Regional Accreditation & Regulatory DirectorHinsdale, IL

Regional Accreditation Regulatory Director

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

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.