13 days old

Manager License & Accreditation

Kaiser Permanente
San Diego, CA 92120
Provides consultation and supports activities related to licensure, accreditation, and regulatory compliance within the Medical Center Service Area. Responsibilities include researching and staying abreast of existing, new, emerging, and revised regulations, statutes, and accreditation standards. Facilitates continuous compliance of, preparation for, and follow up responses for all surveys such as GACH, The Joint Commission, California Department of Public Health, Medicare & Medicaid Services, California Children's Services, NCQA, College of American Pathologists, etc. Collaborates with administrators, managers, and physician leaders to assist with and coordinate regulatory compliance efforts, continuous survey readiness, and survey preparation. Ensures that all areas of vulnerability related to licensure, accreditation, and regulatory compliance  are identified. When coordinating plans, works with appropriate individuals and/or teams.
Essential Responsibilities:
  • Serves as the primary internal contact for all licensure, regulatory and accreditation agencies.
  • Provides expert consultative services to all KFH/HP and SCPMG departments and services regarding intent and application of regulations/standards, and effective strategies, programs and tactics to attain and maintain compliance.
  • Continually appraises analyses and interprets changes in legislation and requirements related to regulatory accreditation and licensure issues.
  • Maintains and provides oversight of the Service Area Administrative Policy Manual as designated by the Board of Directors.
  • Assures continuity and consistency in compliance with regulatory issues across the organization by evaluating the impact of specific issues.
  • Collaborates with appropriate departments to develop and implement corrective action to minimize negative impact and maximize learning.
  • Conducts frequent tracer rounds.
  • Identifies key accreditation, regulation and licensing issues and defines areas for improvement.
  • Collaborates and coordinates with departments on any implementation and evaluation of legislation affecting the Service Area.
  • Provides overall staff support to the Accreditation and Licensing Committee such as to coordinate activities and agenda, and action plans, and to provide research analysis and recommendations for issues.
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    Posted: 2020-03-23 Expires: 2020-05-03

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    Manager License & Accreditation

    Kaiser Permanente
    San Diego, CA 92120

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