Regulatory/Accreditation Nurse Coordinator
Trinity Health · Silver Spring, Maryland, US
Employment Type: Full time Shift: Day Shift Description: The Regulatory and Accreditation Coordinator is responsible for ensuring the hospital remains compli...
Job description
Employment Type: Full time Shift: Day Shift Description: The Regulatory and Accreditation Coordinator is responsible for ensuring the hospital remains compliant with all regulatory standards, accreditation requirements, and state and federal laws. This individual collaborates with hospital leadership and staff to maintain survey readiness and promote a culture of continuous regulatory compliance and quality improvement. (RN or LPN) Job Title: Regulatory, Accreditation Coordinator: Employment Type: Full Time: Location: This position will require 50% at Silver Spring and 50% at Germantown. Position Summary: - Monitor and interpret regulatory and accreditation standards from agencies such as The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), and state health departments in collaboration with the Manager of Accreditation and Regulatory Services. - Coordinate hospital accreditation surveys and regulatory inspections, ensuring proper documentation, preparation, and follow-up on any findings. - Conduct regular audits, assessments, and mock surveys to identify areas of non-compliance and facilitate corrective actions. - Serve as a resource to hospital departments,...