General Summary/Responsibilities:

The incumbent is the organizational expert with focused responsibilities in leading Regulatory Compliance including the Joint Commission (TJC), Centers for Medicare and Medicaid (CMS), Ohio Department of Health (ODH), and other local, state and federal agencies, including the TJC disease specific certifications. The incumbent functions as a critical resource to evaluate policies and standards established by outside regulatory agencies, provides direct input into their interpretation, and determines the organization's compliance

Education:

Minimum level of education: Bachelor's degree in nursing (BSN)-Advanced degree preferred.

Licensure/Certification/Registration:

Valid Ohio RN license

Experience:

Minimum of 5-7 years of job-related experience. Clinical experience in healthcare required.

Knowledge/Skills:

A knowledge base that includes understanding the regulatory process at the local, regional, state and national level, including working knowledge of the Joint Commission/CMS Standards and the survey process. The incumbent must demonstrate expertise in: o Communication across disciplines. o Managing group dynamics. o Performance improvement processes. o Must be able to articulate the value and vision for "survey readiness: in a manner that portrays its positive aspects to patient care. o Must be willing to serve as a change agent within the organization.