- Where
- Banner Baywood Med Ctr (6644 E Baywood Ave) · Banner Goldfield Med Ctr (2050 W Southern Ave) · Banner Heart Hosp (6750 E Baywood Ave)
- Level
- Mid
Primary City/State:
Mesa, Arizona
Department Name:
Regulatory Readiness-Corp
Work Shift:
Day
Job Category:
Risk, Quality and Safety
Innovation and highly trained staff. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care.
As a Regulatory Consultant with Banner Health, your focus will be on supporting regulatory compliance, patient safety and quality care across several east valley acute care facilities. This role requires minimal travel but allows the opportunity to visit many Banner sites and play an enterprise-level role in organizational success. You will provide on-site support during state surveys, perform mock surveys to continuously assess compliance and coach staff and conduct rounds and team member education, while attending virtual meetings, data review and other tasks remotely from home.
The schedule for this position is 8AM - 4:30PM, Monday - Friday, no weekends, or holidays.
Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.
POSITION SUMMARY
This position plans, coordinates, implements and evaluates facility(ies)/entity(ies) and regulatory programs for preparedness and accreditation/certification/licensure requirements. This position acts as a subject matter expert to leadership, staff and system teams/work groups as related to regulatory requirements to ensure standards are met. Work processed by the incumbent is confidential and protected from discovery by subpoena pursuant to state, department of health services, the Joint Commission and CMS regulations.
CORE FUNCTIONS
1. Responsible for the implementation of regulatory requirements using standardized regulatory processes in one or more facilities/entities. Prepares facilities/entities for surveys by evaluating standardized infection prevention/control and Environment of Care (EOC)/Life Safety (LSC) regulatory processes. Reviews, evaluates and assists in the development and implementation of of facility/entity policies, procedures and guidelines as they relate to regulatory compliance. Makes recommendations on all facility matters related to compliance with Joint Commission, CMS, national/ state/local regulations and/or professional standards.
2. Conducts observations, tracers, building tours, document reviews and interviews to ascertain facility compliance with standards, rules and regulations. Documents findings and provides facility with reports and recommendations for change. Completes and updates the Joint Commission application.
3. Provides direction and education to facility functional team leads on completion of the Periodic Performance Review, standardized metrics and action plans for resolution of identified non-compliance with regulations and standards. Provides tools for ongoing measurement and reporting of compliance with regulatory standards. Supports development and monitors completion of facility plans of correction. Oversees and assists functional teams and department managers in the development of corrective actions.
4. Responds to notices of surveyor arrival at facilities by directing survey management activities, clarification of standards, support and assistance to the senior leadership team. Initiates and directs post survey activities to ensure the facility meets regulatory process requirements. Schedules and participates in unannounced corporate surveys system-wide. Works with facility…