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Regulatory Compliance Coordinator - Transplant

Job Description

Regulatory Compliance Coordinator - Transplant
Regulatory Compliance Coordinator - Transplant The University of Chicago Medicine - FOREFRONT OF MEDICINE

          • ?At the University of Chicago Medicine, our mission is to provide superior healthcare in a compassionate manner, ever mindful of each patient's dignity and individuality. To accomplish our mission, we call upon the skills and expertise of all who work together to advance medical innovation, serve the health needs of the community, and further the knowledge of those dedicated to caring.?

            Area: 370770 - TRANSPLANT SVS & DEV
            Shift: 40 hours per week (1.0) / 1st/day shift / 8:30 a.m. - 5 p.m. Monday - Friday
            Grade: 17 Salaried

            Job Summary:

            The Transplant Quality and Compliance Coordinator is responsible for monitoring and improving the quality of transplant care provided at UCM, as well as ensuring compliance with all UNOS, OPTN, CMS, and Joint Commission standards. This is achieved through effective policy administration, careful evaluation of compliance standards, and the use of change management and performance improvement strategies. This position manages the design, development, coordination and continuous improvement of all clinical quality improvement initiatives and structures systems for the Transplant Center in a manner that supports achievement of quality goals. The Transplant Quality and Compliance Coordinator is tasked with responding to regulatory and clinical queries, as well as ensuring continued OPTN membership and CMS Transplant Center approval. Essential functions also include management of risk and promoting patient safety as top programmatic priorities.

            Essential Job Functions:
            • Policy and protocol creation, revision, and implementation. Maintenance of all regulatory and registry records, communications, etc. Competency creation and administration.
            • Oversight of data entry, maintenance and analysis. This includes reporting through EPIC and UNet, submission of standardized and payor RFIs, and other organ-specific data collections.
            • Survey preparedness, regulatory inquiry responses, assessment of adverse events and formulation and implementation of corrective action plans.
            • Quality indicator/metric construction, analysis and presentation. This also involves chairing of the Transplant QAPI committee with the Transplant Center Medical Director.
            • Auditing of required transplant documentation in collaboration with data analyst(s), compliance with UNOS standards, and UCMC transplant policies
            • Oversight of clinical staff in creation and maintenance of patient education materials
            • Responsible for operational consent processes and documentation within all transplant and living donor programs
            • Maintenance of transplant data records and quality improvement data
            • Coordination of frontline and transplant department care-specific competencies
            • Preparation and submission of quality, compliance, and data reports to leadership and outside oversight agencies
            • Serves on organizational and nursing committees as appropriate
            • Serves on UNOS/OPTN committees
            • Facilitation of transplant database development and implementation
            • Compile UNOS applications, and communicate with UNOS/OPTN as required; serve as UNet Site Administrator
            • Interfaces with UCMC Center for Quality and quality/compliance committees as appropriate

            UCH responsibilities
            • Achieving Breakthroughs: Service, Quality, People, Financial, and Growth
            • AIDET Communication: Acknowledge, Introduce, Duration, Explanation, Thank You
            • PRIDE Values: Participation, Respect, Integrity, Diversity, Excellence
            • Adhere to UCH Policies, including compliance with federal and state laws and accrediting body regulations

            • Bachelors Degree in Nursing, Health Care Administration, or Business
            • 3-5 Years of experience in solid organ transplantation or organ procurement
            • Registered nurse licensure strongly preferred
            • Masters Degree in Nursing or Health Care Administration strongly preferred
            • Experience in quality tracking, measurement, and improvement methodologies
            • Ability to coordinate numerous projects and groups simultaneously
            • Demonstrated leadership ability and organizational skills
            • Ability to elicit cooperation and maintain productive working relationships with internal and external contacts
            • Quality certification, such as CPHQ; or commensurate education/certificate
            • Advanced skill with computer applications, including Excel, Access, Visio, MS Word and Apple products

            Why Join Us
            The University of Chicago Medical Center is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.


Regulatory Compliance Coordinator - Transplant