Regulation Program Specialist

GENESIS HEALTHCARE SYSTEM
 

In order to fill our Mission of serving our community by helping each person achieve optimal health and well-being by providing compassionate, exceptional, and affordable healthcare services, all employees of Genesis HealthCare System must be committed to living the Genesis Mission and Genesis values of Compassion, Excellence, Integrity, Team, and Innovation. All employees must regard themselves as an ‘owner’ of Genesis and keep our patients at the center of everything we do - always. 

Position Details:

Work Shift:

Day Shift (United States of America)

Scheduled Weekly Hours:

40

Department:

Corporate Integrity

Overview of Position:

The Regulation Program Specialist reports to the Corporate Integrity Director. This role will assist with the facilitation and maintenance of accreditation and regulatory compliance in both inpatient and outpatient locations as required by agencies such as Healthcare Facilities Accreditation Program (HFAP), Centers for Medicare & Medicaid Services (CMS), Standards and Conditions of Participation (CoPs), the Ohio Department of Health (ODH), and other Centers of Excellence Accreditations or Certifications.

ESSENTIAL DUTIES
1.    Coordinates compliance with all State and Federal Hospital regulatory requirements.
2.    Coordinates and prepares system-wide mock survey activity.
3.    Communicates mock survey reports to departmental leadership, assisting with review and action plans as directed.
4.    Tracks mock survey action plan completion.
5.    Provides clinical support for Regulatory Surveys of all types as assigned.
6.    Assists with preparation, support, and delivery of various regulatory compliance presentations of an educational nature.
7.    Conducts a documented gap analysis of regulations / standards in conjunction with leadership as directed.
8.    Proactively identifies compliance risks and brings to the attention of the Corporate Integrity Director, unit leadership and manager.
9.    Participates in system-wide committees as assigned to relate / explain regulatory guidelines or changes as needed.
10.    Responsible for monitoring HFAP and/or CMS websites for upcoming regulatory changes and proposed rules.
11.    Maintains working relationships with legal services, executive and senior leadership, department managers and directors, medical staff, regarding the organization and accuracy of action plan reports and all documentation required regarding regulatory and accreditation surveys. 
12.    Assists in preparation of HFAP applications for all hospital-based locations in a timely manner prior to survey activity as required.
13.    Other duties as assigned.

QUALIFICATIONS
1.    Bachelor’s degree in healthcare field
2.    Licensed in the state of Ohio as a Registered Nurse
3.    3 Years of experience in healthcare
4.    Experience with MS Word, MS Excel, and Power Point.
5.    Excellent interpersonal, decision-making, facilitation, conflict resolution and analytical skills.
6.    Ability to work independently and under pressure in a complex and changing working environment.
7.    Pro-active problem-solver with excellent listening, verbal and written communication skills.

PATIENT CENTERED CARE & BEHAVIORAL EXPECTATIONS
1.    Living the Genesis Mission, Vision and Values: 
• Performs work in a manner that is quality focused.
• Treats patients, co-workers, visitors and volunteers with courtesy, compassion, empathy and respect.
• Results oriented and focused on achievement of objectives.
• Acknowledges and responds to the diversity of people and the situation.
• Encourages peers (others) to be owners of change.
• Always makes the effort to anticipate and exceed customer needs and expectations.
• Possesses the ability to engage others with patience and understanding.
• Acts in a manner that creates positive first and lasting impressions.
• Demonstrates the ability to own issues until they are resolved.
2.    Patient Centered Care (patients/families, physicians, co-workers, all other internal/external customers)
• Introduces self and role…connects with everyone.
• Communicates effectively (i.e. advising others of actions, pertinent information, time durations, etc.) and asks for feedback.
• Asks for and anticipates needs and concerns of others.
• Maintains a positive work environment for staff and a healing environment for patients (i.e. safe, clean, quiet, etc.)
• Maintains the dignity and privacy of each person; manages confidential/sensitive information appropriately.
• Responds to requests in an appropriate and timely manner.
• Exits patient/customer encounters courteously, asking if there are additional needs that can be addressed.
3.    Promotes Patient and Employee Safety 
• Demonstrates safe Patient Handling (i.e. transfers, transport, care administration, nutrition, medication, etc.) 
• Demonstrates safe Materials Handling (i.e. appropriate use and disposal of chemicals, infectious wastes, etc.)
• Demonstrates appropriate knowledge of Infectious Disease precautions and use of proper protective equipment
• Demonstrates Slips/Trips and Falls Awareness.
• Actively contributes to maintaining a safe, clean and quiet environment.

WORKING CONDITIONS/PHYSICAL REQUIREMENTS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

1.    Works in an office environment.
2.    Regularly lift or move up to 10 pounds, frequently lift or move up to 25 pounds, and occasionally lift or move up to 50 pounds.
3.    Vision abilities required include; up close vision, peripheral vision, depth perception and the ability to adjust focus.
4.    Answers phones, uses a personal computer, scanner, copier, fax, which requires finger dexterity.
5.    May occasionally bend, reach, push, pull, stoop kneel, crouch or crawl.
6.    Employee may be required to travel to other departments/floors or travel to other locations.
 

Thank you for your interest in employment at Genesis. Genesis is committed to being an equal opportunity employer. Selection of applicants for employment is based only on qualifications and the requirements of a specific job.