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Description

Introduction

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below:Coordinator of Regulatory ComplianceSt. David's Round Rock Medical Center

Benefits

St. David's Round Rock Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

+ Free counseling services and resources for emotional, physical and financial wellbeing

+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock

+ Family support through fertility and family building benefits with Progyny and adoption assistance.

+ Referral services for child, elder and pet care, home and auto repair, event planning and more

+ Consumer discounts through Abenity and Consumer Discounts

+ Retirement readiness, rollover assistance services and preferred banking partnerships

+ Education assistance (tuition, student loan, certification support, dependent scholarships)

+ Colleague recognition program

+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

_Note: Eligibility for benefits may vary by location._

We are seeking a(an) Coordinator of Regulatory Compliance for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply!

Job Summary and Qualifications

The Regulatory and Quality Coordinator serves as expert resource on regulatory, accreditation, and licensure standards and requirements for compliance with focus on Joint Commission, CMS, Texas Department of State Health Services, FDA, and other regulatory and accreditation requirements impacting the hospital and services provided. The Coordinator is responsible for managing the hospital’s complaint management system including timely review and resolution of complaints and maintaining complaint documentation. The Coordinator will participate in quality and risk initiatives including data management and systems improvement. The Coordinator collaborates with and educates all levels of staff to achieve compliance and improvement.

ESSENTIAL JOB RESPONSIBILITIES** **:

1. **REGULATORY COMPLIANCE**

+ Designs and maintains a systematic approach to ensure continual preparation and readiness for unannounced and announced surveys.

+ Ensures compliance or addresses with Director and other leadership methods to achieve and maintain compliance.

+ Maintains high degree of regulatory and accreditation knowledge.

+ Monitors and reviews pending regulatory and accreditation requirements and develops plans to meet requirements by impact dates.

+ Coordinates with all levels of the organization to effect compliance changes.

+ Assists with developing policies, procedures, and guidelines to meet requirements.

+ Submits information / data to regulatory and accreditation organizations for required reporting to maintain accreditation and other requirements, including survey organization and completion.

+ Coordinates with Director and Manager to submit sentinel event, RCA, and other reportable events.

+ Submits regulatory log reports to HCA.

+ Submits SMDA MedWatch reports to FDA within 10 days of reportable event and annual summary report, per Safe Medical Devices Act.

+ Conducts periodic regulatory, accreditation, patient safety / quality, and other safety inspections and tracers. Coordinates follow-up and action on findings.

+ Appropriately accesses secured rooms with locked medication storage containers in order to perform assigned job functions which does not include management of medications.

2. COMPLAINT MANAGEMENT

+ Receives, investigates, and responds to complaints addressing:

+ Confers with respective department management if involves current patient.

+ If discharged patient, investigates allegations with staff and reviews medical record and other documents.

+ Obtains patient account information, if indicated

+ Resolves complaint allegations with written letter to patient or authorized representative, if discharged patient, received in writing or significant complaint.

+ Refer all ADA-related complaints to Director and Director of Support Services.

+ Complies with CMS complaint management requirements.

+ Maintains complaint documentation, logs, incident reports and summary reports of complaints, including annual complaint summary.

+ Ensures complaint file and documentation availability for unannounced complaint survey.

3. PERFORMANCE IMPROVEMENT

+ Coordinates quality, patient safety, PI, and other measurement activities throughout the facility, as assigned or delegated.

+ Analyzes data and reports for improvement as assigned or delegated.

+ Recommends action plans to Director and other leadership for improvement.

+ Maintains timely reporting.

+ Serves as a compliance, quality, safety, and medical staff resource to all departments and staff.

+ Serves as member of selected facility and departmental committees, teams.

+ Analyzes and reports quality and PI indicators to departments or committees as assigned or required.

+ Ensures compliance of corporate, division, regulatory, and accreditation requirements for quality, performance improvement, and patient safety.

+ Provides education and support to staff regarding quality and patient safety initiatives, measurement goals and objectives, medical staff improvements, and outcomes while promoting compliance and improvement.

4. OTHER DUTIES

+ Completes administrative and other duties as needed or requested.

+ Maintains confidentiality.

+ Complies with all hospital policies and procedures, safety requirements, and emergencypreparedness requirements.

KNOWLEDGE, SKILLS AND ABILITIES** **:

Must be able to demonstrate understanding of HCA’s and St. David’s “Patients First” safety initiative by strict compliance to all safety protocols and procedures. Must possess skills to include:

+ Knowledge: Understanding of regulatory, accreditation, quality and medical staff principles, theories and tools.

+ Excellent knowledge of healthcare operations and systems.

+ Analysis: Ability to perform computerized analyses and use data management, word processing, and presentation software as required.

+ Understanding: Familiar with the healthcare environment and hospital administration.

+ Organization: Develops and manages documentation systems ensuring accessibility and appropriate maintenance.

+ Excellent written and verbal communication skills.

+ Excellent complex environment and meeting management skills.

+ Excellent writing and presentation skills.

+ Time Management: Manages multiple projects, delegates tasks, and sets and meets deadlines; prioritizes work with minimal direction required.

+ Attention to Detail: Able to accurately document, identify and communicate issues and improvement options.

+ Work Independently: Performs functions of the position with minimal or no direction.

+ Independent Judgment: Able to independently determine when issues should be directed to Director, administration, leadership, medical staff leadership, etc.

+ Confidentiality: Assures confidentiality of issues and documentation in compliance with state and federal laws as well as medical staff bylaws and policies and procedures.

+ Communication (strong written and verbal skills): Communicates with a variety of audiences; able to facilitate open and effective communication between the medical staff and administration; able to provide clear and concise instructions to assigned personnel.

+ Interpersonal: Able to work effectively with multiple personalities and cultures; able to provide feedback.

+ Technology Resources: Utilizes a variety of database and word processing software and equipment; keeps abreast of technological trends; develops guidelines in the use of these resources.

EDUCATION AND EXPERIENCE** **:

Bachelor’s Degree required, with preference given to nursing, health care quality management, health care administration, health information management, or health law. Ten years’ experience in health care or five years’ experience in quality, health care administration, or health law.

Master’s degree in healthcare, nursing, quality or health law. Advanced certification in quality, risk, or related health care administration. -preferred

LICENSES AND CERTIFICATES** **:

Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Healthcare Risk Management (CPHRM), Registered Health Information -preferred

Administrator (RHIA), Registered Nurse (RN) -preferred

St. David’s Round Rock Medical Center (https://stdavids.com/location/st-davids-round-rock-medical-center) is a 200 **+ bed** acute-care facility located north of Austin, Texas. This comprehensive medical center features the **only hybrid operating room in the county** , a 24-hour emergency department with a **Level II trauma center** , and leading-edge cardiac care through the Heart Hospital of Austin at St. David’s Round Rock. Patients may also receive care related to rehabilitation services, women’s services, cancer care, neurology, joint replacement and orthotics, and more (https://stdavids.com/locations/st-davids-round-rock-medical-center/medical-services.dot) when visiting this facility.

St. David’s Round Rock Medical Center is part of St. David’s HealthCare, which is one of the largest healthcare systems in Texas and the third-largest employer in the Austin area. St. David’s HealthCare was formed through a unique partnership between HCA Healthcare and two local non-profits — St. David’s Foundation and Georgetown Health Foundation.

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 costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

If you find this opportunity compelling, we encourage you to apply for our Coordinator of Regulatory Compliance opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. **We are interviewing - apply today!**

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.