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Columbia Memorial Hospital · 9 hours ago

Manager of Regulatory Services

Astoria, OR

Full-time

Onsite

Senior Level

5+ years exp

Columbia Memorial Hospital is seeking a Manager of Regulatory Services who will provide leadership and support to ensure compliance with accreditation processes. The role involves consulting with departments, maintaining accreditation policies, and developing educational programs to align with regulatory requirements.

Health CareHospitalNon Profit

Hiring Manager

Megan Hutchinson

Responsibilities

Serves as a point person providing leadership and support to assure a strong collaborative relationship throughout the hospital operations teams

Serves as a communication link for all the organizational accreditation processes, leading the clinical support teams such as, Accreditation, Infection Prevention, and Employee Health

Ensures licensing and accreditation by keeping up to date on the requirements for new, expanding, and existing facilities/services in relation to relevant accrediting standards

Consults with departments to ensure certification and conduct basic gap analysis for cases assigned

Serves as the subject matter expert by maintaining internal accreditation, infection prevention, and employee health policies and overseeing organizational compliance of these policies

Develops content and participates in development of education programs to align policies with regulatory requirements

Qualification

Hospital accreditation knowledgeInfection prevention knowledgeRegulatory compliance expertiseManagerial abilityOrganizational skillsCommunication skillsClinical licensureHealthcare accreditation certificationClinical experienceEducation program development

Required

Thorough knowledge and application of hospital accreditation requirements

Knowledge of professional nursing/health care standards and infection prevention

Must demonstrate managerial ability, organizational skills, and excellent communication skills

Ability to observe deficiencies and formulate actions to correct the situation

Ability to make assessments and recommendations

Ability to educate healthcare professionals on regulatory needs

Ability to remain professional and exhibit a spirit of helpness

Ability to read, analyze, and interpret complex written documents such as professional journals, medical records, technical procedures, governmental regulations, and safety rules

Ability to interact with other agencies and community members

Ability to work with the governing body, management, medical staff, and other leaders in the hospital

Associates Degree or higher required