Regulatory Specialist - Home Care

Regulatory Specialist - Home Care and Hospice

Summary
Assists LVHN in achieving regulatory and accreditation compliance by providing assessment, consultation, facilitation, readiness strategies and performance improvement leadership and support in order to maintain state licensure, federal certification, accreditation, and applicable disease-specific certifications for network entities. Creates a partnership with leaders enabling them to understand regulatory requirements and to develop strategies within their departments to achieve and maintain ongoing regulatory readiness and compliance.

Job Duties

• Implements the regulatory readiness program by completing ongoing patient tracers and mock regulatory occupancy/licensure surveys to identify potential compliance issues and areas of vulnerability and provide education to staff. 
• Initiates and facilitates performance improvement projects to resolve regulatory, accreditation and certification compliance issues identified through onsite/offsite survey activity, internal regulatory queries, and proactive risk assessments.
• Leads gap analyses and brings stakeholder groups to consensus on strategies and/or actions necessary to operationalize new accreditation and regulatory requirements.
• Facilitates onsite regulatory and accreditation survey visits, inclusive of surveyor escort, surveyor request research and response, and ongoing timely communication with organizational leaders.
• Coordinates completion of post-survey corrective action activities, inclusive of development and documentation of plans of correction, audit monitoring system, and evidencing of sustained improvements.
• Provides consultation to colleagues by providing interpretation and guidance of regulatory and accreditation requirements, with a position specific focus on hospital, home health, hospice, and behavioral health, to assure implementation and adherence to standards.
• Manages clinical disease specific certifications as a certification subject matter expert and integral team member to assure ongoing compliance and enhanced clinical quality and safety. 
• Assesses new service initiatives and advises project teams on regulatory requirements, areas of vulnerability, and strategies to attain licensure.
• Provides ongoing support to other LVHN regions for survey activity and/or other compliance needs.
• Plans and provides education through development of publications and educational offerings to support regulatory/accreditation readiness initiatives and to educate staff on accreditation and licensure standards and regulations.

Minimum Qualifications

• Bachelor’s Degree Clinical area or health-care related field 
• 5 years Acute care hospital nursing, patientcare, Home Care, Hospice, or other hospital operations experience 
• Extensive team facilitation and project management skills. 
• Proficiency in Microsoft Suite: (Word, Excel, PowerPoint, Outlook). 
• Ability to solve problems and build consensus. 
• Highly organized with the ability to work well with people. 
• Ability to work with highly sensitive and confidential information. 

Preferred Qualifications

• Master’s Degree Health-care related field 
• RN - Licensed Registered Nurse PA - State of Pennsylvania Upon Hire