Associate Director of Health Care - NYC Health + Hospitals : Job Details

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NYC Health + Hospitals provided pay range

This range is provided by NYC Health + Hospitals. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$80,000.00/yr - $120,000.00/yr

Marketing StatementNYC Health + Hospitals/Metropolitan is the community hospital of choice for residents of East Harlem, northern Manhattan, and neighboring communities. The hospital provides culturally-sensitive care in a welcoming and hospitable setting, emphasizing primary care medicine and utilizing the latest advances in medical science. Metropolitan delivers high quality health services with compassion, dignity, and respect to all, without exception. Since its founding in 1875, the hospital has been affiliated with New York Medical College, representing the oldest partnership between a hospital and a private medical school in the United States. Metropolitan is a part of the NYC Health + Hospitals, the largest municipal hospital and health care system in the country.At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.Job DescriptionUnder direction of the Director of Regulatory Affairs provides overall management and operations of the Regulatory Affairs Department including: staff education, coordination and monitoring of facility survey readiness and survey-related activities, preparation for regulatory surveys and inspections, regulatory reporting, maintaining policies and procedures, coordinating accreditation activities, and collaborating with internal departments to ensure compliance with regulatory requirements.Responsibilities

• Participate in survey preparedness and readiness activities (e.g., environmental rounding, tracer activity, mock surveys, education, monitoring) in preparation for regulatory and accreditation surveys, e.g., NYC DOHMH, NYS OMH, NYS DOH Article 28, Title 18, Behavioral Health and other announced and unannounced surveys/investigations.
• Ensure compliance with federal, state and local regulations for hospitals, and accrediting entities including but not limited to NYS DOH, NYS OMH, NYS OASAS , NYC DOHMH, CMS Conditions of Participation (CoP), The Joint Commission
• Collect, analyze and prepare data, and develop dashboards (e.g., key metrics and performance indicators, deficiencies/citations) for presentations and reports.
• Develop standard tracking and monitoring tools and databases such as ongoing schedule of regulatory surveys (past and upcoming), survey findings, key departmental owners/stakeholders, policies and procedures, regulatory agencies and key contacts.
• Facilitate and prepare documents for department meetings, including but not limited to scheduling, preparation of agendas, minutes, attendance, meeting materials, tracking issues and follow-up items.
• Work with Director and clinical and administrative stakeholders to develop, maintain, and update policies and procedures
• Maintain online library of policies and procedures
• Facilitate/ coordinate approval of policies and procedures
• Assist departments/programs to ensure ongoing compliance with applicable laws, rules, and regulations for ongoing survey readiness as well as for upcoming surveys.
• Assist in preparation, instruction and review of plans of correction
• Monitor plans of correction from external surveys as well as internal reviews
• Continuously review regulatory/accreditation agencies websites for revisions and updates to standards, rules, and regulations
• Conduct education on creating compliance monitoring tools, preparing plans of correction, and preparing for regulatory surveys
• Establish standardized, ongoing monitoring and tracking process for vendor agreements.
• Assist in overall operations of the Regulatory Affairs Department, including special projects and other duties as assigned.

Minimum Qualifications

• Master's degree from an accredited college or university in Hospital, Health, Public or Business Administration, Healthcare Management, Public Health or a related discipline; and four (4) years of full-time, paid progressively responsible experience in hospital administration with an emphasis on the development and evaluation of health care delivery services; or
• Bachelor's degree from an accredited college or university in disciplines, as listed in #1 above; and five (5) years of full-time, paid experience, as described in #1 above.

Department PreferencesHow To ApplyIf you wish to apply for this position, please apply online by clicking the Apply for Job button.NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Loan Forgiveness Programs for eligible employees
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• College tuition discounts and professional development opportunities
• Multiple employee discounts programs

Seniority level

• Seniority levelMid-Senior level

Employment type

• Employment typeContract

Job function

• Job functionHealth Care Provider
• IndustriesHospitals and Health Care

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