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, licensing operations, and corrective action planning while managing surveys with governmental agencies like the Joint Commission and CMS. Conduct annual state regulatory compliance assessments, develop action plans for citations, and manage internal investigations of compliance issues. Design systems to ensure continual regulatory and licensure compliance, monitor Joint Commission standards, and prepare reports on unusual occurrences and adverse events. Collaborate with nursing, medical staff, and Risk Management to implement Federal, State, and Joint Commission standards. Manage a team of professionals to safeguard facility licensing status and maintain accurate documentation for regulatory filings.