Regulatory Compliance Lead
You will be able to work from your home location within the Arizona. The purpose and scope of this role leads regulatory surveys and promotes the utilization of continuous quality improvement (CQI) principles, methods, and tools. Directs, investigates, and resolves regulatory compliance concerns. Leads coordination with Quality, Education, and Operational management to ensure the continual improvement of regulatory compliance by company facilities. Ensures compliance with federal, state, and local laws and regulations. Serves as a regulatory expert and resource.
Principal duties and responsibilities include :
- Leading clinical and operational teams in creating and sustaining a culture of regulatory compliance.
- Acting as lead amongst Quality, Education, and Technical departments to provide educational activities as needed to achieve compliance with federal, state, and local laws.
- Identifying improvement opportunities to ensure compliance with company standards, policies, and procedures, as well as federal, state, and local regulations by conducting facility audits.
- Using expertise and independent judgment, working with facility, area, and regional management staff to set and achieve improved regulatory and operational outcomes.
- Conducting facility mock surveys to evaluate conformance to state licensure and CMS Conditions of Coverage to ensure safe operational condition and external survey readiness.
- Educating and advancing the use of the Quality Assessment and Improvement (QAI) Program tools and promoting the use of Continuous Quality Improvement principles.
- Mentoring and assisting facilities in identifying effective practices applicable to their needs, in testing for desired results, and the adoption and implementation of these practices.
- Analyzing, managing, and reporting data to identify improvement opportunities and measure progress of improvement projects.
- Preparing and disseminating reports on audit findings and corrective and preventive action recommendations.
- Conducting emergent mock surveys and coordinating rapid response teams to assist with intervention and resolution of critical facility specific problems.
- Fostering and maintaining good working relationships with state survey agencies, CMS regional offices, ESRD Networks, and other regulatory bodies.
- Maintaining up to date expert knowledge of CMS Conditions of Coverage for ESRD facilities, state regulations, quality improvement concepts, principles, and practices.
Physical demands and working conditions include :
Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians.The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.This position requires approximately 50% to 80% travel.Supervision : None
Education and required credentials :
RN license requiredBachelor's Degree preferredExperience and skills :
5+ years' clinical management experience in dialysis, nephrology nursing, or related external experienceExperience in quality, risk management, case management, or infection controlStrong organizational skillsExcellent verbal and written communications skillsGood understanding of the relationship between providers of health care services and regulatory agenciesGood critical thinking skills and proven quality improvement experienceAble to analyze & propose alternate solutions, assist in resolving sensitive to complex issues / problemsPreferred experience teaching / consulting and working within complex organizationsFresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability / veterans