Director Regulatory and Program Compliance

Company: Hillcrest Healthcare System
Location: Pocatello
Posted on: April 8, 2021

Job Description:

Director Regulatory and Program Compliance

• Job Class: Directors and Managers
• Status: Full - Time Regular
• Shift: Day
• Hours / Days of Work:
• Additional Information:
• Department: Quality Management
• Minimum Education Required: Bachelors Degree
• Minimum Experience Required: 3 - 5 Years Position Description:
  Who We Are Patient focused, community oriented, conveniently located and equipped with technology that rivals the nation's most prestigious healthcare systems, Portneuf Medical Center offers a comprehensive and growing array of services delivered by caring and highly skilled medical professionals. Our mission statement "World Class Care, every patient, every time" helps us focus on what truly matters: You. And our commitment is to make sure our patients receive amazing care every time they have contact with Portneuf Medical Center. The physicians, nurses and volunteers who are a part of the Portneuf family are your friends and neighbors. We're your community, your hospital and team, working hard for you. Portneuf Medical Center has served Pocatello and its surrounding Idaho communities since 1907. We're known as the Gateway to the Northwest and are located within 2 hours of Sun Valley, Jackson Hole, Salt Lake City and Yellowstone National Park.-- We are looking for a dynamic and passionate Director of--Regulatory & Program Compliance--to join our team! What You'll Do The Director of Regulatory & Program Compliance will facilitate organizational compliance to regulatory standards including but not limited to; the Centers for Medicare & Medicaid Services (CMS), the State of Idaho, and accrediting agencies such as DNV GL Healthcare and the Accreditation Association for Ambulatory Healthcare. In addition, this position provides guidance to leadership and staff regarding t he organization's performance to regulatory standards. Additional key functions of this position include management of the hospital's internal auditing program and facilitation of performance improvement activities. The successful candidate will be able to:
  • Supports compliance to and maintenance of Federal, State, and Accreditation organization regulations. Works with leadership and staff in maintaining accreditation activities necessary for attaining and maintaining accreditation and licensure from various organizations.
  • Provides support with liaison activities with accreditation and regulatory agencies (i.e. DNV GL Healthcare, Centers for Medicare & Medicaid Services etc.) including tracking, evaluation and submission of required documentation, survey preparation, arranging on-site visits, required responses, and completion of action items.
  • Responds to inquiries from regulatory agencies and completes required compliance documentation. Responsible for tracking, reporting, and ensuring the completion of action items resulting from survey findings in addition to leading and conducting survey preparatory project meetings and project tracking, analysis and identification of deficiencies necessary to correct in order to achieve compliance with standards.
  • Manages the internal auditing program. Assures that schedules are met, data is collected, and information is disseminated as appropriate throughout the organization.
  • Manage the coordination of data collection and reporting of data for regulatory adherence requirements in addition to assisting in identifying areas for improvement center wide while ensuring conformance of overall goals and objectives of the organization. Compiles data to produce reports and dashboards.
  • Provides education throughout the organization regarding regulatory standards.
  • Functions as a Portneuf Continuous Improvement Team Facilitator for select projects and/or improvement initiatives. Serve as resource/liaison for the organization regarding the performance improvement processes using the PDSA methodology and other quality improvement tools as appropriate. What We Offer Competitive pay and benefits package including Health/Dental/Vision/401(k) match. Generous paid time off, holidays, extended illness bank, paid basic life insurance and long term disability. Tuition reimbursement, advancement and career development opportunities. Position Requirements:
    What You'll Bring
    • Bachelors degree required. Preferably in healthcare related field.
    • 5 years hospital experience preferred.
    • Healthcare quality experience preferred.
    • Regulatory or healthcare accreditation certification required (or receive within 1 year of hire).
    • Working knowledge of process improvement methodologies and medical terminology. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

Keywords: Hillcrest Healthcare System, Pocatello , Director Regulatory and Program Compliance, Executive , Pocatello, Idaho