Regulatory Coordinator - Accreditation and Regulatory Compliance

Overview

Valid Ohio driver's license and proof of auto insurance is required by hospital policy. Must pass a motor vehicle background inspection, insurance eligibility, driving qualifications and training set forth by Nationwide Children's Hospital and must maintain qualification of insurance guidelines.

Job Description Summary

Supports the Accreditation and Regulatory department in the Center for Clinical Excellence. Performs audits of patient care areas to meet compliance requirements, coordinates mortality reporting, and provides administrative support.

Essential Functions

• Audits clinical areas according to accreditation, regulatory standards, and hospital policy. Responsible for audit tool development and implementation.
• Facilitates the tracking of EOC/Accreditation rounds done by Epidemiology, Safety and CCE Consultants.
• Completes hospital mortality reporting and communicates throughout organization.
• Summarizes and prepares presentations on audit results. Communicates to clinical areas and leadership.
• Provides coaching and feedback to clinical and support staff.
• Supports various accreditation and regulatory projects and activities.

Education Requirement

Associate's Degree or equivalent experience, required.

Licensure Requirement

Valid Ohio driver's license and proof of auto insurance as required by hospital policy and position-specific requirements. Must pass motor vehicle background inspection, insurance eligibility, driving qualifications, and training set forth by Nationwide Children's Hospital and maintain qualification of insurance guidelines.

Skills

• Effective oral, interpersonal, and written communication skills.
• Attention to detail, flexibility, time management, and the ability to summarize data.

Experience

• One year of experience in healthcare or hospital setting, required.
• Familiarity or experience with the electronic medical record, preferred.

Physical Requirements

Occasionally

Biohazard waste, Climb stairs/ladder, Cold Temperatures, Fume /Gases /Vapors, Hot Temperatures, Lifting / Carrying: 11-20 lbs, Loud Noises, Patient Equipment, Sitting, Squat/kneel

Frequently

Bend/twist, Chemicals/Medications, Driving motor vehicles (work required) *additional testing may be required, Flexing/extending of neck, Lifting / Carrying: 0-10 lbs, Reaching above shoulder, Standing, Walking

Continuously

Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing - Far/near

Additional Physical Requirements performed but not listed above

• Able to multi-task within a stressful environment.
• Ability to identify and prioritize assignments.

Additional information

"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"