Job DescriptionAccreditation and Regulatory ManagerGuides regulatory readiness programs across multiple facilities or across a region. Coaches to ensure high performance among a team of direct reports, delegating assignments and projects to support a single or multiple facilities/entities. Ensures proactive and ongoing communications with team members, leaders and providers at all levels of the region or business unit to ensure transparency of readiness statuses, priority needs and assistance to remove barriers for improvement. Supports the team in assessing standards and regulations and ensuring proactive actions to efficiently gain, regain or sustain compliance. Partners with system regulatory leaders to ensure execution of standard readiness program components, and use of standardized tools and processes, including active participation in interfacility survey activities. Provides proactive communication and feedback on regional needs to help inform enterprise strategic readiness program needs.
This is a fully onsite role Monday-Friday day shift at Methodist Hospital.
Key RelationshipsReports to: Executive Director, Quality and Safety
Direct Reports: 5-7
Key Relationships: Nursing, Physicians
Candidate QualificationsCandidates for the position will be evaluated according to the following criteria and competencies.
- Bachelor's Degree in Nursing or other healthcare related field is required. Master's Degree is preferred.
- Requires 5-7 years of relevant experience.
- Requires current state of Indiana license as a health care professional (e.g., Registered Nurse with an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license, Respiratory Therapist, Pharmacist or Rehabilitation license).
- 3-5 years or more experience in leading teams is preferred.
- CPHQ certification or comparable healthcare regulatory certification endorsed by System Regulatory Affairs is required.
- Requires strong experience in leading complex projects or systematic performance improvement.
- Interfacility surveying and in-state overnight travel is required.
