Manager, Internal Accreditation/Regulatory Assurance

Company: Nicklaus Children's Hospital
Location: Miami
Posted on: March 7, 2025

Job Description:

DescriptionJob SummaryThe Accreditation Regulatory Internal Assurance Manager supports all Nicklaus Children's Health System's (NCHS) entities in accreditation and regulatory readiness & services. Responsible for developing, implementing, maintaining, and enhancing mechanisms to track, trend, and report Accreditation & Regulatory measures and compliance reports to the NCHS entities. Assists and/or leads in the preparation, coordination, and execution of efforts related to Det Norske Veritas (DNV) or equivalent National Accreditation entity and other regulatory & governmental agency surveys. Serves as an expert & supports the department in maintaining its constant state of readiness for all NCHS surveys and continuous process improvement needs to meet regulatory compliance.Job Specific Duties

• Supports all Nicklaus Children's Health System's (NCHS) entities in accreditation and regulatory readiness & services.
  
• Responsible for developing, implementing, maintaining, and enhancing mechanisms to track, trend, and report Accreditation & Regulatory internal assurance measures and compliance reports to the NCHS entities.
  
• Assists and/or leads in the preparation, coordination, and execution of efforts related to Det Norske Veritas (DNV) or equivalent National Accreditation entity and other regulatory & governmental agency surveys.
  
• Serves as an expert & supports the department in maintaining its constant state of readiness for all NCHS surveys and continuous process improvement needs to meet regulatory compliance.
  
• Analyzes departmental requirements to ensure quality services for internal and external customers aligns with organization's visions and values.
  
• Maintains a catalogue of all regulatory & accreditation activities.
  
• Maintains knowledge of standards, updates to standards, compliance of regulatory requirements through comprehensive document review, analysis, reporting, and summarizing of data.
  
• Directly supervises and coordinates activities of extraction workers.Qualifications Minimum Job Requirements
  • Bachelor's Degree in Business Healthcare, or related field required
    
  • 1-3 years experience supporting accreditation efforts that include working with state and other regulatory agency representatives, and served as a lead, coordinator, command center representative, escorted agency representatives and/or functioned as a scribe during agency surveys
    
  • 4-7 years experience working in healthcare regulatory setting involving accreditation & regulatory preparation and CMS Conditions of Participation standardsKnowledge, Skills, and Abilities
    • Master's degree in healthcare related field preferred.
      
    • Quality review, analysis, and reporting as well as quality background preferred.
      
    • Experience with at least three (3) DNV or CMS deemed authority surveys.
      
    • Previous experience in regulatory compliance and or quality improvement is strongly preferred.
      
    • Exceptional attention to detail & presentation skills.
      
    • Excellent verbal, written, and interpersonal communication skills and time management.
      
    • Ability to analyze data and regulatory requirements.
      
    • Ability to interact and consult effectively with leaders, staff, and physicians as well as regulatory bodies.
      
    • High degree of professional judgement, flexibility, and professionalism.
      
    • Experience with informal and formal development of educational programs, policies & procedures, plans and project management skills preferred.
      
    • Advanced knowledge of computer spreadsheets and database management.
      
    • Expert in the fundamental principles of business management, quality management, and performance improvement preferred.
      
    • Demonstration in the understanding and applicability of organizational behavior.
      
    • Independent and creative problem solving to handle complex time sensitive projects.
      
    • Ability to drive to all Nicklaus Children's Health System entities.
      
      Job : Professional
      
      Primary Location : Florida-Miami-Nicklaus Children's Hospital - Main Hospital Campus
      
      Department : ACCREDITATION &REGULATORY-1000-910921
      
      Job Status
      :Full TimeRequired
      Preferred

      Job Industries

      • Other

Keywords: Nicklaus Children's Hospital, Miami , Manager, Internal Accreditation/Regulatory Assurance, Executive , Miami, Florida