Regulatory Surv & Compliance Program Mgr

Regions Hospital
St Paul

Job Description

Job Description:

Regions Hospital has an exciting has an opportunity available for a Regulatory Surveillance and Compliance Program Manager. This position reports to the Director of Quality, Patient Safety, and Accreditation. The program manager establishes and sustains processes and systems to maintain compliance with accreditation and regulatory standards. The program manager is responsible for assessing the organizations compliance status, provide education on accreditation and regulatory standards, and to work with organizational leaders to direct and manage interdisciplinary teams to achieve continuous readiness with regulatory compliance.

The individual must be a team player with superb communication and presentation skills. This position requires a hands-on leader who is an expert in regulations and accreditation standards. The program manager must have demonstrated abilities to lead and manage on-site surveys with success. This must include developing responses to regulatory agencies following surveys or a focused request. The program manager is expected to have an appropriate sense of urgency to react to situations quickly and decisively.

Requirements Include:

Bachelors degree in Nursing, Quality Management, Hospital Administration or healthcare related field.

Five (5) years of experience leading organization wide accreditation and regulatory compliance programs to include leadership of on-site surveys.

Five (5) years of experience in project management.

Two (2) of the following:

Green belt or black belt certification

Lean or Six Sigma training and certification

CPHQ (Certified Professional in Healthcare Quality

ASQ (American Society for Quality) certification

PDSA (Plan, Do, Study, Act) experience

Certified Joint Commission Professional (CJCP)

Additional Information:

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

Employment Type



M-F 8-5