Regulatory & Compliance HC Spec 4- Surgery Admin- F/T, Day Shift

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.

To learn more about UCI Health, visit www.ucihealth.org.

Position Summary:

Utilizes technical expertise and knowledge as the subject matter expert and primary resource across the organization and within a specialized area to support the coordination of regulatory affairs, accreditation, and licensing activities. Provides consultative services and independently performs assessments and consults with legal, operations, and risk management as needed on a wide range of functions and quality assurance related to tissue bank and other related areas. Ensure systems and controls meet regulatory requirements, researches best practices, and evaluates the organization’s needs. Submits necessary documentation to regulatory/accreditation entities, such as the California Department of Public Health (CDPH), The Joint Commission (TJC), and Centers for Medicare and Medicaid (CMS). Involves the review and evaluation of healthcare regulatory compliance controls and programs. Develops regulatory policies and systems from a strategic perspective to better integrate compliance and regulatory standards. Develops reports, database systems, and procedures to keep abreast of regulatory and compliance issues, trends, and activities. Provides education and consultation to hospital and medical staff regarding the integration of compliance regulatory standards with programs and operations. Acts as a channel of communication to direct compliance issues to appropriate resources for investigation and resolution.

Total Compensation

We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.

Required Qualifications:

• Demonstrated ability to problem solve, think critically and creatively, and provide leadership through a consultative role
• Strong knowledge of CMS Conditions of Participation, Federal and State (Titles 22 & 24) regulations, and The Joint Commission accreditation standards. experience in a key role in CMS and Joint Commission surveys
• Ability to establish and maintain effective working relationships across the Health System
• Ability to maintain a work pace appropriate to the workload
• Must demonstrate customer service skills appropriate to the job
• Excellent written and verbal communication skills in English
• Bachelor's Degree in a health-related field, RN, or equivalent experience in Quality & Patient Safety
• Ability to manage numerous diverse projects simultaneously through effective priority setting
• Must have excellent presentation and computer skills
• Must be able to work flexible hours and locations based on the organization's needs
• Minimum of five years’ experience in a quality or regulatory role within a hospital or health care organization to include tissue bank compliance
• Knowledge of Good Laboratory Practices (FDA, CAP, TJC, AABB, CDPH)
• Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
• Strong analytical skills to comprehend complex reports and provide an analysis to support actionable decision making
• Ability to be self-directed and function independently with minimal supervision/direction

Preferred Qualifications:

• Recent experience leading a CMS or Joint Commission survey
• Current RN License
• Master's Degree in clinical or health-related field
• Clinical Laboratory Scientist (CLS)
• Knowledge of University and medical center organizations, policies, procedures and forms

Conditions of Employment:

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

• Background Check and Live Scan
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug Free Environment

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act
• E-Verify
• Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php

Closing Statement:

The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy. 

We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming. 

UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at eec@uci.edu or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.