Director, Patient Experience & Regulatory Compliance

NeuroPsychiatric Hospitals; Indianapolis (IN); On-site; USD 120,000 - 170,000; Full time

Benefits offered by this job

Competitive pay

Health insurance: Medical, Dental & V

Vision insurance

401(k) with company match

Employee Assistance Program

Generous PTO

Tuition support

Work-life balance

LifeMart discounts

Job summary

NeuroPsychiatric Hospitals seeks a Director of Regulatory Compliance & Patient Experience – RN to lead facility-based efforts in regulatory compliance, risk management, patient safety, and patient and family experience.

This highly visible role collaborates with hospital leadership, physicians, staff, patients, and families to identify risks, promote safety, and ensure regulatory readiness across the organization.

Qualifications

• Bachelor's degree in Nursing (BSN) or related healthcare field required.
• Master's degree in Nursing, Healthcare Administration, Quality, Risk Management or related field preferred.
• Minimum two years of experience in healthcare risk management, quality, patient safety, regulatory compliance, or nursing leadership.
• Current, active, unrestricted RN license in the state of employment or multi-state privilege.
• Strong knowledge of risk management, patient safety, incident investigation, root cause analysis, regulatory and accreditation standards, complaint and grievance management, service recovery, and performance improvement.
• Excellent written and verbal communication, conflict resolution, organizational, problem-solving, and follow-through skills.

Responsibilities

• Implement and maintain a comprehensive facility-wide risk management program in collaboration with the Corporate Director of Quality and Compliance.
• Identify, investigate, analyze, and trend actual and potential risks involving patients, employees, visitors, clinical care, and facility operations.
• Lead or coordinate investigations of significant incidents, adverse events, near misses, complaints, grievances, and other potential exposures; ensure timely escalation and follow-through.
• Promote a culture of safety and effective incident reporting; educate staff on risk identification, reporting, mitigation, and prevention.
• Collaborate with facility leadership and corporate resources to assess potential liability, legal exposure, reportability, and regulatory notification when significant events occur.
• Maintain continuous survey readiness and serve as a key facility resource during state, federal, accreditation, complaint, validation, and follow-up surveys.
• Conduct rounds, audits, and mock surveys to find vulnerabilities.
• Use clinical judgment to identify patient-safety concerns and elevate issues.
• Partner with Nursing leadership on risk and readiness without overstepping.
• Review complaints for safety and regulatory exposure; coordinate service recovery.
• Maintain visibility to patients and families; proactively address concerns.
• Coordinate Root Cause Analyses and corrective actions; monitor effectiveness.
• Lead Safety Committee and support QAPI activities with data.
• Ensure readiness for surveys and respond to regulator requests.
• Assist in Plans of Correction and evidence of implementation.
• Identify recurring issues and elevate to leadership.
• Ensure cleanliness and environment of care meet standards.
• Provide regular risk and patient experience reporting to leadership.
• Perform other duties as assigned.

Skills

Risk management

Patient safety

Incident investigation

Root cause analysis

Regulatory standards

Communication

Education

BSN

Master's degree preferred

Job description

NeuroPsychiatric Hospitals seeks a Director of Regulatory Compliance & Patient Experience – RN to lead facility-based efforts in regulatory compliance, risk management, patient safety, and patient and family experience.

This highly visible role collaborates with hospital leadership, physicians, staff, patients, and families to identify risks, promote safety, and ensure regulatory readiness across the organization.