Regional Accreditation & Regulatory Director

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.

• 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

• 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
• 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.