Accreditation and Regulatory Manager

IU Health; Indianapolis (IN); On-site; USD 90,000 - 130,000; Full time

Job summary

IU Health in Indianapolis is seeking an Accreditation and Regulatory Manager to guide readiness programs across facilities. This onsite role at Methodist Hospital reports to the Executive Director, Quality and Safety, with 5-7 years of regulatory experience and a nursing or clinical background.

You will lead teams, manage complex projects, ensure compliance with standards, and coordinate interfacility survey activities.

Qualifications

• Bachelor's degree in nursing or healthcare field required; Master's preferred.
• Requires 5-7 years of relevant experience.
• Requires current Indiana state license as a healthcare professional (RN or similar).
• 3-5 years or more experience leading teams preferred.
• CPHQ certification or comparable healthcare regulatory credential endorsed by System Regulatory Affairs is required.
• Requires experience leading complex projects or systematic performance improvement.
• Interfacility surveying and in-state overnight travel is required.

Responsibilities

• Guides regulatory readiness programs across multiple facilities or regions.
• Coaches teams to ensure high performance and manages assignments to support facilities.

Skills

Regulatory leadership

Project management

Regulatory compliance

Team leadership

Interfacility surveying

Education

Bachelor's degree in nursing or related healthcare field

Master's degree preferred

Tools

CPHQ certification

Job description

Overview

Accreditation and Regulatory Manager

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

Candidates for the position will be evaluated according to the following criteria and competencies.

• 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 isunlike 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 isto lead the transformation of healthcare through quality, innovation and education, and make Indiana oneof 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.