Joint Commission Compliance Regulatory Manager

Fort Lauderdale, FL 33308 US

Job ID: 2906 Position Type: Nurse Manager Jobs
The Joint Commission Compliance Manager/ Regulatory Compliance (QUALITY MANAGEMENT Compliance Regulatory)

Our client was rated one of the Best Regional Hospitals by US World News Report and Recognized as one of the best hospitals in the Miami, Fort Lauderdale, Metro Area. They are also One of the top elite Magnet Recognized Hospitals in the State of Florida.

The responsibility if the Joint Commission Compliance Manager/Accreditation and Regulatory Compliance is to Promote a status of continuous survey readiness in anticipation of surveys and expectations of the Joint Commission (TJC) and assists other departments in the interpretation of relevant regulatory standards. The Manager of Joint Commission Compliance Manager Directs and coordinates all activities related to compliance with all legal, licensure and accreditation requirements as designed by TJC and other regulatory/ accreditation agencies and/or organizations. The Manager does mock surveys and tracers and facilitates plans for improvement with department leaders.

The Joint Commission Compliance Manager Leads hospital with regulatory survey readiness planning to comply with Joint Commission's Hospital Accreditation Program (HAP) and other TJC Disease-Specific Certifications
The Joint Commission Compliance Manager is responsible for work plans, timelines, and gap analysis to assess survey readiness, interpreting applicable regulatory standards and guides improvement activities for compliance
The Joint Commission Compliance Manager collaborates with stakeholders to identify organizational gaps in survey readiness, implementing processes to meet standards, and monitoring progress for completion
The Joint Commission Compliance Manager develops an organized system to assess, collect and document each department’s level of compliance with applicable standards, The Joint Commission Manager actively organize and participates in on-site surveys, including coordination of agendas, assigning tasks, tracking activities, and communication plans for internal and external stakeholders.

The Joint Commission Compliance Manager is responsible for Customer Service, developing people, performance goals, creates a learning environment, collaboratively establishes development plans, tracks performance, champions positive results.

The Joint Commission Compliance Manager is an Inspirational/Visionary leader that inspires effort, builds confidence, supports the organization

The Joint Commission Compliance Manager leads change by encouraging boundary-breaking, values sound approaches, rewards change, addresses change resistance.

The Joint Commission Compliance Manager is responsible for Quality Leadership, generates options for improvements and implements change effectively.

Job Requirements
The Joint Commission Compliance Manager is Systems Thinking, identifies issues, problems, and opportunities gather and interprets information, generates alternatives, and involves others
The Joint Commission Compliance Manage Organizational Savvy and seeks opportunities, leverages diversity and supports the mission and core values of the hospital system.


Education & Qualifications

Bachelor’s degree or equivalent experience in nursing, public health, health administration, or health related field
required. Master’s degree preferred.

Minimum of five years' of related experience

Certified Joint Commission Professional (CJCP) preferred.

Minimum of two years of experience with accreditation and regulatory survey process, development, and follow up of corrective action plans, in an acute care hospital experience in Quality Improvement or Patient Safety a plus.

To Learn more Contact Juli Van Der Meulen



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