Regulatory and Compliance Nurse

About this role

Job Title
Regulatory and Compliance NurseLocation
Remote/Nationwide, USAAdditional Location(s)

Employee Type
EmployeeWorking Hours Per Week
40Job Description

At CSI Pharmacy (CSI), we are on a mission to provide Specialty Pharmacy services to patients with chronic and rare illnesses in need of complex care.
CSI is a rapidly growing national Specialty Pharmacy. Whether you work directly with patients or behind the scenes in support of the business and its employees, you will use your expertise, experience, and skills to support our patients and our mission.

Summary
The Regulatory and Compliance Nurse is responsible for implementing and maintaining the Nursing Department's employee health program in accordance with federal (OSHA, CDC) regulations, state home health licensure, and accreditation requirements across all states in which the organization operates or is seeking licensure. This role ensures the agency's employee health practices related to nursing employees — including TB screening, immunization tracking, communicable disease monitoring, exposure management, and personnel health recordkeeping — meet or exceed the requirements of each state's home health/home care licensing authority, and serves as the organization's subject-matter expert on employee health regulatory compliance during new-state licensure applications, surveys, and accreditation reviews. The Employee Health Nurse works closely with the Nursing, Human Resources, Risk Management, and Compliance teams to ensure regulatory standards are met and maintained.

Compensation Range: $85,000 - $95,000/yr (DOE)
Schedule: Monday - Friday, 8:30am - 5:00pm CST
Location: Remote OR Onsite at 5340 Legacy Dr., Plano, TX
Travel: As we expand and obtain more licensures, this role may need to travel up to 10-25%
Essential Duties and Responsibilities
Include the following. Other duties may be assigned, as necessary.
Employee Health Program Management

• Clinically review pre-employment and ongoing employee health screenings for direct patient care nurses, including TB risk assessment, symptom evaluation, and testing consistent with CDC guidance, accreditation standards, and applicable state-specific requirements. Determine if follow-up actions are required.

• Maintain required immunization records and track compliance, declinations, and renewal timelines for all nursing staff with patient contact.

• Coordinate Hepatitis B vaccination offers and declination documentation per OSHA Bloodborne Pathogens Standard.

• Maintain individual employee health files for the Nursing Department separately from HR personnel files, in accordance with each state's record-retention and surveyor-access requirements.

• Conduct periodic clinical review of employee health records and documentation to determine compliance with organizational, regulatory, and accreditation requirements.

• Advise leadership regarding potential employee health risks and mitigation strategies.

Exposure, Injury, and Incident Management

• Exercise professional nursing judgment to manage the post-exposure protocol for needlesticks and other bloodborne pathogen exposures, including first aid, source patient testing coordination, post-exposure prophylaxis timing, and baseline/follow-up lab tracking.

• Maintain the OSHA Sharps Injury Log and OSHA 300 Log in coordination with Risk Management/HR.

• Investigate and document workplace injuries for the Nursing Department (musculoskeletal injuries from transfers, motor vehicle incidents in the field, animal bites, etc.), coordinating with workers' compensation as needed.

• Develop, revise, and implement organizational protocols for staff exposure to infection-control hazards in the home setting, including patient home pest infestations (bed bugs, lice, rodents), following established PPE/decontamination procedures and criteria for visit suspension pending remediation.

• Track and analyze employee health, injury, exposure, and infection-control trends and recommend process improvements and corrective actions.

Regulatory and Licensure Compliance

• Maintain current working knowledge of nursing employee health requirements under each state's home health/home care licensing statute and administrative code, and implement updates as needed.

• Serve as the employee health subject-matter expert during new-state licensure applications, ensuring personnel and employee health file requirements are met prior to initial survey.

• Maintain and administer the organization’s written Employee Health Policy, TB Infection Control Plan, and Exposure Control Plan, supporting periodic review and updates as directed, including documented solicitation of direct-care staff input as required by federal, state, and accreditation requirements.

• Serve as the primary point of contact for state surveyors, accreditation reviewers, and other regulatory bodies on employee health file review.

• Liaise with state and local TB control programs and departments of health as needed.

• Monitor regulatory changes across all states in which the agency is licensed or is pursuing licensure, and develop and implement amendments to existing policies as appropriate.

• Serve as the central point of accountability for conflict of interest disclosures across the nursing team — building a consistent annual collection process, maintaining an organized tracking system, and surfacing trends or concerns for timely follow-up.

Education and Program Support

• Develop and deliver annual TB education and infection control training to direct patient care staff using organization-approved materials.

• Develop and deliver new-hire employee health education.

• Lead employee health compliance initiatives and provide recommendations for continuous program improvement.

• Support HR with license, certification, and registry verification processes (e.g., criminal background checks, nurse aide registries, CPR certification) where employee health status intersects with employability…