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, regulatory compliance, and licensing operations ensuring 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 with various governmental agencies. Conduct annual State regulatory compliance assessments, develop action plans for citations, and compile reports demonstrating compliance. Manage internal investigations of compliance issues, review operational risks, and develop risk management strategies. Prepare and submit reports following reviews of unusual occurrences and adverse events, ensuring immediate corrective actions are implemented. Maintain accurate documentation and reporting systems to support timely submission of required reports and regulatory filings.