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. Collaborate with nursing, medical staff, and other disciplines to implement Federal, State, and Joint Commission standards, ensuring sustained compliance with submitted plans of correction. Maintain accurate documentation, prepare graphic presentations, and submit required reports following reviews of unusual occurrences and adverse events.