This position plans, coordinates, implements, evaluates system-wide policy administration and aids in maintaining regulatory compliance for Foundation Health Partners. This position is a centralized resource for the strategic development and implementation of policy and procedures for facility-wide application to assist in regulatory preparedness, with accreditation, licensure and certification requirements. This position manages and prioritizes multiple projects, provides solutions to complex problems, communicates project statuses and the need for additional direction or resources, to ensure timely completion of work.
About Fairbanks Memorial Hospital Fairbanks Memorial Hospital is a non-profit facility owned by the Greater Fairbanks Community Hospital Foundation. A Joint Commission-accredited facility with 152 licensed beds, Fairbanks Memorial Hospital is the primary referral center for residents of Alaska's interior. We have a strong patient to nurse ratio and a culture of Shared Leadership. In addition to our exceptional clinical environment, our location offers incomparable lifestyle rewards away from work. In Fairbanks, small-town living, spectacular natural beauty and endless recreation combine to create a one-of-a-kind place to live, work and play.
Administers and maintains an accurate and compliant policy and procedure database.
Actively evaluates regulatory, accrediting, and certification agencies for changes to aid in timely identification and notification.
Serves as a strategic partner to leadership regarding policy management. This includes establishing methods to avoid, reduce, or minimize risks by reviewing policies and procedures to ensure compliance from a system-wide strategic focus.
Researches, interprets, and applies complex state and federal rules, regulations, in policies and procedures development and administrative and regulatory workflows.
Conducts observations, tracers, building tours, document reviews and interviews to ascertain facility compliance with standards rules and regulations. Documents findings to aid and providing FHP with reports and recommendations.
Provides education and assistance to internal departmental leaders to meet regulatory requirements, project deadlines and policy development. Serves as a resource to plan, lead, implement, and coordinate activities related to policy creation or management. Performs quality and regulatory review and approval of policy and procedure documents, protocols, or reports.
Supports implementation of facility quality and patient safety and/or activities designed to meet the requirements of regulatory and accrediting agencies.
Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Foundation Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.
NOTE: The essential functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent's immediate manager.
Bachelor’s degree in healthcare, business, management or related field, or equivalent knowledge and/or experience.
Three (3) to five (5) years of relevant work experience in hospital, healthcare, or business operations compliance with knowledge of the healthcare industry regulatory requirements.
Must have the ability to follow oral and written directions as they relate to the functions listed above. Must have excellent oral, written, and interpersonal communication skills in order to effectively interact with departmental personnel, assist customers with inquiries, schedule meetings and appointments, and provide assistance with incoming telephone calls and walk-ins. Strong planning, organization, and problem solving skills.
Requires the ability to work effectively with common office software, including spreadsheets and word processing. Must have the ability to organize, prioritize and multi-task workload in a fast-paced environment and maintain a professional manner.
Experience writing policies and procedures.
Working knowledge of healthcare regulatory/accrediting agencies.
Requires extensive sitting with periodic standing and walking.
May be required to lift up to 20 pounds.
Requires significant use of personal computer, phone and general office equipment.
Needs adequate visual acuity, ability to grasp and handle objects.
Needs ability to communicate effectively through reading, writing, and speaking in person or on telephone.
May require off-site travel
Foundation Health Partners is an EEO/AAP employer;qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.
About Fairbanks Memorial Hospital
Fairbanks Memorial Hospital is a non-profit facility owned by the Greater Fairbanks Community Hospital Foundation. A Joint Commission-accredited facility with 152 licensed beds, Fairbanks Memorial Hospital is the primary referral center for residents of Alaska's interior. We have a strong patient to nurse ratio and a culture of Shared Leadership. In addition to our exceptional clinical environment, our location offers incomparable lifestyle rewards away from work. In Fairbanks, small-town living, spectacular natural beauty and endless recreation combine to create a one-of-a-kind place to live, work and play.