Regulatory Compliance Coordinator

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence.

Your role within the team:

• Ensure Regulatory Compliance: Support Joint Commission (JC) accreditation and certification efforts for the Hospital Division by assisting with compliance to all applicable Joint Commission and Centers for Medicare & Medicaid Services (CMS) standards.
• Facilitate Survey Readiness: Coordinate and conduct Joint Commission Tracers, Readiness Rounds, audits, and inspections to assess and maintain continuous survey readiness across hospital facilities.
• Educate & Engage Leaders: Ensure facility administration, directors, and managers are knowledgeable about current regulatory standards, accreditation interpretations, and best practices through education, feedback discussions, and presentations.
• Partner with Hospital Teams: Collaborate closely with departmental leadership and hospital Quality Managers to identify opportunities for improvement, address deficiencies, and resolve issues impacting compliance and readiness.
• Act as a Regulatory Liaison: Serve as a facility liaison with regulatory agencies by communicating with surveyors and consultants and supporting responses to inquiries and surveys.
• Promote Education & Training: Participate in new team member orientation, quarterly training, and annual Team Member Essentials related to regulatory requirements, promoting awareness and compliance across teams.
• Support Standardization Efforts: Assist with BayCare-wide initiatives focused on regulatory standardization and best practice alignment.
• Leverage Regulatory Systems: Serve as the subject matter expert in the use of regulatory software to support compliance tracking, audits, and reporting.
• Work Independently & Proactively: Manage priorities independently with strong organizational skills, maintaining action plans and follow-up to ensure sustained readiness.
• Perform Additional Duties: Complete other quality and regulatory activities as assigned under the direction of the Manager.

Qualifications:

• Required:
  • 1 year of Regulatory experience and
  • 3 years of Nursing experience or 3 years of experience in a Clinical Specialty
• Licensure or Certification in a related Clinical Specialty with a Bachelor's degree may be accepted in lieu of an RN license.

Location: Tampa, FL

Status: Full-time, Exempt: Yes

Shift Hours: 8am-4pm

Shift: Shift 1
(Shift 1 = Days, 2 = Evenings, 3 = Nights, 4 = Varies)

Weekend Work: Occasional

On Call: No

How often will this team member be working remotely? Never

Equal Opportunity Employer Veterans/Disabled