RN Regulatory Advisor - Performance Improvement
The successful candidate:** This position is open only to local candidates due to onsite requirements
Location: Zion, IL. Schedule- Mon - Fri, Day shift (40 hrs per week)
Job SummaryThe Regulatory and Accreditation Advisor provides strategic leadership, expert guidance, and independent oversight for regulatory compliance and accreditation activities across the organization. This role interprets and applies federal and state regulatory requirements, national accreditation standards, and internal policies to assess compliance risk, advise leaders, establish priorities, and recommend strategies that support survey readiness, quality outcomes, and safe patient care.
This position leads and facilitates performance improvement and regulatory readiness initiatives from scope definition through implementation, including project planning, timeline development, stakeholder engagement, outcome evaluation, and documentation of results to support compliance with accreditation and quality standards.
The Regulatory and Accreditation Advisor independently manages regulatory and quality improvement projects from concept through implementation and participates in more complex enterprise initiatives. This role develops and recommends communication strategies, prepares internal and external reports by analyzing and summarizing data and information for leadership, and maintains project documentation necessary to support compliance, decision-making, and sustained performance improvement.
They partner with clinical, administrative, legal, and quality leaders to interpret changing regulations, evaluate organizational practices, guide readiness for surveys and inspections, and recommend corrective actions and system improvements. The role supports enterprise-wide initiatives and serves as a regulatory and accreditation resource to leadership, departments, clinics, physicians, and administration.
This position exercises discretion and independent judgment in matters of significance, including interpreting regulatory and accreditation requirements, assessing compliance risk, advising leaders, determining implementation priorities, and recommending strategies to maintain continuous survey readiness and support quality and patient safety outcomes. Provides cross-coverage for Quality team functions as needed.
Position QualificationsMinimum Education- Bachelors of Science degree in Nursing
License- Illinois State RN License
Minimum Experience- Minimum of three (3) years of experience in clinical nursing and/or quality, risk, or regulatory functions
Preferred QualificationsCertification- Healthcare Accreditation Certification Program (HACP)
Experience- Thorough knowledge of Joint Commission standards, Illinois Department of Public Health (IDPH), CMS Conditions of Participation, and other regulatory agencies
- Lean Six Sigma Performance Improvement methodologies.
Skills & Abilities- Demonstrates sensitivity to patient care and patient privacy
- Strong interpersonal skills that promote trust and collaboration
- Professional demeanor that fosters a positive organizational image
- Cultural sensitivity and awareness of diversity and inclusion
- Excellent verbal, written, organizational, and presentation skills
- Proficiency with computer applications and software tools
- Data analysis and data visualization skills
- Ability to build engagement and enthusiasm for quality and compliance initiatives
City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.Please note: City of Hope is committed to a safe and transparent hiring experience. Please be aware that scammers may attempt to impersonate our organization through fake job postings, emails or interviews.
- Apply only through our official website or trusted partner platforms.
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- We will not request sensitive personal or financial information prior to the acceptance of a formal offer.
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