What are the responsibilities and job description for the Accreditation/Regulatory Internal Assurance Mgr position at Miami Childrens Hospital?
Job Summary
The Accreditation Regulatory Internal Assurance Manager supports all Nicklaus Children's Health System's (NCHS) entities in accreditation and regulatory readiness & services. Responsible for developing, implementing, maintaining, and enhancing mechanisms to track, trend, and report Accreditation & Regulatory measures and compliance reports to the NCHS entities. Assists and/or leads in the preparation, coordination, and execution of efforts related to Det Norske Veritas (DNV) or equivalent National Accreditation entity and other regulatory & governmental agency surveys. Serves as an expert & supports the department in maintaining its constant state of readiness for all NCHS surveys and continuous process improvement needs to meet regulatory compliance.
Job Specific Duties
- Supports all Nicklaus Children's Health System's (NCHS) entities in accreditation and regulatory readiness & services.
- Responsible for developing, implementing, maintaining, and enhancing mechanisms to track, trend, and report Accreditation & Regulatory internal assurance measures and compliance reports to the NCHS entities.
- Assists and/or leads in the preparation, coordination, and execution of efforts related to Det Norske Veritas (DNV) or equivalent National Accreditation entity and other regulatory & governmental agency surveys.
- Serves as an expert & supports the department in maintaining its constant state of readiness for all NCHS surveys and continuous process improvement needs to meet regulatory compliance.
- Analyzes departmental requirements to ensure quality services for internal and external customers aligns with organization's visions and values.
- Maintains a catalogue of all regulatory & accreditation activities.
- Maintains knowledge of standards, updates to standards, compliance of regulatory requirements through comprehensive document review, analysis, reporting, and summarizing of data.
- Directly supervises and coordinates activities of extraction workers.
Minimum Job Requirements
- Bachelor's Degree in Business Healthcare, or related field required
- 1-3 years' experience supporting accreditation efforts that include working with state and other regulatory agency representatives, and served as a lead, coordinator, command center representative, escorted agency representatives and/or functioned as a scribe during agency surveys
- 4-7 years' experience working in healthcare regulatory setting involving accreditation & regulatory preparation and CMS Conditions of Participation standards
Knowledge, Skills, and Abilities
- Master's degree in healthcare related field preferred.
- Quality review, analysis, and reporting as well as quality background preferred.
- Experience with at least three (3) DNV or CMS deemed authority surveys.
- Previous experience in regulatory compliance and or quality improvement is strongly preferred.
- Exceptional attention to detail & presentation skills.
- Excellent verbal, written, and interpersonal communication skills and time management.
- Ability to analyze data and regulatory requirements.
- Ability to interact and consult effectively with leaders, staff, and physicians as well as regulatory bodies.
- High degree of professional judgement, flexibility, and professionalism.
- Experience with informal and formal development of educational programs, policies & procedures, plans and project management skills preferred.
- Advanced knowledge of computer spreadsheets and database management.
- Expert in the fundamental principles of business management, quality management, and performance improvement preferred.
- Demonstration in the understanding and applicability of organizational behavior.
- Independent and creative problem solving to handle complex time sensitive projects.
- Ability to drive to all Nicklaus Children's Health System entities.
