Accreditation and Regulatory Manager

Indiana University Health; Indiana; On-site; USD 95,000 - 135,000; Full time

Job summary

Indiana University Health is seeking an Accreditation and Regulatory Manager to lead regulatory readiness initiatives across facilities. The role requires Nursing or related healthcare education, Indiana licensure, and 5–7 years of experience with 3–5 years in team leadership, plus CPHQ or equivalent certification.

The position is fully onsite at Methodist Hospital, with direct reports and frequent collaboration with nursing and medical staff to ensure compliance and performance improvement

Qualifications

• Bachelor's degree in nursing or healthcare field required.
• 5-7 years of relevant experience.
• Active Indiana license as healthcare professional (RN/other).
• 3-5 years leading teams preferred.
• CPHQ certification or similar regulatory certification required.
• Experience in leading complex projects or performance improvement.
• Interfacility surveying and in-state overnight travel required.

Responsibilities

• Guides regulatory readiness programs across multiple facilities or a region.
• Coaches to ensure high performance among direct reports and delegates assignments.
• Ensures proactive communications with leaders, providers and teams to keep readiness statuses transparent.
• Partners with system regulatory leaders to execute standard readiness program components.
• Participates in interfacility survey activities and supports enterprise readiness needs.

Skills

Leadership

Project management

Regulatory knowledge

Interfacility surveying

Education

Bachelor's degree in nursing or healthcare field

Master's degree (preferred)

Job description

Our leaders shape strategic initiatives, develop passionate teams, and work to improve health outcomes. They advance our mission and exemplify excellence, compassion, teamwork and purpose in all that they do. Indiana University Health is seeking individuals who embody these values to join our Quality Administration leadership team in the role of Accreditation and Regulatory Manager.

Guides 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 Relationships

Reports to: Executive Director, Quality and Safety

Direct Reports: 5-7

Key Relationships: Nursing, Physicians

Candidate Qualifications

• 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.

Indiana University Health is unlike any other healthcare system and we're looking for team members who share the things that matter most to us. IU Health leaders play a crucial role in advancing the mission of our organization and inspiring teams to make a meaningful difference in the lives of patients. As one of Indiana’s largest employers and the most comprehensive medical system in the state, our vision is to lead the transformation of healthcare through quality, innovation and education, and make Indiana one of the nation’s healthiest states.

IU Health is the largest health system in Indiana with nearly 40,000 team members, 16 hospitals and $8.64 billion in operating revenue. The system’s programs in cancer, cardiovascular, neuroscience, orthopedics, pediatrics and transplants have received national recognition for quality patient care. IU Health, in partnership with the Indiana University School of Medicine, bring together highly skilled physicians, researchers, and educators into close collaboration to provide world‑class care for children and adults and improve the health of patients and communities across Indiana.

Indiana University Health is dedicated to a fair hiring process and is committed to equal opportunity and nondiscrimination for all individuals, regardless of age, color, disability, ethnicity, marital status, national origin, race, religion, gender identity, expression, sexual orientation, or veteran status.