Coordinator Accreditation and Regulatory Affairs

Thank you for considering a career at Bon Secours Mercy Health! Scheduled Weekly Hours: 40 Work Shift: Days (United States of America) Provides coordination for accreditation activities for multiple assigned hospitals, sites and/or functions. Works collaboratively with multiple facilities and departments to facilitate systems and/or sub-systems that support accreditation, licensure, regulatory compliance by supporting quality and patient safety. Works with site leaders to coordinate responses to issues related to accreditation compliance. Identifies and coordinates strategies to facilitate identification of compliance opportunities as measured by Joint Commission standards, CMS, state regulations, and other regulatory bodies. Responsible for facilitating implementation of strategies to ensure that the organizations are engaged in an effective, cooperative effort directed at the realization of the identified project scope and objectives. Travel required as needed to all hospitals in Youngstown and Lorain Markets. Job Functions Works with facility leaders to coordinate & facilitate organization-wide preparation strategies and activities to move to a state of continued compliance and survey readiness. In collaboration with Leadership and Quality, contributes to and implements strategy and tactics designed to achieve best in class performance as measured by external standards. Engages in ongoing assessment and improvement of an accreditation support infrastructure. Consults on accreditation and safety matters. Facilitates collaboration across functions in relation to improving performance. Advises site teams on viable compliance strategies based on risk stratification. Communicates regulatory changes, new standards, licensure requirements, compliance strategies, and risk reduction opportunities to facility leaders. Coordinates key functions and strategies that assess and improve organizational performance as measured by accreditation standards and regulatory requirements. Facilitates educational sessions that enable leaders, employees, and medical staff(s) to understand standards and justifications for the changes as required by regulatory & accreditation standards. Creates and distributes tools and documents to enable site-based tracers and accreditation compliance surveillance. Collaborates with site quality, risk, department, and facility leaders on compliance improvement activities. Provides active support to the site point of contact for regulatory surveys. Provides assistance and direction in survey components including but not limited to document selection, chart identification, staff interview preparation, other risk-mitigation strategies. Communicates with and justifies to surveyors on the organization’s behalf, current practice and processes that demonstrate compliance. Coordinates and provides direction for responses to regulatory bodies. Participates in the development of post survey and complaint action plans and evidence of standards compliance. Required: 4 year/ bachelor's degree, nursing or healthcare preferred. 5 years healthcare experiences, foundational working Preferred: Graduate Degree (Masters), Nursing or healthcare Bon Secours Mercy Health is an equal opportunity employer. Many of our opportunities reward* your hard work with: Comprehensive, affordable medical, dental and vision plans Prescription drug coverage Flexible spending accounts Life insurance w/AD&D Employer contributions to retirement savings plan when eligible Paid time off Educational Assistance And much more *Benefits offerings vary according to employment status. Department: SS Quality - Accreditation It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health– Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com. For nearly 200 years, the historical founders of Bon Secours Mercy Health has been providing care to those in need. Today, the ministry is one of the top 20 health systems in the United States and part of the top performing quartile of Catholic health systems for lowest cost per case for patient care. This quality care is provided by more than 57,000 employees serving communities throughout Florida, Kentucky, Maryland, New York, Ohio, South Carolina and Virginia. The health care ministry provided care for patients more than 10.3 million times in 2017 through its network of more than 1,000 care sites. Consistent with its commitment to serve each patient with dignity, Bon Secours Mercy Health provides nearly $2 million per day in community benefit. The Mission of Bon Secours Mercy Health is to extend the compassionate ministry of Jesus by improving the health and well-being of its communities and bring good help to those in need, especially people who are poor, dying and underserved. For more information, visit www.bsmhealth.org.

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