Hospital Compliance Manager

A large Academic Medical Center in Southern California is actively seeking an Accreditation and Regulatory Compliance Manager. The Manager Accreditation and Compliance will report to the Director of Accreditation and Regulatory Compliance as well as the VP Patient Safety and Quality.

The Regulatory Compliance and Accreditation Manager will oversee two adjoining hospital campuses. The acute care adult hospital has approximately 500 patient beds and the women’s and children’s medical center has 300+ beds. This well-respected non-profit hospital has been Magnet Designated for many years and is part of a regional healthcare system with multiple locations throughout Los Angeles and Orange County.

As the Compliance and Accreditation Manager you will be responsible for being the contact liaison on all activities related to CDHCS, CDPH, CCS and other regulatory agencies for both campuses as well as coordinate organization wide certification and licenses for hospital, pharmacy, lab, radiology and other departments. The Compliance and Accreditation Manager will also collaborate with facilities leadership on any new construction projects requiring approvals by licensing and certification agencies as well as ensure that all regulatory reports, licenses, amendments and required notifications are on tracking schedules for timely renewal and notify appropriate leaders. The Compliance and Regulatory Compliance Manager will research and prepare recommendations on new state and federal requirements, providing summary reports to leadership for decision making. As the Regulatory Compliance and Accreditation Manger you will also collaborate with and maintain rapport and relationships with personnel of licensing and regulatory entities to further organization strategic goals and objectives and protect the reputation of the hospitals. The Manager Regulatory Compliance and Accreditation will be an organization wide consultant for Regulatory Standards interpretation including but not limited to CDPH Licensing and Certification, Title 22, Joint Commission, CMS, and California Children’s Services and participate in survey readiness activities for Joint Commission, CMS, GACHRLS and CCS.

The Accreditation and Regulatory Compliance Manager will be proud to work at an an award-winning hospital that has been named a “America’s Best Hospitals” for Orthopedics, a “Top 100 Hospital” for Cardiovascular Care and over one of the U.S. top 125 hospitals in the country. 

Los Angeles is a trend-setting global metropolis with a fascinating history and a rich cultural heritage. LA’s cultural attractions are second to none, whether it’s the Space Shuttle Endeavour, Walt Disney Concert Hall, the Getty Center or art galleries and urban art. From Transformers: The Ride-3D to legendary studios, thriving nightlife and renowned theatre productions, LA is truly the entertainment capital of the world. LA dining is acclaimed for Michelin-starred restaurants and multicultural neighborhoods alike. Sports fans know that LA is the city of champions, while active Angeleno’s can explore 75 miles of coastline and hundreds of miles of bike and hiking trails. Shop for everything from couture to vintage, or relax in one of LA’s world class spas. No matter what the Compliance and Accreditation Manager enjoys, they are sure to find it in LA. 

Don’t miss out on this rare and exciting opportunity to join an organization that is dedicated to bettering the lives of the community. Senior Leadership stands ready to offer the Accreditation and Regulatory Compliance Manager a competitive salary, generous benefits and work life balance. Apply Today! 

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