The Director of Human Resource Regulatory Compliance is responsible for assuring early compliance with standards for all regulatory agencies interacting with the Human Resource function throughout the Methodist Healthcare System. They will work cooperatively with all internal and external customers, continuously improving processes in order to improve regulatory compliance; and using resources efficiently and effectively. This position has a dotted line accountability to MHS System VP of Quality.
Essential Job Functions
1. Coordinates, directs, and supports regulatory/compliance survey activities for the Human Resource function at Methodist Healthcare System. Supports HR Leadership and staff in preparing for unannounced surveys such as JC, TDH, CMS, QRS, and AAA.
2. Provides interpretation, information, education, consultation and tools to HR Leadership and staff relating to regulatory/compliance issues in order to achieving and maintaining compliance.
3. Coordinates, directs and supervises the credentialing of allied staff, MHS employee licenses, certifications and competencies to ensure regulatory compliance.
4. Updates and maintains personal knowledge of regulatory/compliance standards and issues by anticipating new regulations and presenting a strategy for compliance in cooperation with other MHS quality/regulatory departments.
5. Serves as needed on system quality team and provides communication updates/feedback to HR Leadership regarding regulatory/ compliance issues.
6. Does random audits to ensure compliance with all regulatory standards and oversees/maintains the PPR for all HR Joint Commission standards.
Minimum Education and Experience:
Minimum 5 years experience in a hospital (acute care) clinical environment with working knowledge of nursing process and hospital operations.
Minimum 3 years experience in healthcare regulatory/compliance or quality outcomes field.
Minimum License and Certificates Required
Active Texas license associated with their degree/field
