Coordinator RegulatoryReq #:0000188546 Category:Education/Training Status:Full-Time Shift:Day Facility:RWJ New Brunswick Department:External Affairs and Policy Salary:$90,000.00 - $130,000.00 per year Location: Main Hospital - New Brunswick, One Robert Wood Johnson Place, New Brunswick, NJ 08901 Job Title: Coordinator Regulatory Location: RWJ New Brunswick Department: External Affairs and Policy Req#: 0000188546 Status: Full-Time Shift: Day Salary Range: $90,000.00 - $130,000.00 Annual Pay Transparency: The above reflects the anticipated salaried range for this position if hired to work. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: Helps coordinate under the direction of the Director, Quality Data Management, the hospital s regulatory readiness processes to assure compliance with regulations and standards of regulatory and accreditation agencies Qualifications: Education: Bachelor s degree in healthcare related field required; Master s degree preferred, RN License in New Jersey desirable, Professional Certification CPHQ or CPPS highly desirable, Experience: Minimum of five years experience in clinical practice, Knowledgeable about state, federal, and regulatory agency requirements, Personal Qualifications: Ability to work effectively with colleagues, physicians and hospital staff, Ability to effectively and efficiently organize, prioritize, and coordinate job responsibilities, Outstanding verbal and written communication skills, Strong leadership skills, Essential Functions: Supervisory Expectation Helps coordinate under the direction of the Director, Quality Data Management, the hospital s regulatory readiness processes to assure compliance with regulations and standards of regulatory and accreditation agencies. Monitors compliance of the standards and works in collaboration with the departments to implement performance improvement/regulatory initiatives. Assists departments with development of performance improvement/regulatory indictors and analyzes the data collected. Performs survey readiness tracers and provide feedback to the department for follow up Assures that meetings are scheduled, agendas are prepared and minutes are completed in a timely manner. Provides ongoing education regarding quality, regulatory and performance improvement initiatives at new employee and physicians orientation Provides ongoing education regarding quality, regulatory and performance improvement initiatives house wide Provides ongoing information and education on changes and updates to Joint Commission, CMS, and Department of Health standards and other agencies requirements. Quality Reviews Coordinates quality reviews and responses on NJDOH and Joint Commission patient complaints Coordinates root cause analysis on reportable events outline in the New Jersey Patient Safety Act. Ensures action plans are implemented and monitoring is conducted. Conducts one annual RCA on a near miss Proactive Risk Assessment Coordinates the required FMEA/RCA required by regulatory agencies Policies and Procedures Co-chairs the hospital policy and procedure committee and assists with maintaining the online policy and procedure system. Assists with scheduling meetings, preparing agendas and minutes in a timely manner Online Event Reporting System Reviews reported events for potentially meeting reporting requirements for the Patient Safety Reporting System. . Verge Reviews all events reported with in the their departmental responsibilities Assist departments with implementation of action plans Completes special projects of the VP Patient Safety/Quality in a professional manner, as evidenced by the following: Project is completed according to the established guidelines and time frames of the requesting party. Effective time management skills are used to ensure that projects are completed without jeopardizing normal daily work requirements. Careful research and investigation is done so that data being used are accurate and up to date. Pursues ongoing professional growth and development as evidence by the following: Attendance at seminars, workshops, conferences, in-services. Review and sharing of literature. Networking with colleagues. Environment of Care Standard: Demonstrates the awareness of safety, security, life safety, emergency preparedness and utility and equipment management policies competencies. Adheres to Standard Precautions Adheres to Safety and Infection Control policies Attends mandatory in-services Helps maintain a safe and clean patient/work environment Follows incident reporting procedures Ensures that appropriate standards of practice follow corporate compliance guidelines, and that results of accreditation surveys and licensure reviews by NJSDOH and JCAHO are satisfactory. Acts in an ethical and legal manner, and assures that all actions are in the best interest of both patients and the hospital. At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health. + Paid Time Off (PTO) + Medical and Prescription Drug Insurance + Dental and Vision Insurance + Retirement Plans + Short & Long Term Disability + Life & Accidental Death Insurance + Tuition Reimbursement + Health Care/Dependent Care Flexible Spending Accounts + Wellness Programs + Voluntary Benefits (e.g., Pet Insurance) + Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more! Choosing RWJBarnabas Health RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health. RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education. Equal Opportunity Employer RWJBarnabas Health is an Equal Opportunity Employer