Regulatory Affairs Coordinator - Registered Nurse (RN)

This position will have the opportunity to work remotely one day a week on a rotating basis

The Regulatory Affairs Coordinator maintains regulatory survey readiness and coordinates scheduled and unannounced regulatory compliance activities for the assigned VCUHS clinical program area(s). Maintains expert knowledge of regulations and rulings affecting the organization. Uses regulatory expertise to make interpretations and decisions to promote compliance. Leads and/or participates in the ongoing education, advisement, and training of employees on regulatory matters in the assigned area(s).

Licensure, Certification, or Registration Requirements for Hire:

Current RN Licensure in Virginia or eligible or compact state required

and

Certified Professional in Healthcare Quality (CPHQ) or Certified Professional in Healthcare Risk (CPHRM) Or Certified Joint Commission Professional (CJCP) preferred

and/or

Lean Six Sigma Black Belt preferred

Licensure, Certification, or Registration Requirements for continued employment:

Current license by the Commonwealth of Virginia is required if incumbent holds a professional license

Lean training preferred

Experience REQUIRED:

Minimum of three (3) years clinical practice experience in in one or more of the following areas: Acute Care, Transplant, Dialysis, Ambulatory Care, and/or Ancillary Services

Two (2) years of experience in staff education, professional development (orientation, preceptorship, in-services education, etc.) or survey preparation and coordination

Previous experience with regulatory requirements for multiple regulatory agencies

Previous direct participation in performance improvement activities/processes

Coaching and consultation experience

Experience facilitating and/or leading interdisciplinary groups/committees

Experience developing and making complex presentations to senior leadership

Experience PREFERRED

Experience developing and implementing Joint Commission Evidence of Standard Compliance and facilitating the Measure of Success to compliance sustainability

Three (3) years of experience in survey preparation and coordination

Experience developing, implementing, and reporting on CMS -2567 Plan of Correction. Direct experience managing unannounced accreditation and regulatory surveys

Previous experience in an academic medical center environment

Previous experience developing and implementing new programs

Education/training REQUIRED:

Bachelors Degree in nursing

Education/training PREFERRED:

Bachelors or Masters Degree from an accredited School of Nursing

Masters degree in Healthcare Administration, Business Administration, or other healthcare-related field from an accredited program

Additional position requirements:

Some after hours, weekend work and/or flex scheduling will be required to meet deadlines.

Excellent verbal, written, and interpersonal communication skills.

Excellent organizational skills and attention to detail.

Good working knowledge and proficiency in Adobe and Microsoft Office 365 products (Word, Excel, Outlook, PowerPoint, Teams, Visio, etc.).

Independent action(s) required:

All day-to-day operations of the Regulatory Affairs Coordinator are conducted independently with advice and guidance being sought from the Manager on as as-needed basis or when there is a major impact on activity outside the unit.

Position involves direct communication with all regulatory agencies, so the incumbent must use critical thinking, quality decision-making, and verbal communication skills readily.

Position requires direct communication and relationship building with all levels of employees across the organization for the purpose of education and dissemination of regulatory requirements knowledge.

Incumbent makes decisions regarding standard interpretation and provides organization guidance in the specialty area(s) assigned.

Supervisory responsibilities (if applicable): N/A

Physical Requirements (includes use of assistance devices as appropriate):

Physical: Lifting <20 lbs
Activities: Prolonged standing, Repetitive motion: Keyboard, Mouse

Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical Thinking

Emotional: Fast pace environment, Able to handle multiple priorities, Frequent and intense customer interactions, Able to adapt to frequent change

EEO Employer/Disabled/Protected Veteran