UNM Hospital
Relocation Assistance Available
Minimum Offer $33.07/hr.
Maximum Offer $46.50/hr.
Compensation Disclaimer Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations.
Department: Regulatory
FTE: 1.00
Full Time
Shift: Days
Position Summary Plan, implement, and continually monitor all aspects of accreditation, regulatory and hospital licensure compliance within UNM Hospital. Provide consultation to healthcare leadership on accreditation readiness. Establishes and monitors methods to maintain regulatory compliance. Coordinates with all departments to ensure compliance with state, federal and regulatory standards. Identifies opportunities for improvements based on evidence based practices in regulatory and accreditation compliance, analysis of internal and external compliance/risk assessments and findings from regulatory authorities. Ensure adherence to Hospitals and departmental policies and procedures. No patient care assignment.
Detailed Responsibilities
PROJECTS - Serve as project facilitator for various task force committees to include coordinating, facilitating and overseeing project planning and development
POLICIES - Participate in the development of goals, objectives, policies and procedures for assigned area(s); evaluate and analyze the efficiency and effectiveness of delivery methods and procedures
BENCHMARKING - Consult and collaborate various benchmarking projects with Vizient or other nationally recognized benchmark studies, physician liaisons and nurse managers
ANALYSIS - Provide baseline, benchmark and follow-up data/information analysis to facilitate process improvement; conduct and report on monitoring activities in assigned departments and areas
LIAISON - Serve as a liaison for assigned area; coordinate activities in collaboration with other staff professionals, divisions, departments and organizations; may chair steering committees
PROCESS IMPROVEMENT - Direct, manage, develop, and implement multiple strategic planning and process improvement initiatives
RECORD REVIEWS - Conduct chart review; develop, prepare, present and disseminate clinical quality reports
MEETINGS AND PROFESSIONAL DEVELOPMENT - Attend and participate in professional meetings and committees; stay abreast of new trends, innovations and regulatory oversight requirements
PATIENT CENTERED MED - Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable
REGULATORY ASSESSMENT - Identify and recommend areas of improvement through data research, statistical analysis; prepare, present and disseminate information to professional individuals, groups and organizations
REGULATORY AGENCIES - Develop and implement strategies that ensure the organization maintains a state of perpetual readiness for reviews by regulatory agencies and to achieve a level of quality and service that exceed regulatory requirements
COMPLIANCE - Ensure compliance with all regulatory agencies governing health care delivery and the standards of accrediting bodies by continually monitoring the hospital's operations and its programs
Qualifications Education
Essential: Bachelor's Degree
Education specialization
Essential: Related Discipline
Experience
Essential: 3 years directly related experience
Nonessential: Computer MS Office Suite experience
Credentials
Essential: Not Applicable/Not Required
Physical Conditions Medium Work: Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work.
Working conditions
No or min hazard, physical risk, office environment
May be required to travel to various work sites
Seniority level Mid-Senior level
Employment type Full-time
Job function Legal
Industries Hospitals and Health Care
Referrals increase your chances of interviewing at UNM Hospital by 2x
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Minimum Offer $33.07/hr.
Maximum Offer $46.50/hr.
Compensation Disclaimer Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations.
Department: Regulatory
FTE: 1.00
Full Time
Shift: Days
Position Summary Plan, implement, and continually monitor all aspects of accreditation, regulatory and hospital licensure compliance within UNM Hospital. Provide consultation to healthcare leadership on accreditation readiness. Establishes and monitors methods to maintain regulatory compliance. Coordinates with all departments to ensure compliance with state, federal and regulatory standards. Identifies opportunities for improvements based on evidence based practices in regulatory and accreditation compliance, analysis of internal and external compliance/risk assessments and findings from regulatory authorities. Ensure adherence to Hospitals and departmental policies and procedures. No patient care assignment.
Detailed Responsibilities
PROJECTS - Serve as project facilitator for various task force committees to include coordinating, facilitating and overseeing project planning and development
POLICIES - Participate in the development of goals, objectives, policies and procedures for assigned area(s); evaluate and analyze the efficiency and effectiveness of delivery methods and procedures
BENCHMARKING - Consult and collaborate various benchmarking projects with Vizient or other nationally recognized benchmark studies, physician liaisons and nurse managers
ANALYSIS - Provide baseline, benchmark and follow-up data/information analysis to facilitate process improvement; conduct and report on monitoring activities in assigned departments and areas
LIAISON - Serve as a liaison for assigned area; coordinate activities in collaboration with other staff professionals, divisions, departments and organizations; may chair steering committees
PROCESS IMPROVEMENT - Direct, manage, develop, and implement multiple strategic planning and process improvement initiatives
RECORD REVIEWS - Conduct chart review; develop, prepare, present and disseminate clinical quality reports
MEETINGS AND PROFESSIONAL DEVELOPMENT - Attend and participate in professional meetings and committees; stay abreast of new trends, innovations and regulatory oversight requirements
PATIENT CENTERED MED - Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable
REGULATORY ASSESSMENT - Identify and recommend areas of improvement through data research, statistical analysis; prepare, present and disseminate information to professional individuals, groups and organizations
REGULATORY AGENCIES - Develop and implement strategies that ensure the organization maintains a state of perpetual readiness for reviews by regulatory agencies and to achieve a level of quality and service that exceed regulatory requirements
COMPLIANCE - Ensure compliance with all regulatory agencies governing health care delivery and the standards of accrediting bodies by continually monitoring the hospital's operations and its programs
Qualifications Education
Essential: Bachelor's Degree
Education specialization
Essential: Related Discipline
Experience
Essential: 3 years directly related experience
Nonessential: Computer MS Office Suite experience
Credentials
Essential: Not Applicable/Not Required
Physical Conditions Medium Work: Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work.
Working conditions
No or min hazard, physical risk, office environment
May be required to travel to various work sites
Seniority level Mid-Senior level
Employment type Full-time
Job function Legal
Industries Hospitals and Health Care
Referrals increase your chances of interviewing at UNM Hospital by 2x
Get notified about new Regulatory Affairs Consultant jobs in Albuquerque, NM.
Specialist, Quality and Regulatory Affairs We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr