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   Current UPMC employees must apply in HR Direct

Director, Regulatory and Accreditation

  • Job ID: 778485171
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Pinnacle Health Support Services
  • Department: Patient Service Coordtn
  • Location: 361 Alexander Spring Road, Carlisle PA 17015
  • Union Position: No
  • Salary Range: $45.90 to $68.85 / hour

Description

Purpose:
Provide leadership and strategic direction for regulatory processes, including Joint Commission, CMS and other state and regulatory accreditations. Designs, directs and facilitates implementation of effective systems to evaluate regulatory compliance and continuous survey readiness. Collaborate with the other UPMC Directors and interface with system Regulatory and Accreditation Specialist in the Center for Quality, Safety and Innovation. Will have oversight of both Carlisle and West Shore campuses. 

Responsibilities:

 

  • Stay abreast of proposed and new regulations and standards and initiates action to ensure compliance.
  • Regularly update local and system management on status of regulatory performance at supervised facilities.
  • Oversee and support the organizations compliance with all Pennsylvania Department of Health regulations.
  • Oversee and support the organizations compliance with all Joint Commission Standards.
  • Oversee and support the organizations compliance with non-financial, clinically based CMS regulatory requirements.
  • Participate in system Quality, Safety and Regulatory teams.
  • Ensure that policies are current and compliant with all requirements.
  • Serve as a resource on a broad range of regulations and standards.
  • Educate managerial, medical, clinical and ancillary staff to regulations and standards to develop an informed and effective health care team.
  • Effectively collaborate and communicates with all levels of the organization and UPMC.
  • Assist in review of Health Services Division and Health System Policies.
  • Collaborate with other Director of Regulatory & Accreditation Services in establishing successful practices and conducting mock surveys.
  • Facilitate the accomplishment of organizational goals and imperatives.
  • Conduct ongoing assessments as to the state of compliance to all applicable regulations and standards.

 

Qualifications

  • Master's Degree required
  • 7-10 years Healthcare Related Experience required, with 5-7 years Supervisor Experience preferred
  • Certification in related area of expertise preferred.
  • Department of Health, Joint Commission, CMS, and other regulatory requirements and survey processes desired.
  • Knowledge, Skills and Abilities Requirements:Strong Computer skills. Excellent interpersonal skills, including written and verbal communication. Strong organizational skills to manage large amounts of data. Public speaking and facilitation skills


Licensure, Certifications, and Clearances:
Clearances must be dated within 90 days
 

  • Registered Nurse (RN)
  • Act 33 with renewal
  • Act 34 with renewal
  • Act 73 FBI Clearance with renewal

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

Total Rewards

More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life — because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.

Our Values

At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

   Current UPMC employees must apply in HR Direct