Regulatory & Compliance HC Spec 4- Surgery Admin- F/T, Day Shift

Updated: Apr 16, 2024
Location: Anaheim
Job Type:
Department: Surgery Admin

UC Title: REGL AND CMPLNC HC SPEC 4

Position Number: 41056331

Reports to: Nurse Services Supervisor 2

Working Title: Regulatory & Cmplnce HC Spec 4

Cost Center: Surgery Admin (428757) 

Bargaining Unit: No Bargaining Unit

FLSA: Exempt

Date Created: 4/09/2024

Job Code: 006531

Hours: 40

Shift: Not Applicable

FTE: 1

Position Summary: 

Utilizes technical expertise and knowledge as the subject matter expert and primary resource across the organization and within a specialized area to support the coordination of regulatory affairs, accreditation, and licensing activities.  Provides consultative services and independently performs assessments and consults with legal, operations, and risk management as needed on a wide range of functions and quality assurance related to tissue bank and  other related areas.  Ensure systems and controls meet regulatory requirements, researches best practices, and evaluates the organization’s needs.  Submits necessary documentation to regulatory/accreditation entities, such as the California Department of Public Health (CDPH), The Joint Commission (TJC), and Centers for Medicare and Medicaid (CMS). Involves the review and evaluation of healthcare regulatory compliance controls and programs. Develops regulatory policies and systems from a strategic perspective to better integrate compliance and regulatory standards.  Develops reports, database systems, and procedures to keep abreast of regulatory and compliance issues, trends, and activities. Provides education and consultation to hospital and medical staff regarding the integration of compliance regulatory standards with programs and operations. Acts as a channel of communication to direct compliance issues to appropriate resources for investigation and resolution.

Total Compensation

In addition to the salary range listed below, we offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our: 

Compensation practices (https://www.hr.uci.edu/partnership/totalrewards/compensation.php ) and 

Benefits (https://careersucirvine.ttcportals.com/pages/benefits ). 

Salary Range: 

Annual Rate  Minimum  $111,200.00                         Midpoint   $163,100.00                         Maximum     $215,000.00

Required Qualifications:

Demonstrated ability to problem solve, think critically and creatively, and provide leadership through a consultative role

Strong knowledge of CMS Conditions of Participation, Federal and State (Titles 22 & 24) regulations, and The Joint Commission accreditation standards. experience in a key role in CMS and Joint Commission surveys

Ability to establish and maintain effective working relationships across the Health System

Ability to maintain a work pace appropriate to the workload

Must demonstrate customer service skills appropriate to the job

Excellent written and verbal communication skills in English

Bachelor's Degree in a health-related field, RN, or equivalent experience in Quality & Patient Safety

Ability to manage numerous diverse projects simultaneously through effective priority setting

Must have excellent presentation and computer skills

Must be able to work flexible hours and locations based on the organization's needs

Minimum of five years’ experience in a quality or regulatory role within a hospital or health care organization to include tissue bank compliance

Knowledge of Good Laboratory Practices (FDA, CAP, TJC, AABB, CDPH)

Must possess the skill, knowledge and ability essential to the successful performance of assigned duties

Strong analytical skills to comprehend complex reports and provide an analysis to support actionable decision making

Ability to be self-directed and function independently with minimal supervision/direction

Preferred Qualifications: 

Recent experience leading a CMS or Joint Commission survey

Current RN License

Master's Degree in clinical or health-related field

Clinical Laboratory Scientist (CLS)

Knowledge of University and medical center organizations, policies, procedures and forms

Conditions of Employment:

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment: • Background Check and Live Scan • Legal Right to Work in the United States • Vaccination Policies • Smoking and Tobacco Policy • Drug Free Environment The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements. • California Child Abuse and Neglect Reporting Act • E-Verify • Pre-Placement Health Evaluation Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/newhire/conditions-of-employment.php 

Closing Statement:

The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy. We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming. UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI’s Employee Experience Center (EEC) at [email protected] or at (949) 824-0500, Monday – Friday from 8:30 a.m. – 5:00 p.m.