Accreditation, Regulatory & Risk Management Specialist - (RN Req.) - Urgent

POSITION SUMMARY- The Accreditation, Regulatory and Risk Management Specialist: leads efforts to ensure continual organizational compliance and ongoing readiness with clinical quality and patient safety standards and regulations required by The Joint Commission, Massachusetts Department of Public Health/Mental Health and Center for Medicare and Medicaid Services. In this role the Manager proactively plans, implements, coordinates and continually improves the Boston Medical Center’s (BMC) efforts related to compliance, accreditation, and licensure requirements

Must-Haves

• Bachelors in Nursing 
• Registered Nurse- Massachusetts
• Requires at least 5 years of direct clinical care. Minimum of 1 year in accreditation, regulatory and risk management.
• CPHRM Certification Preferred

Responsibilities 

• Serves as the organizational expert for The Joint Commission (TJC), Department of Public Health (DPH), Department of Mental Health (DMH), Centers for Medicare and Medicaid Services (CMS) standards, regulations and conditions of participation.
• Responsible for the interpretation and communication of regulatory and licensing requirements throughout the organization.
• Provides education and consultation to administrative and clinical leadership, staff and faculty throughout BMC regarding the requirements of accreditation and regulatory organizations.
• Provides guidance and assistance to departments, sections, units and programs regarding improvements needed to ensure compliance with requirements of TJC, DPH, DMH and CMS.
• Facilitates development of tools, policies, and procedures, and learning aids to promote compliance with standards.
• Provides timely communication regarding new and revised TJC, CMS, DPH, DMH standards and interpretations to administrative and clinical leadership, staff and faculty.
• Works closely and builds effective working relationships with accreditation and regulatory agencies, i.e., The Joint Commission, DPH, DMH and CMS. 
• Responsible for all aspects of the plan to ensure continual readiness with the clinical regulatory and accreditation requirements of the TJC, DPH, DMH and CMS.
• This includes but is not limited to: Development, coordination, and implementation of the continual readiness plan; Ongoing assessment of the continual readiness plan; identification of needed improvements; and preparation and implementation of plans to achieve needed improvements