Regulatory Compliance Manager
Regulatory Compliance Manager
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Job Description
Job Description
Be a part of a world-class academic healthcare system at UChicago Medicine as a Regulatory Compliance Managerwith our Clinical Compliance department. This hybrid position requires travel to our Chicagoland sites as needed at times without advance notice.
The function of this position is to provide on-going support instruction and facilitation to operations across UChicago Medicine Health Care System to meet and exceed all patient care related regulatory agency standards including but not limited to: Joint Commission DNV Centers for Medicare and Medicaid Services Illinois Department of Public Health College of American Pathologists and the Chicago Department of Public Health Indiana Department of Public Health et al. The Manager leads and participates in the development implementation and promotion of compliance activities to ensure appropriate and safe delivery of patient care and sustained compliance with regulatory standards. This position works collaboratively with the Director of Regulatory Compliance to maintain compliance oversight over all entities of the UChicago Medicine Health Care System through licensure and accreditation agreements.
Essential Job Functions
- Works collaboratively with Director of Regulatory Compliance to provide on-going oversight support instruction and facilitation to all aspects of UChicago Medicine Health Care System to meet and exceed all patient care related regulatory agency standards including but not limited to: DNV Joint Commission Centers for Medicare and Medicaid Services Illinois Department of Public Health College of American Pathologists Chicago Board of Health. Excluded from the list are regulations focused on areas other than patient care processes i.e. Department of Labor zoning and construction codes financial regulations etc.
- Monitor and disseminate standards regulations articles etc. to the appropriate departments within UChicago Medicine Health Care System
- Leads and participates in the development implementation and promotion of compliance activities to ensure appropriate and safe delivery of patient care and successful completion of accreditation surveys and inspections
- Maintains a program philosophy of Constant State of Readiness and demonstrates sustained compliance with standards
- Serve as a liaison to regulatory agencies and accreditation bodies including on-site facilitation of any scheduled or for cause survey process
- Provide documentation and other information as requested by regulatory and accrediting bodies
- Maintain and organize all documentation in support of agency visits through communication preparation scheduling reporting: manage all agency site visits and follow-up reports activities and historical files
- Recommend potential appeals or other follow-up actions including implementations for all plans of correction. Participates in Emergency Management/HICS planning drill and responses
- Works collaboratively with Director to support the UChicago Medicine Health Care System Policies and Procedures process
- Develops and maintains a robust process to ensure timely review and development of policies
- Works collaboratively and participates in the following across the enterprise:
- Root Cause Analysis
- Committees (Medication Safety Medical Executive Quality Infection Control et al)
- Performs other duties assigned by the Director
Required Qualifications
- Masters or B.S in a health-related field or equivalent experience
- Hospital experience of at least 3-5 years in a clinical or administrative role with specific experience in dealing with patient safety risk management compliance and/or quality
- Working EMR experience in the use and build of reports to drive quality patient safety and compliance
- Health Informatics experience preferably with Epic
- Working knowledge of Joint Commission DNV HFAP and CMS standards
- Excellent oral and interpersonal written communication skills poise in teaching and consulting
- Strong organizing and data management skills including word processing spreadsheets data base and graphics to design and implement monitoring and evaluation tools
- Fluent in the use of Microsoft Word Excel Smartsheet
- Advanced experience with Epic and the ability to build and run reports directly from Epic
Position Details
- Job Type/FTE: Full-time
- Shift: Days
- Job Location: Hyde Park
- Unit/Department: Clinical Compliance
- CBA Code: Non-Union
Why Join Us
Weve been at the forefront of medicine since 1899. We provide superior healthcare with compassion always mindful that each patient is a person an individual. To accomplish this we need employees with passion talent and commitment with patients and with each other. Were in this together: working to advance medical innovation serve the health needs of the community and move our collective knowledge forward. If youd like to add enriching human life to your profile UChicago Medicine is for you. Here at the forefront were doing work that really matters. Join us. Bring your passion.
UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at:UChicago Medicine Career Opportunities.
UChicago Medicine is an equal opportunity employer. We evaluate qualified applicants without regard to race color ethnicity ancestry sex sexual orientation gender identity marital status civil union status parental status religion national origin age disability veteran status and other legally protected characteristics.
Must comply with UChicago Medicines COVID-19 Vaccination requirement as a condition of employment. If you have already received the vaccination you must provide proof as part of the pre-employment process. This is in addition to your compliance with the Flu Vaccination requirement as well. Medical and religious exemptions will be considered consistent with applicable law. Lastly a pre-employment physical drug screening and background check are also required for all employees prior to hire.
Compensation & Benefits Overview
UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position.
The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.
Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine.
Required Experience:
Manager
Employment Type
Full-Time
