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Adventist HealthPosted 1 week ago
EXPIRED

Manager, Accreditation & Regulatory Compliance (White Memorial)

On-siteTemple City, California, United States

Full TimeEnterprise

Job Summary

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 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 related to accreditation preparation. Conduct annual State regulatory compliance assessments, develop action plans for citations, and compile reports to demonstrate compliance. Manage a team of professionals safeguarding facility licensing status and maintain accurate documentation for required regulatory filings. Partners with nursing, medical staff, and other disciplines to integrate regulatory requirements into operational workflows and performance improvement initiatives.

Required Qualifications

  • Bachelor's Degree or equivalent combination of education/related experience
  • Healthcare Accreditation Certificated Professional (HACP) or Certified Professional in Healthcare Quality (CPHQ) certification within 2 years of hire date
  • All required vaccinations as a condition of employment and annually thereafter, where applicable
  • Acknowledgement of E-Verify Participation and Right to Work notices

Desired Qualifications

  • Master's Degree
  • Five years' healthcare or related experience
  • Three years' in accreditation, regulatory compliance or process improvements
  • Two years' leadership experience

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