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Delivering an exceptional infusion experience, everywhere. Delivering on our unyielding commitment, always.

Naven Health is a nationwide home infusion nursing network and clinical platform focused on delivering specialized, truly exceptional infusion care. With over 1,600 team members, including over 1,500 nurses, we are a company aligned to the values of the nurses at our center – to provide an exceptional infusion experience, everywhere. Naven Health delivers home infusion services for a broad range of specialized therapies, as well as clinical trial services and special programs for pharmaceutical manufacturers. Joining the Naven Health team means being a part of a dynamic and growing organization that is dedicated to our customers, our teammates, and the patients we serve.

Job Description Summary:

The Manager of Regulatory & Accreditation is responsible for the administration and oversight of all activities concerning the achievement of continuous regulatory and accreditation readiness and response. The Manager of Regulatory & Accreditation works closely with Quality, Clinical, and Operations leadership within Naven Health to support facilitation, development, implementation, and validation of systems to ensure compliance with external accrediting and regulatory bodies. The Manager of Regulatory & Accreditation is the organization’s expert and resource on regulatory and accreditation standards and requirements to maintain Naven’s accreditation, certification, and licensure status.

The Manager of Regulatory & Accreditation ensures implementation and management of Naven’s Regulatory & Accreditation Program and leads Quality Sub-Committees pertaining to regulatory and accreditation requirements. Under the direction of the Senior Manager of Quality, Regulatory, & Education, the Manager of Regulatory & Accreditation leads the Regulatory & Accreditation Team responsible for continuous

**Job Description:** ​

Job Responsibilities (listed in order of importance and/or time spent)

+ Plans and leads regulatory and accreditation program activities for full compliance of The Joint commission (TJC) accreditation and certification, and other state and federal healthcare standards, rules and regulations pertaining to Naven Health’s Home Health and Healthcare Staffing Services.

+ Plans and leads Mock Surveys to ensure Naven is well-prepared for surveys from state and accrediting bodies.

+ Identifies regulatory compliance gaps and mentors leadership in developing appropriate plans to address and close the gaps to achieve outcomes, promote safe practices and achieve sustainable compliance with regulatory standards.

+ Provides consultative services, coaches and facilitates key stakeholders and staff to help mitigate/resolve potential and actual issues/deficiencies/violations in accordance with established requirements and policies.

+ Collaborates with other key stakeholders in the Quality and Education Department such as Patient Safety, Risk Management, Quality Assurance, and Training and education, to ensure communication and implementation of system quality improvement initiatives.

+ Participates in complaint investigations submitted to accrediting bodies or state and federal agencies, evaluates actions and prepares documentation and provided written and verbal communication to appropriate regulatory and accreditation agencies.

+ Coordinates and is the point of contact for customer-initiated audits such as delegation management audits and/or Supplier Qualification Audits.

+ Participates and leads committee and workgroup appointments and actively participates to affect change in patient care.

+ Monitors and analyzes regulatory and accreditation trends and requirements that will influence Naven’s policy governance framework.

+ Assists in development of clinical policies and procedures as requested.

+ Serves as the primary liaison between Naven Health and regulatory agencies and accrediting bodies.

Supervisory Responsibilities

Does this position have supervisory responsibilities?

(i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.)

Yes X

Basic Education and/or Experience Requirements

+ Bachelor’s degree in nursing

+ Active and unrestricted RN license

+ 3 years of relevant regulatory and accreditation Home Health experience

+ 2 years of experience developing and leading Corrective Action Plans or Evidence of Standards Compliance

Basic Qualifications

+ Strong self-starter who can be consultative and collaborative to influence individuals and departments

+ Managerial experience in the healthcare setting.

+ Experience in conducting gap analysis to assess compliance with regulatory and accreditation standards.

+ Proven strong Communication Skills – verbal, written, presentation

+ Strong clinical background with direct knowledge of care in the home

+ Change Management capabilities

Physical Demand Requirements

Ability to work on a personal or laptop computer for extended periods of time

Travel Requirements: (if required)

+ Up to ~50%

Preferred Qualifications & Interests (PQIs)

+ Master’s Degree

+ Previous experience as a Surveyor for an Accrediting Body (TJC, ACHC, CHAP, etc.)

_This job description is to be used as a guide for accomplishing Company and department objectives, and only covers the primary functions and responsibilities of the position. It is in no way to be construed as an all-encompassing list of duties._

Due to state pay transparency laws, the full range for the position is below:

Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.

Pay Range is $66,877.92-$111,448.49

Benefits:

-401k

-Dental Insurance

-Disability Insurance

-Health Insurance

-Life Insurance

-Paid Time off

-Vision Insurance

_Naven Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information._

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Welcome to Naven Health. Where we are equal parts nursing and haven. A place of calm and reassurance in the face of uncertainty and care complexity. Where the experience and training of our skilled infusion nurses can help you feel confident that you are always in good hands. And our partnerships with specialty pharmacies across the nation help put nurses everywhere you have patients.

We are a company aligned with the values of the nurses who are at our center – to provide exceptional care, and to be a trusted resource for our customers, partners and patients.