Division Director Regulatory Compliance

Introduction

Last year alone, HCA Healthcare colleagues invested over 156,000 hours
impacting our communities. As a(an) Division Director Regulatory Compliance
with HCA Healthcare, you can be a manager in an organization that is devoted
to giving!

Benefits

HCA Healthcare, offers a total rewards package that supports the health, life,
career and retirement of our colleagues. The available plans and programs
include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more
• Consumer discounts through Abenity and Consumer Discounts
• Retirement readiness, rollover assistance services and preferred banking partnerships
• Education assistance (tuition, student loan, certification support, dependent scholarships)
• Colleague recognition program
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits
_Note: Eligibility for benefits may vary by location._
Come join our team as a(an) Division Director Regulatory Compliance. We care
for our communities and employees! HCA Hope Fund in fourteen years reached a
historic milestone: $50 million in help to our colleagues in need. Last year,
HCA Healthcare and our colleagues donated $13.8 million dollars to charitable
organizations. Apply Today!

Job Summary and Qualifications

Job Summary:
The Division Director of Regulatory Compliance is responsible for
administration and oversight of all activities concerning the achievement of
continuous regulatory and accreditation readiness, regulatory response,
quality excellence, and corporate safety compliance. The role provides
oversight for matters including the Centers for Medicare and Medicaid Services
(CMS), The Joint Commission (TJC), state agencies and other external agencies
for regulatory compliance. This position works closely with the quality and
safety areas, leadership, and department leaders within the Facilities, to
support facilitation, development, implementation, and validation of systems
to ensure compliance with external accrediting and regulatory bodies, while
driving process improvement and safety across the division. The position must
be able to deploy to other divisions if necessary to support regulatory
compliance.
In this role you will:

• Provides administration and oversight of all activities concerning the achievement of continuous regulatory and survey readiness. Ensures strategic and operational implementation of regulatory requirements, guidelines, and standards of federal, state, and local licensing agencies, accrediting and certifying organizations.
• Directs strategic and operational implementation of regulatory requirements, guidelines, and standards of federal, state, and local licensing agencies, accrediting and certifying organizations, along with safety policies and procedures and professional standards of the organization.
• Assists in the establishment of operational performance measurements and the monitoring of trends in key performance indicators to evaluate effectiveness, reliability, and efficiency.
• Maintains knowledge of current accreditation and regulatory trends, guidance, standards, and requirements to ensure facility survey readiness and compliance and collaborates with the HCA Regulatory and Accreditation Team.
• Establishes and maintains proactive system for continual survey readiness with division and facility key stakeholders and department leaders. Manages the division’s tracer process and audits, where appropriate. Recommends monitoring activities and determines effectiveness of interventions to meet desired outcomes.

Job Requirements:
Currently licensed as a registered nurse or health professional in the
state(s) of practice and/or has an active compact license, in accordance with
law and regulation.
Certified Professional in Healthcare Quality (CPHQ), or Certification in
Healthcare Quality Management (CHCQM), or Master’s Degree, or Doctorate Degree
to be obtained within 12 months of hire
Healthcare Accreditation Certification Program (HACP) to be obtained within 24
months of hire
Nashville-based HCA Healthcare is one of the nation’s leading providers of
healthcare services. Founded in 1968, HCA Healthcare created a new model for
hospital care in the United States. In this model, we use combined resources
to improve hospitals, deliver patient-focused care, and improve the practice
of medicine. We have conducted several clinical studies. One of those studies
includes a demonstration that full-term delivery is healthier than early
elective delivery of babies. Another study identified a clinical protocol that
can reduce bloodstream infections in ICU patients by 44 percent. We are a
learning health system that uses its more than 31 million annual patient
encounters to advance science, improve patient care and save lives. HCA
affiliated facilities in the North Florida Division are a part of a quality
healthcare network in North Florida. This network includes 15 affiliated
hospitals, 5 surgery centers, and two consolidated service centers. Together,
our network has over 3,100 beds, employs more than 14,000 team members, and
has over 4,200 physicians on staff.
HCA Healthcare has been recognized as one of the World’s Most Ethical
Companies® by the Ethisphere Institute more than ten times. In recent years,
HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of
charitable care, uninsured discounts, and other uncompensated expenses.
> “The great hospitals will always put the patient and the patient’s family
> first, and the really great institutions will provide care with warmth,
> compassion, and dignity for the individual.”- Dr. Thomas Frist, Sr.
> HCA Healthcare Co-Founder
Become a manager with an organization that invests in your career while giving
to the community. We are seeking distinguished applicants for our Division
Director Regulatory Compliance opening. Help HCA Healthcare create healthier
tomorrows for patients and communities.
We are an equal opportunity employer and value diversity at our company. We do
not discriminate on the basis of race, religion, color, national origin,
gender, sexual orientation, age, marital status, veteran status, or disability
status.
Apply