Manager, Accreditation & Regulatory Compliance (White Memorial)

Direct day-to-day regulatory readiness activities including internal audits, mock surveys, tracer programs, and regulatory education across clinical and operational departments. Lead site/network accreditation, regulatory compliance, and licensing operations to ensure continuous readiness with Centers for Medicare & Medicaid Services, The Joint Commission, and state requirements. Manage corrective action planning, staff training, and policy implementation at the facility level while overseeing surveys and improvement programs related to accreditation preparation. Collaborate with nursing, medical staff, and other disciplines to provide focus and education on accreditation and licensing issues. Conduct annual State regulatory compliance assessments, develop action plans for citations, and compile reports to demonstrate compliance. Design systems to ensure continual regulatory, licensure, and accreditation compliance, including managing logistics for accreditation preparation and maintaining all regulatory documents. Perform periodic internal reviews, audits, and investigations of compliance issues, while participating in root cause analysis and developing risk management strategies.