Compliance Manager - Radiation Oncology - FT/Day at AdventHealth

Date Posted: 5/3/2021

Job Snapshot

  • Job Schedule
  • Location:
    Orlando, FL
  • Date Posted:
  • Job ID:
  • Job Family
  • Travel
    Yes, 50 % of the Time
  • Shift
    1 - Day

Job Description


Compliance Manager - Radiation Oncology - AdventHealth Orlando

Top Reasons to work at AdventHealth Orlando:
  • Located on a lush tropical campus, our flagship hospital, 1,368-bed AdventHealth Orlando
  • serves as the major tertiary facility for much of the Southeast, the Caribbean and South America
  • AdventHealth Orlando houses one of the largest Emergency Departments and largest cardiac catheterization labs in the country
  • We are already one of the busiest hospitals in the nation, providing service excellence to more than 32,000 inpatients and 125,000 outpatients each year
Work Hours/Shift:   Full Time / Day
You Will Be Responsible For:
  • Manages the tracer and compliance audit programs, from development of databases and oversight of data entry, to distribution of reports.  Serves as project manager, in conjunction with Finance/Compliance Officer, when new JC projects are introduced.
  • Audits, monitors, and ensures sites are compliant working with Site Leaders.  Maintains the JC program software.  Assists with development and delivery of end-user training.
  • Maintains knowledge of current regulatory guidelines and updates tracer tools in response to changes.  Monitors changes in regulations and deploys information.
  • Provides staff education on changes and compliance. Develops, recommends, and implements education programs designed to increase awareness and knowledge relating to Joint Commission requirements.
  • Works with MIS to maximize use of technology in automating JC quantros reports.  Develops Joint Commission compliance reports using trend lines, control charts, et cetera to facilitate performance improvement.
What You Will Need:
  • Degree, diploma or certificate in clinical/scientific/analytical field (e.g. Radiation Therapy, Imaging, Nursing, etc),
    • OR Minimum of five years of health care experience in a clinical or administrative role - Required
  • Specific experience in meeting compliance requirements established by regulatory agencies - Required
  • Degree in Radiation Oncology or applicable health-related field (e.g. Radiology, Sonography, Imaging, Nursing, etc) (Preferred)
Job Summary:

The Compliance Manager drives a comprehensive process of assessing, planning, monitoring and evaluating AdventHealth’s Radiation Oncology accreditation readiness via its Tracer Program. Develops and manages the internal processes to ensure consistent application of the Tracer Program.  Serves as a resource to the organization on current initiatives being taken by accrediting agencies through timely review of regulatory guidelines, journals, newsletters, relationships with agent representatives and attendance at educational programs.  Ensures tracers address changes in standards and communicates those changes to leadership and staff. Serves as a resource to leadership by providing Joint Commission compliance reports routinely.  

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Location | Organization | Category | Job Function