Manager Clinical Regulatory Operations

Job Description:

The position of Clinical Regulatory Program Director at Intermountain Health has oversight and responsibility for managing the development, deployment, and ongoing evaluation of key performance strategies for a continuous regulatory readiness program across the enterprise. This role has system responsibility for all things pertaining to The Joint Commission accreditation process as well as CMS/State certification. This position will partner with the System Director of Clinical Regulatory Affairs to ensure a state of continuous regulatory readiness, and collaboration with Operating Lanes, Clinical Programs, Clinical Excellence services, central entities, and all care sites. This position will direct internal multidisciplinary Mock Surveys, oversee the survey readiness program software, and deploy external surveys, often with last minute travel.



Job Profile Summary

The position of Clinical Regulatory Operations Manager at Intermountain Health has oversight and responsibility for managing the development, deployment, and ongoing evaluation of key performance strategies for a continuous regulatory readiness program across the enterprise. This role has system responsibility for all things pertaining to The Joint Commission accreditation process as well as CMS/State certification. This position partners with the Director of Clinical Regulatory Affairs and other Clinical Regulatory Managers to ensure a state of continuous regulatory readiness, and collaboration with operations Service Lanes, Clinical Programs, Clinical Excellence services, central entities, and all care sites. This position will lead internal multidisciplinary Mock Surveys, oversee the survey readiness program software and strategy, and deploy external surveys, often with last minute, unannounced travel.

Essential Functions

• Regulatory/accreditation support for all Intermountain hospitals and home services.
• Mock surveys at all locations every year.
• Deploy for external regulatory surveys at care sites.
• New care site evaluation and on-going regulatory support.
• System lead for TJC or CMS/State organizations with responsibility for supporting accreditation and certification.
• Steward of regulatory software and system subject matter expert.
• System mock survey lead for hospitals, Critical Access Hospitals and home services.
• Regulatory lead for system committees.

Skills

• Expert in TJC, CMS, and State rules, regulations and standards
• Clinical knowledge and how regulations affect clinical practice
• Effective communication
• Proficient in Microsoft office suite
• Leading teams
• Project management
• Change management
• Analytica skills to determine data trends
• Attention to detail
• Problem solving
• Interpersonal skills
• Organizational skills
• Negotiation skills
• Critical thinking skills
• Adaptability
• Writing skills
• Decision-making
• Leadership and persuasion
• Time management
• Situational analysis
• Computer skills

Minimum Qualifications

• Clinical License: Registered Nurse preferred, but willing to accept applications from other professional healthcare licenses with adequate regulatory/accreditation experience.
• Master's degree in Nursing, Business, Healthcare Administration, Public Health, Informatics, Organizational Development, or business/health-related field. Education must be obtained through an accredited institution or experience
• Experience leading teams through complex adaptation and implementation of new regulatory processes.
• Ability to prioritize and manage multiple projects simultaneously with demonstrated ability to complete projects successfully on time and within budget.
• Excellent leadership attributes including positive, can-do attitude, creativity, and enthusiasm.

Physical Requirements

• Ability to travel last minute and unplanned with reliable transportation and arrive at Intermountain Health locations within a reasonable amount of time
• To see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with providers, colleagues, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers including frequent use of computer for typing, accessing needed information, etc.
• Expected to drive a vehicle which requires sitting, seeing, and reading signs, traffic signals, and other vehicles.
• Ability to travel by air and reside in hotels.

Preferred Qualifications

• Content expert on federal, state and Joint Commission standards/regulations applicable to the acute care setting and associated clinics.
• Experience with change management with the ability to provide leadership in the adaptation and implementation of new processes and technology that enhances regulatory readiness.
• Demonstrated experience with regulations/standards and accreditation survey processes for State/Federal agencies, The Joint Commission, etc.

Physical Requirements:

Location:

Key Bank Tower

Work City:

Salt Lake City

Work State:

Utah

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

$50.97 - $78.69

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.