Job description


Job Description & Salary Range

UC Title: Manager

Position Number: 10007149

Reports to: Director

Working Title: Accreditation&Reg Affairs Mgr

Cost Center: Risk Management (8612)

Bargaining Unit: None

FLSA: Exempt

Job Code: 0280

Date Created: 08/07/2017

Shift: Day Shift

Hours: 40.00

Position Summary:

Reporting to the Director, Risk & Regulatory Affairs, the Accreditation & Regulatory Affairs Manager directs and coordinates accreditation, policy and regulatory affairs initiatives for UC Irvine Health; serves as the organizational liaison with The Joint Commission (TJC), California Department of Public Health (CDPH), and other pertinent regulatory agencies. The incumbent performs a variety of duties including development of strategies for compliance, analysis of accreditation standards, regulations, and policies impacting UC Irvine Health and operations; and collaborates with hospital departments, services, clinics, and business partners in understanding and complying with accreditation standards, regulatory agencies, and hospital policies.

Required Qualifications:

Ability to manage numerous diverse projects simultaneously through effective priority setting

Bachelor's Degree in a health-related field, RN, or equivalent experience in Quality & Patient Safety

Demonstrated ability to problem solve, think critically and creatively, and provide leadership through a consultative role

Effective written and verbal communication skills; ability to communicate with customers/staff with diverse educational backgrounds

Minimum of five years' experience in a quality or regulatory compliance role within a hospital or health care organization

Must be able to work flexible hours and locations based on the organization's needs

Must have excellent presentation and computer skills

Strong knowledge of CMS Conditions of Participation, Federal and State (Titles 22 & 24) regulations, and The Joint Commission accreditation standards. experience in a key role in CMS and Joint Commission surveys

Preferred Qualifications:

Current RN License

Master's Degree in health related field

Recent experience leading a CMS or Joint Commission survey

Physical, Mental & Environmental Demands:

To comply with the Rehabilitation Act of 1973 the essential physical, mental and environmental requirements for this job are listed below. These are requirements normally expected to perform regular job duties. Incumbent must be able to successfully perform all of the functions of the job with or without reasonable accommodation.

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Job No:
Posted: 3/12/2018
Application Due: 4/5/2018
Work Type: