Accreditation and Regulatory Specialist - Gateway Regional Medical Center

We are Gateway Regional Medical Center. Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.

We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff, the functional improvement of our patients, and the cultivation of strong partnerships within our communities.

WHAT WE OFFER

• Essential/stable and growing company with many opportunities for training and advancement within the medical field that all employees and team members (including Full-Time and Part-Time) can benefit from.
• Hourly pay is negotiable based on experience. We offer competitive market pay and opportunities for bonus depending on great work performance (bonuses only apply for Full Time).

Comprehensive Employee Benefits: Full-Time employees are eligible for various plans for medical, dental, and vision insurance.

Job Summary: The Accreditation and Regulatory Specialist is responsible for ensuring that the organization remains compliant with industry standards, regulations, and accreditation requirements. This role involves managing the accreditation process, ensuring regulatory compliance, and maintaining up-to-date knowledge of changing laws and standards. The specialist will collaborate with various departments to implement practices that meet regulatory requirements and improve the organization's quality management processes.

Key Responsibilities:

• Accreditation Management:
• Lead and coordinate accreditation and re-accreditation processes across the organization.
• Ensure compliance with standards set by accrediting bodies (e.g., [list specific accrediting organizations, if applicable]).
• Prepare and submit reports, documents, and evidence required for accreditation applications and renewals.
• Maintain records and documentation to support ongoing accreditation compliance.

Regulatory Compliance:

• Monitor and stay informed about changes in industry regulations, laws, and standards.
• Ensure the organization complies with applicable local, state, and federal regulations, including those related to healthcare, safety, and quality standards.
• Serve as the primary point of contact for regulatory audits and inspections.
• Develop and implement compliance policies, procedures, and training programs in collaboration with other departments.

Quality Improvement:

• Conduct internal audits and reviews to assess compliance with accreditation and regulatory requirements.
• Collaborate with various departments to identify areas for improvement and develop corrective action plans when necessary.
• Support the development and implementation of best practices to enhance service quality and regulatory adherence.

Education and Training:

• Provide training and education to staff on accreditation standards, regulatory requirements, and best practices.
• Ensure staff are aware of and comply with all relevant policies and procedures related to accreditation and regulation.

Reporting and Communication:

• Prepare and present reports to senior leadership on compliance status, audit results, and any upcoming regulatory changes.
• Maintain effective communication with accrediting bodies and regulatory agencies to ensure ongoing compliance and responsiveness to new requirements.

Qualifications:

· Bachelor's degree in healthcare, business administration, or a related field (Master's preferred).

· Minimum of [X] years of experience in regulatory affairs, accreditation, compliance, or quality management.

· Thorough understanding of relevant accreditation processes and regulatory requirements, particularly in [industry, e.g., healthcare, higher education].

· Strong project management skills with the ability to handle multiple tasks and deadlines.

· Excellent written and verbal communication skills.

· Detail-oriented with a strong ability to analyze complex information and regulations.

· Proficiency in [specific software tools, if applicable].