Senior Accreditation Regulatory Specialist (Local Hybrid)

Discover Vanderbilt University Medical Center: Located in Nashville Tennessee and operating at a global crossroads of teaching discovery and patient care VUMC is a community ofindividuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued your knowledge expanded and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniquenessis sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilts mission is to advance health and wellness through preeminent programs in patient care education and research.

Organization:

Quality Safety & Risk Prevention

Job Summary:

Ensures organizational compliance with all applicable federal and state regulations independently.

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KEY RESPONSIBILITIES
Initiates requests for data analytics to identify potential regulatory risks.
Drafts and implements corrective action plans along with unit leadership.
Assists with policy drafts and revisions.
Facilitates and leads the review response and documentation of complaints received from external parties.
Facilitates obtaining additional licenses accreditations and certification across the health systems.
Trains new staff members on department processes and procedures.
Assist with regulatory visits.
The responsibilities listed are a general overview of the position and additional duties may be assigned.

TECHNICAL CAPABILITIES
Project Management (Advanced): Planning organizing and managing resources to bring about the successful completion of specific project goals and objectives.
Regulatory Documentation (Intermediate): Writes clear concise and comprehensive documentation such as computer program and systems specifications product descriptions operational procedures etc. Incorporates accepted technical documentation conventions and uses graphics and other visual aids to assure understanding by the reader. Adheres to governmental documentation requirements and associated templates and forms. Creates outlines and organizes thoughts before attempting to write a document. Edits and proofreads drafts before completing documents adopts constructive critiques and integrates changes easily.
Regulatory Strategy (Intermediate): Demonstrates ability to successfully prepare long-range plans for a major regulatory requirement. Demonstrates ability to forecast complex resource needs and recognize risks. Plans budgets and implements domestic and international regulatory strategies for new and modified products. Monitors prevailing and evolving international regulatory requirements. Merges diverse points of view into a coalition with shared goals and objectives. Identifies relevant stakeholders and gains their commitment.
Regulatory Compliance (Advanced): Demonstrates knowledge of the appropriate rules and regulations and apply them in difficult stressful and complex situations. Able to interpret and explain rules and regulations that are ambiguous or unclear. Directs others in interpreting rules and regulations on the job and trains others in them.
Healthcare Data Analysis (Intermediate): Navigates within established technology environments to locate validate extract and format data for analysis. Able to modify and run queries and standard reports from data tools and provide to users. Can identify data values and data sources. Familiar with data modeling and able to interview business customers to elicit data requirements. Understands the relationships between data items.

About the Department:

The Department of Quality Safety and Risk Prevention (QSRP) equips and empowers Vanderbilt Health faculty and staff at our Main Campus Regional Hospitals and Ambulatory Divisions to offer care that is safe timely effective efficient and patient-centered. We are focused on providing high-quality care through doing the right thing for our patients to reach desired health outcomes while also preventing errors or adverse events and reducing risks

The various teams within QSRP foster knowledge sharing to extend best practice use reduce variability and facilitate improvements in outcomes throughout our health system and strengthening Vanderbilt Healths mission of personalizing the patient experience through our caring spirit and distinctive capabilities through our QSRP Strategic Plan.

Our professional administrative functions include critical supporting roles in information technology and informatics finance administration legal and community affairs human resources communications and marketing development facilities and many more.

At our growing health system we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth appreciation of benefits and a sense of community and purpose.

Core Accountabilities:

Organizational Impact: Independently delivers on objectives with understanding of how they impact the results of own area/team and other related teams. Problem Solving/ Complexity of work: Utilizes multiple sources of data to analyze and resolve complex problems; may take a new perspective on existing solution. Breadth of Knowledge: Has advanced knowledge within a professional area and basic knowledge across related areas. Team Interaction: Acts as a go-to resource for colleagues with less experience; may lead small project teams.

Core Capabilities :

Supporting Colleagues: - Develops Self and Others: Invests time energy and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas. - Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships. - Communicates Effectively: Recognizes group interactions and modifies ones own communication style to suit different situations and audiences. Delivering Excellent Services: - Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them. - Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions. - Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly. - Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership focusing on and driving critical issues to closure. - Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area. - Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation: - Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches. - Applies Technology: Demonstrates an enthusiasm for learning new technologies tools and procedures to address short-term challenges. - Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements.

Position Qualifications:

Responsibilities:

Certifications:

Work Experience:

Relevant Work Experience

Experience Level:

5 years

Education:

Bachelors

This role offers the opportunity to make a meaningful impact within Vanderbilt Health supported by a comprehensive benefits package which mayinclude health disability retirement and/or wellness offerings to enhance your well-being and professional growth.

Vanderbilt Health is committed tofosteringan environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.