Regulatory Accreditation Coord
Tower Health

Job Info

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Responsibilities

The Regulatory/Accreditation Coordinator is responsible for assisting the Director Regulatory/ Accreditation in maintaining a climate of continual survey readiness and compliance with regulatory requirements for Tower Health.

Maintains regulatory expertise through independent study as well as attending education workshops, tracking and reviewing regulatory changes, reviewing professional publications, establishing personal networks, and participating in professional societies.

Responsible for the implementation of regulatory requirements using standardized regulatory processes in one or more facilities/entities. Works with the Director to prepare facilities/entities for surveys by evaluating standardized infection prevention/control and Environment of Care (EOC)/Life Safety (LSC) regulatory processes. Reviews, evaluates and assists in the development and implementation of facility/entity policies, procedures and guidelines as they relate to regulatory compliance.

Conducts observations, tracers, building tours, document reviews and interviews to ascertain facility compliance with standards, rules and regulations. Documents findings and provides facility with reports and recommendations for change. Completes and updates the Joint Commission application.

Provides education to managers and staff, facilitates the completion of the Periodic Performance Review, standardized metrics and action plans for resolution of identified non-compliance with regulations and standards. Provides tools for ongoing measurement and reporting of compliance with regulatory standards. Supports development and monitors completion of facility plans of correction. Assists functional teams and department managers in the development of corrective actions.

Works with facility leadership and staff to prepare for survey readiness. Identifies and coordinates compliance activities of regulatory content experts such as infection control and EOC/LS specialists.

Provides support and guidance to responders to life safety, environment of care, emergency management and infection control events. Evaluates events to ensure standards and regulatory requirements are not compromised.

Serves as a subject matter expert on internal and external regulatory standards. Provides education to address regulatory changes and gaps in regulatory compliance.

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Qualifications

Education Requirements

• Bachelor's Degree Required (RN Preferred)

Experience

• Relevant Experience

Required Skills

• Excellent Communications Skills
• Excellent Interpersonal Skills
• Microsoft Word
• Critical Thinking Skills
• Organizational Awareness

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