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. Leads site/network accreditation, regulatory compliance, and licensing operations to ensure alignment with Centers for Medicare & Medicaid Services, The Joint Commission, and state requirements. Manages corrective action planning, staff training, and policy implementation at the facility level while overseeing surveys and improvement processes for all departments. Conducts annual state regulatory compliance assessments, develops action plans for citations, and prepares graphic presentations to demonstrate compliance. Designs systems for continual regulatory and licensure compliance, manages internal investigations of compliance issues, and reviews operational risks to develop management strategies. Partners with nursing, medical staff, and leadership to implement federal, state, and Joint Commission standards, ensuring regulatory requirements are integrated into operational workflows and performance improvement initiatives.