Manager, Accreditation & Regulatory Compliance (White Memorial)

Conduct 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 alignment 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 processes. Partner with system, network, and site leadership to align compliance programs with organizational strategy and mobilize teams for continuous accreditation standards. Manage a team of professionals safeguarding facility licensing status and develop risk management strategies for identified compliance issues. Prepare and submit reports following reviews of unusual occurrences and adverse events, ensuring immediate corrective actions are implemented.