Regional Accreditation & Regulatory Director

Apply for Regional Accreditation & Regulatory Director Jobs in La Grange, IL | AdventHealth Apply for Regional Accreditation & Regulatory Director Jobs in La Grange, IL | AdventHealth View All Available Jobs Navigation menu Close X AdventHealth Careers Jobs Nursing Locations Events Life About Join our Talent Community Check My Application Career Concierge Search Jobs Enable optimized search Job Title, Keywords, Military Job Code City, State, Country, Zip Code Search Search Jobs by Commute Regional Accreditation & Regulatory Director La Grange, IL UChicago Medicine AdventHealth Great Lakes Apply Now Internal Employees Apply Here Job Schedule: Full-time Pay Range: $57.58 - $107.1 per hour Job ID: 25040809 Job Family: Quality/Clinical Effectiveness Shift: 1 - Day Facilities Benefits Hiring Process Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we’re committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier. All the benefits and perks you need for you and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full Time Shift: Days; Typically Monday - Friday Location: Primary Office - LaGrange Hospital The community you'll be caring for: UChicago Medicine AdventHealth Regional Hospitals - Will travel as needed to all 4 sites (LaGrange, Hinsdale, Bolingbrook and Glen Oaks) The role you'll contribute: Directs accreditation and regulatory programs, policies, practices and resources for the organization. The value you'll bring to the team: Assesses and analyzes information from accreditation and regulatory agencies to identify survey readiness and compliance risks. Performs ongoing risk assessment activities to identify issues. Develops and implements accreditation and regulatory work plans. Works with leadership to provide advice and resources to implement improvements. Coordinates with relevant departments to ensure compliance. Collaborates with facilities leadership to ensure compliance with federal, state, and local accreditation and regulatory requirements. Documents standards and regulations that may affect organizational policies, practices, and procedures. Serves as the organization liaison for accreditation and regulatory matters relative to continuous state of readiness and compliance. Monitors changes in accreditation and regulatory requirements and updates policies accordingly. Provides training and education to staff on accreditation and regulatory standards. Conducts internal audits to ensure ongoing compliance with accreditation and regulatory standards. Prepares and submits required documentation to accreditation and regulatory agencies. Other duties as assigned. Qualifications The expertise and experience you'll need to succeed : Education: High school diploma or equivalent required. Associates or Bachelors degree required; Masters degree preferred. Experience: Minimum of five (5) years of relevant work experience required. Eight (8) to ten (10) years of experience within a hospital or healthcare setting and in leadership roles is strongly preferred. Skills and Abilities: Excellent verbal and written communication skills. Strong critical thinking and decision-making abilities. Proven ability to collaborate effectively across multiple departments and levels of the organization. Demonstrated team-oriented mindset with a focus on partnership and shared success. This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. Category: Quality/Clinical Effectiveness Organization: UChicago Medicine AdventHealth Great Lakes Schedule: Full-time Shift: 1 - Day Req ID: 25040809 #additional We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment. Apply Now Apply Now Internal Employees Apply Here Share With: share to facebook share to twitter share to linkedin share by email Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. ©2025 Fortune Media IP Limited. All rights reserved. Used under license. AdventHealth Careers Explore: Jobs Nursing Locations Celebrating the Whole You Career Concierge Information For: Life at AdventHealth About Join our Talent Community International Recruitment Nurse Residency Program Veterans AdventHealth Global Homepage View All Our Doctors View All Our Locations Mission and History Community Benefit Our Partnerships News and Stories Blogs CREATION Life Employees Legal Privacy Policy Patient Privacy - HIPAA Patient Rights and Responsibilities Financial Assistance Patient Nondiscrimination

• Directs accreditation and regulatory programs, policies, practices and resources for the organization.
• Assesses and analyzes information from accreditation and regulatory agencies to identify survey readiness and compliance risks.
• Performs ongoing risk assessment activities to identify issues.
• Develops and implements accreditation and regulatory work plans.
• Works with leadership to provide advice and resources to implement improvements.
• Coordinates with relevant departments to ensure compliance.
• Collaborates with facilities leadership to ensure compliance with federal, state, and local accreditation and regulatory requirements.
• Documents standards and regulations that may affect organizational policies, practices, and procedures.
• Serves as the organization liaison for accreditation and regulatory matters relative to continuous state of readiness and compliance.
• Monitors changes in accreditation and regulatory requirements and updates policies accordingly.
• Provides training and education to staff on accreditation and regulatory standards.
• Conducts internal audits to ensure ongoing compliance with accreditation and regulatory standards.
• Prepares and submits required documentation to accreditation and regulatory agencies.
• Other duties as assigned.

• Excellent verbal and written communication skills.
• Strong critical thinking and decision-making abilities.
• Proven ability to collaborate effectively across multiple departments and levels of the organization.
• Demonstrated team-oriented mindset with a focus on partnership and shared success.

• Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we’re committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.

Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.