This position is incentive eligible.
Introduction
Do you want to join an organization that invests in you as a Director, Regulatory and Clinical Compliance RN? At HCA, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
Benefits
At HCA, we want to ensure your needs are met. We offer eligible colleagues an attractive benefit package that includes medical, wellbeing, dental and vision benefits along with some unique benefits including:
Learn more about Employee Benefits
You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Director, Regulatory and Clinical Compliance RN like you to be a part of our team.
Job Summary and Qualifications
The Internal Audit Department provides an independent appraisal function to validate management control systems and to support corporate management in the effective discharge of their responsibilities and efforts to achieve the Company's overall mission. The Clinical Compliance Team work includes a variety of audits and performs onsite and/or remote assessments of focused areas within HCA Healthcare hospitals which include maintaining accreditation (i.e., The Joint Commission (TJC)), federal, state, and local regulations, emergency services, nursing services, etc. Audits also include testing of medical record documentation and corresponding bills to ensure compliance with company policies and government regulations. The purpose of the audits is to assist facility management in determining compliance with company-defined processes and CMS requirements. The team works closely with facility, division, and group management as well as corporate responsible personnel to help effect overall compliance. The Regulatory Accreditation and Safety Compliance Director position will work on various audit engagements with team members at various levels and receive formal evaluations once a year.
What you will do in this role:
· Demonstrates a thorough understanding of The Joint Commission (TJC), The Centers for Medicare and Medicaid Services (CMS), federal and state regulations.
· Performs onsite and/or remote focused assessments of regulatory and accreditation compliance including applicable federal, state, and local regulations and standards, emergency services, nursing services, and other clinical areas of organizational and/or patient safety and risk at HCA Healthcare facilities.
· Conducts reviews of hospital/center systems to ensure compliance with applicable legal, regulatory and licensure requirements as defined by TJC, CMS, federal and state regulations and company policy for areas such as emergency services, nursing services, and other clinical areas of organizational and/or patient safety and risk.
· Understands HCA Healthcare’s business and the healthcare industry from a global perspective by recognizing business trends and emerging technical and industry developments of relevance and communicates these to the client engagement team and applicable management personnel.
· Discusses complex auditing issues with engagement team and client management.
· Communicates the objectives of each review and planned other services to the client engagement team and establishes/communicates team members’ roles in the process.
· Executes audit procedures, analyzes evidence, reaches conclusions, identifies issues, develops strategies, and makes decisions for complex, judgmental issues related to the review procedures executed. Consults with others in the Company, as necessary, on complex issues.
· Reviews working papers and memoranda for consistency with applicable authoritative guidance and the requirements of the department.
· Develops detailed reports specifying compliance issues identified during the audit.
· Assists the facility with action plan development, follow-up questions. Completes process follow-up as necessary.
· Provides input and guidance in the development of, as well as the review of the detailed audit/review programs particularly focusing on complex audit issues.
· Participates in the audit quality assurance program.
· Assists with educational and administrative matters (e.g. professional development programs, process improvement team initiatives, recruiting efforts, and special projects as requested by the Director).
What qualifications you will need:
· Active RN Licensure with 10 or more years’ experience required.
· BSN (from accredited School of Nursing) required.
· Master’s degree preferred.
· Experience, and/or certification supporting regulatory/accreditation/safety compliance required.
· Nursing management/supervisory experience preferred.
· Ability to travel up to 50%.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies. Today, we are the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes about 165 hospitals and 115 freestanding surgery centers in 20 states and England and employing approximately 204,000 people. Approximately four to five percent of all inpatient care delivered in the country today is provided by HCA facilities. Richard M. Bracken serves as Chairman of HCA and R. Milton Johnson is the company's President and Chief Executive Officer.
HCA is committed to the care and improvement of human life and strives to deliver high quality, cost effective healthcare in the communities we serve. Building on the foundation provided by our Mission & Values, HCA puts patients first and works to constantly improve the care we give them by implementing measures that support our caregivers, help ensure patient safety and provide the highest possible quality. Investing in our communities is important to us. HCA typically invests about $1.5 billion annually to keep our facilities modern and up-to-date technologically and to expand and add services where needed. Focusing primarily on communities where the company is a leading healthcare provider, HCA selectively adds new facilities in order to better serve our communities.
And because two HCA founders were physicians, we value highly the strong relationships we've created with local physicians. We endeavor to provide them with a wide array of services and modern facilities in order to help them deliver the best possible care.