Manager Of Regulatory Services

Manager Of Regulatory Services

Serves as a point person providing leadership and support to assure a strong collaborative relationship throughout the hospital operations teams. Acts as a communication link for all the organizational accreditation processes, leading the clinical support teams such as Accreditation, Infection Prevention, and Employee Health. Ensures licensing and accreditation by keeping up to date on the requirements for new, expanding, and existing facilities/services in relation to relevant accrediting standards. Consults with departments to ensure certification and conduct basic gap analysis for cases assigned. Serves as the subject matter expert by maintaining internal accreditation, infection prevention, and employee health policies and overseeing organizational compliance of these policies. Develops content and participates in development of education programs to align policies with regulatory requirements.

Job Requirements:

• Thorough knowledge and application of hospital accreditation requirements.
• Knowledge of professional nursing/health care standards and infection prevention.
• Must demonstrate managerial ability, organizational skills, and excellent communication skills.
• Ability to observe deficiencies and formulate actions to correct the situation, make assessments and recommendations, and educate healthcare professionals on regulatory needs.
• Ability to remain professional and exhibit a spirit of helpness.
• Ability to read, analyze, and interpret complex written documents such as professional journals, medical records, technical procedures, governmental regulations, and safety rules.
• Ability to interact with other agencies and community members.
• Ability to work with the governing body, management, medical staff, and other leaders in the hospital.

License/Certification:

• Current Oregon RN License preferred.
• Other clinical licensures will be considered, for example, Physical Therapist, Occupational Therapist, Speech and Language Pathologist.
• Preferred Credential from the Healthcare Accreditation Certification Program (HACP).

Education and/or Experience:

• Associates Degree or higher required; Bachelors degree preferred.
• At least 5 years' experience in a clinical setting with regulatory guidelines preferred.
• Preferred experience in Accreditation, Quality, or Infection Prevention.

Physical Demands and Work Environment Conditions / ADA Compliance:

• Position involves standing, walking, stooping, and occasional carrying and lifting of lightweight materials (up to 20 pounds).
• May be required to sit for extended periods of time.
• Requires visual acuity and depth perception to recognize 100% words and numbers; and hand and finger dexterity and hand/eye coordination to use a computer keyboard and common office equipment.