Job Description

Opportunity Description

The Manager, Regulatory Affairs is responsible for the overall daily planning, developing, implementation, and coordinating the Hospital’s regulatory and accreditation compliance program. The Manager, Regulatory Affairs is responsible for the entire scope of the regulatory and accreditation compliance program throughout Stamford Hospital’s Health System. The Manager, Regulatory Affairs participates and collaborates with the investigations and will ensure completion and follow-up of Cause Analyses/Plans of Correction related to actual or potential sentinel events, adverse events, or regulatory findings. In order to succeed at our vision as the most trusted healthcare partner, we need to ensure regulatory compliance, defined as the minimal level of care and treatment to promote safe, high-quality care.  A strong Regulatory Compliance program enhances the strategic goal core capability of patient safety and quality, growing programs and in addition supports the organizational goal of being the most trusted healthcare partner

Company Information

Our client is a teaching and Magnet Hospital.

Job Duties

·       Directs and assumes responsibility as the contact person for Regulatory and Accrediting organizations for the hospital.

·       Assumes overall daily responsibility and oversight for the organization’s regulatory compliance program pursuant to legislative, regulatory, and accrediting guidelines at all Hospital sites. 

·       Provides assistance to Stamford Health departments with preparation for regulatory surveys/inspections and site visits.

·       Directs and coordinates all phases of preparation for surveys/inspections including but not limited to The Joint Commission, CT Department of Public Health (DPH), Center for Medicare and Medicaid Services (CMS), Department of Environmental Protection, Nuclear Regulation Committee, Drug Enforcement Agency, The Joint Commission Disease Specific Certification etc.

·       Has direct responsibilities for oversight of key regulatory applications including Department of Health re-

Education

A Bachelor’s Degree in nursing or healthcare is required

Master’s Degree Preferred

Experience & Skills Required

Ability to accurately complete and analyze regulatory data, produce accurate and detailed written reports

3 to 5 years of prior regulatory compliance experience in an acute care setting is required.

3-5 years’ prior leadership experience which may include supervisor or team lead roles.

Excellent written, oral and communication skills are essential.

Demonstrated organization skills are essential.

Expertise in the utilization of quality improvement methods related to data management and analysis is required.

Experience developing and conducting educational programs.

Proficient in Excel, PowerPoint, Teams

Able to work independently with attention to detail including:

• Collaborating with other leaders and staff to develop and approve regulatory plans of correction.
• Address daily challenges while escalating and  requesting input from leaders when necessary
• Proactively identify areas of concern.
• Delegating assignments as needed when appropriate
• Tracking  metrics and goals and communicate concerns as needed.

Certifications

Valid CT RN or other health care license

Benefits

• Excellent compensation package which includes medical, dental, vision, life, disability. 
• 403(b) plan with a generous employer contribution.
• Generous Paid Time Off
• Tuition reimbursement