Accreditation & Regulatory Manager

Job Code: CI1117

 

ABOUT US

We are welcoming a new era in healthcare where achieving good health is just the beginning. At UVA Health Northern VA & Culpeper, we believe in caring for the whole person by getting to know – and making connections with – our patients. By combining the talent and expertise of our people, the breadth of capabilities across our system, and our commitment to helping our communities get better and stay healthy, we are improving the patient experience.

As a UVA Health Northern VA & Culpeper team member, you will have a voice in patient care decisions, support the most advanced medical technologies and feel a strong sense of satisfaction from making a difference in people’s lives every day.

 

JOB TYPE

Classification: Exempt

Supervises Positions: No

 

JOB SUMMARY

The Regulatory and Accreditation Manager develops and ensures processes to support a constant survey readiness infrastructure and is responsible for collecting, organizing, documenting, analyzing, and reporting data pertaining to Regulatory Agencies and the facilitation and management of projects impacting regulatory preparedness and accreditation processes.

Communication: Demonstrates effective interpersonal communications skills. 

Engages in active listening, asking questions when appropriate.   Delivers engaging, informative, well-organized presentations when requested.   Effectively uses various technology communication methods to keep stakeholders informed of progress of projects and/or issues.  Maintains good working relationships and rapport with project stakeholders, as well as internal and external clients and or vendors. 

Teamwork: Seeks opportunities to increase business satisfaction and deepen relationships. 

Improves team performance by mentoring, training, and motivating in order to facilitate cooperation. 

Professional Competency: Enhances professional competency through continuing education and researching of material internally or externally. 

Demonstrates strong organizational and time management skills.   Uses critical thinking to assist in decision making and issue resolution.  Updates professional skills by taking educational classes as needed. 

The incumbent may be asked to perform additional duties as assigned.

 

QUALIFICATIONS

Education: Associate's Degree in healthcare related field required. Bachelor’s Degree preferred. Training in quality management and/or statistical analysis preferred.

Experience: Experience with Quality Improvement processes required. Experience with use of Electronic Medical Records preferred. 3+ years of experience in acute care required if not an RN. Refer to the Life Support Training Policy for additional details.

Licensure: Registered nurse in Virginia or compact state of residence preferred. CPHQ preferred. Regulatory certification preferred (required within 3 years in position).

Additional Skills/Requirements Required: Strong problem-solving skills. Ability to apply critical thinking in a variety of situations. Effective communication skills with all levels of staff. Computer competency with basic office products (Microsoft Office: Word, Excel, PowerPoint); ability to quickly proprietary tools. Capability to perform statistical analysis. Knowledge of medical terminology. Strong Customer Relation skills. Ability to facilitate all levels of staff appropriately through improvement processes. Strong project management skills, with the ability to manage, prioritize, and follow through multiple tasks.

Additional Skills/Requirements Preferred: N/A

 

PHYSICAL DEMANDS

Physical Demand Code: 3A, Administration

Work Function/Activity: Sedentary to Light Physical Demand

The job requires frequent sitting, standing, walking, and bending/stooping. Frequent repetitive body movements. Proficient communicative, auditory, and visual skills. Attention to detail and ability to write legibly. Ability to lift/push/pull up to 20 lbs. occasionally. This job description may not include all assigned duties, responsibilities, or aspects of the job described. It may be amended at any time at the sole discretion of UVA Health Northern VA & Culpeper.

 

OTHER

May require the use of safety equipment, such as HEPA mask, for infection prevention: Yes On call responsibilities as directed: Yes Ability to travel between campus buildings, remote facilities, and out of town as needed: Yes