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Accreditation/Regulatory Internal Assurance Mgr

Nicklaus Children's Hospital
Miami, FL Full Time
POSTED ON 2/28/2025
AVAILABLE BEFORE 5/24/2025

Description

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.

Qualifications

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.
  • Job : Professional

    Primary Location :

    Florida-Miami-Nicklaus Children's Hospital - Main Hospital Campus

    Department :

    ACCREDITATION ®ULATORY-1000-910921

    Job Status

    Full Time

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