Director Regulatory Affairs
: Job Details :


Director Regulatory Affairs

Thomas Jefferson University & Jefferson Health

Location: all cities,PA, USA

Date: 2024-09-19T20:20:32Z

Job Description:

About Jefferson

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research.

Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students.

Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region.

Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Covid Vaccination is a requirement for employment at Jefferson for employees working at Jefferson's clinical entities or at the University. If you are not currently vaccinated you will be required to receive the vaccination prior to hire date if you are offered employment, unless you request and receive an approved medical or religious exemption from Jefferson.

Under the general direction of the Senior Director of Regulatory and Chief Operating Officer, leads Abington and Lansdale's readiness and compliance with regulatory standards and response to inquiries/follow-up, which includes, but is not limited to, The Joint Commission, CMS, Pennsylvania Department of Health and OSHA. Independently and in collaboration with other organizational leaders, spearheads process improvement and system initiatives to ensure and maintain compliance at the highest level.

Essential Functions:

  • Coordinates, directs and drives efforts for continual readiness/preparation activities to ensure compliance with standards and regulations, leading and responding, to maintain compliance with current, new or updated regulations related to organizational licensure and accreditation, providing Senior Leaders with ongoing critical assessments of current state and assists in the creation of organizational improvement plans for future state through collaboration with AH leaders.
  • Coordinates, responds to and manages all regulatory site visits reviews and surveys with AH leadership.
  • Responsible for coordination of communication between regulatory agencies and Abington Health, serving as key contact and liaison with all accrediting and licensing agencies before/during after survey or inspections.
  • Coordinates and directs efforts to achieve ‘outsider' agency certifications, including but not limited to, TJC disease specific certifications, SCPC, etc. and remains knowledgeable of and/or participates in all ‘clinical' department organizational reviews/inspections/unannounced visits (i.e. NEC, NRC, DEP, etc).
  • Stays abreast, ensuring an in-depth knowledge of the regulatory forces (TJC, DOH, CMS, OSHA, etc) impacting the provision of care related to organizational licensure and accreditation for AH.
  • Identifies opportunities for clinical and non-clinical services (internal or external to the organization) and makes recommendations to the administrative team to better meet the needs of patients.
  • Serves as internal expert/resource to assist others in understanding and interpreting regulations that impact AH departments.

    • Performs other duties as assigned.

    POSITION QUALIFICATIONS:

    A. Experience: 5+ years experience in healthcare regulatory affairs.

    B. Education and Training: Bachelor's degree required. Masters in related healthcare field essential.

    C. License Certification and Registration: Registered Nurse in the Commonwealth of Pennsylvania. Valid Driver's License & Registration and Vehicle Access.

    D. Other Requirements: Excellent interpersonal and communication skills, both written and verbal. Ability to lead process improvement initiatives as well as teach and coach new leaders. In-depth knowledge of JCAHO, DOH and CMS regulatory standards. Ability to prioritize and function effectively and professionally while balancing a challenging workload. Proficiency in Microsoft Word, Excel, PowerPoint programs. Familiarity with clinical, hospital-based information systems.

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