Adventist Health is more than an award-winning health system. We provide whole-person care to our communities and champion the greater good - from the operating room to the boardroom, we are driven by our unique passion to live God's love through health, wholeness and hope. From Oregon to Oahu, we have a calling to always do more. Now is your chance to apply your passion to our mission.

We're looking for someone to join our team as a Manager, Accreditation & Regulatory Compliance who:

Manages all survey and regulatory compliance with various governmental agencies, including the Joint Commission. Manages improvement processes and programs related to all accreditation preparation and licensing, ensuring sustained compliance with submitted plans of correction. Works closely with Nursing, Medical Staff and other disciplines as part of an organizational team to provide focus and education on accreditation, regulatory and licensing issues. Manages the activities of various levels of assigned personnel utilizing both professional and supervisory discretion and independent judgment.

Essential Functions:

• Partners with clinical and non-clinical staff to develop, implement, monitor and improve structures required to achieve high quality, safe, cost-effective health care. Assists managers and leaders to mobilize various teams throughout the organization to ensure continuous accreditation standards compliance. Coordinates contract renewal and oversight activities associated with compliance monitoring system.
• Provides leadership and expertise in the pursuit and attainment of organizational goals related to accreditation, licensing and regulatory compliance. Manages a team of professionals who collectively safeguard facility licensing status, maintain accreditations/certifications, and assure compliance with a vast range of healthcare regulations.
• Identifies opportunities for improvement and utilizes professional knowledge of facility licensing (CDPH), complaint investigation and validation surveys (CMS), Joint Commission accreditation and certifications, Managed Care Medi-Cal certifications (DHCS), and California Children's Services (CCS) certifications.
• Addresses key organizational issues, ensuring client and organizational needs are met consistently. Educates the organization on regulatory and accreditation issues.
• Performs other job-related duties as assigned.