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 related to all accreditation preparation. Conducts annual State regulatory compliance assessments, develops action plans for citations, and compiles reports to demonstrate compliance. Designs systems to ensure continual regulatory, licensure, and accreditation compliance by managing logistics and maintaining accurate documentation. Reviews operational risks, leads internal investigations of compliance issues, and participates in root cause analysis for adverse events. Partners with clinical and non-clinical staff to implement Federal, State, and Joint Commission standards integrated into operational workflows.