Job Description - Regulatory Accreditation Specialist (240002UE)
Job Description
Regulatory Accreditation Specialist
-
(
240002UE
)
Description
Job Summary
A Regulatory Specialist plays a vital role in ensuring delivery of high-quality healthcare services by performing audit activities across the healthcare system. Clinical processes and behaviors important to patient safety, regulatory compliance and quality of care are audited for current adherence of guidelines as well as successful implementation of process change. The Regulatory Specialist will report to Accreditation and Regulatory Management leadership.
Essential Functions:
Collect relevant data by reviewing patient records, conducting interviews, and observing clinical practices within patient care areas of the system.
Perform tracers, as directed by leadership for continuous accreditation readiness.
Monitor the effectiveness of implemented changes to ensure desired improvements are achieved in response to action planning and formal quality improvement work.
Creates and distributes data collection tools with data elements that can be collated, trended.
Direct and train users on tool with acceptable inter-rater reliability.
Manage data collection, aggregation, and dissemination as directed by leadership.
Utilize auditing platforms as to collect and organize findings, utilizing standard reporting tools to assure valid data that is informative and meets standards set for measurement.
Collaborate with performance improvement, patient safety, infection prevention and all clinical teams to assure audit tools are complete and appropriate data governance has been followed.
Participate in audits, inspections and activities associated with regulatory bodies or accreditation agencies.
Maintain expertise in quality, safety and regulatory indicators and specifications as well as sources of internal measurement and implement new requirements in such measurements.
Qualifications
Technical Program or related clinical field.
Minimum of 2 years of experience in healthcare or related experience.
3 to 5 years experience in a hospital setting with demonstrated experience with The Joint Commission (TJC) and other regulatory agencies or certification survey processes required. 2 years’ experience in quality or regulatory compliance required. Experience with related tools including computer programs such as Word & Excel required.
Primary Location
:
Tampa
Work Locations
:
TGH Main Campus
1 Tampa General Circle
Tampa
33601
Eligible for Remote Work
:
On Site
Job
:
Office/Administrative/Clerical
Schedule
:
Full-time
Scheduled Days
:
Monday, Tuesday, Wednesday, Thursday, Friday
Shift
:
Day Job
Job Type
:
On Site
Shift Hours
:
8:00 am -5:00 pm
Minimum Salary
:
22.55
Job Posting
:
Jun 25, 2024, 12:16:23 PM