Coordinator of Accreditation and Regulatory Services

Thank you for considering a career at Bon Secours! 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 Maryview Medical Center, Mary Immaculate, Southampton Medical Center, Southern Virginia Medical Center, & Southside Regional 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 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. Bon Secours is part of Bon Secours Mercy Health and is a not-for-profit Catholic health system sponsored by Bon Secours Ministries and founded by the Sisters of Bon Secours. With operations in Maryland, Virginia, South Carolina, Kentucky, Florida and New York, Bon Secours owns, manages, or joint ventures 20 hospitals and 27 post-acute care facilities or agencies including skilled nursing facilities, home care and hospice services, and assisted living facilities. Consistent with its commitment to alleviate human suffering, Bon Secours has developed more than 800 affordable housing units for low income families. Bon Secours has more than 24,000 employees and has been recognized as a Gallup Great Workplace for six consecutive years. The Mission of Bon Secours is to bring compassion to health care and to be Good Help to Those in Need, especially those who are poor and dying. For more information, visit www.BonSecours.com.