JOB POSTING SUMMARY
Title: Regulatory Coordinator TJC Disease Spec
Page 1 of 2
Job Code:
4JE36
Date:
05/13
Summary Description
Under general direction, is responsible for managing and supporting the system’s efforts to attain/retain
disease specific certification through The Joint Commission. Ensures data capture, aggregation and analysis.
Manages and communicates data in tandem with the quality infrastructure for initial and ongoing recertification.
Fosters and maintains collaborative relationships related to clinical performance improvement initiatives; works
with teams to drive toward goals. Facilitates and provides education related to quality improvement for TJC
Disease Specific certification. Assists clinicians in understanding measurement for certification. Oversees and
monitors projects to ensure readiness for certification Works collaboratively with leadership who are assigned
responsibility in the Joint Commission certification process to identify and address issues and coordinate
efforts. Serves as a source of expertise on The Joint Commission Disease Specific certification/recertification.
Interprets TJC communications as needed to leadership and staff.
Minimum Qualifications
1. Bachelor’s degree required, an advanced degree in Health or Business Administration or in a related
professional field is strongly preferred. RN, other licensed healthcare certification, or Certification in
Information Systems Security Professional (CISSP) is desirable.
2. Three years experience with progressively more responsibility in a health care system, hospital or
other similar complex organization subject to intense external regulations.
3. Two years experience in accreditation and regulatory survey coordination, including direct involvement
with senior management and outside entities regarding compliance with external standards
4. Experience in the use of personal computers.
Skills Required
1.
Diverse and discreet communication and interpersonal skills for relations with hospital and corporate
administration, and their relationship with outside entities/stakeholders, including government,
regulatory, licensure, and accrediting bodies. A mastery of a variety of communication modalities is
required in complex negotiations, preparing documents and maintaining relationships with internal and
external functions.
Regulatory Coordinator TJC Disease Specific_4JE36.doc
Date Printed: 05/07/20138:29 AM
JOB POSTING SUMMARY
Title: Regulatory Coordinator TJC Disease Spec
Page 2 of 2
Job Code:
4JE36
Date:
05/13
2.
Leadership skills with the ability to negotiate parameters and options between internal-to-internal
management, department-to-corporate management, corporate-to-external reviewing bodies, including
where appropriate, interactions with the Governing Boards of the DMC.
3.
Analytical and interpretative ability of legal, medical/scientific, statistical and regulatory, information
sciences, laws/rules/regulations and the application thereof to the operation of a health care
organization.
4.
Knowledge and skills necessary to prepare complex written reports or oral communication.
Patient Age Statement
Applies:
Does not Apply:
x
___ Employees with Patient Contact
Based on observation, demonstrated knowledge and skills necessary to provide care appropriate to the age of the
patients serviced on assigned unit(s). Demonstrated knowledge includes principles of growth and development over
each patient's life span. Provides care needed as described in department policies and procedures.
___ Nursing/Patient Care
Based on observation, demonstrated knowledge and skills necessary to provide care appropriate to the ages of the
patients serviced on assigned unit(s). Demonstrated knowledge includes principles of growth and development over
each patient’s life span. Possesses ability to assess data reflective of each patient's status and interprets appropriate
information needed to identify each patient's age-specific requirements. Provides care needed as described in
department policies and procedures.
Working
Conditions:
N/A
Reporting
Relationships:
As assigned
Pay Grade:
458: $65,100 – $91,100
Hourly/Salaried:
Salaried
Job Family:
x
Clerical/Technical
Professional/Administrative
Leadership
Union
Please note that the primary purpose of this job posting summary is to set a rate of pay for this job classification. Only
those duties and responsibilities necessary for proper job evaluation and labor market analysis have been included. Other
duties and responsibilities will be assigned by the supervisor.
Regulatory Coordinator TJC Disease Specific_4JE36.doc
Date Printed: 05/07/20138:29 AM