Cleveland Clinic · 1 month ago
Regional Manager Accreditation Regulatory
Fort Lauderdale, FL
Full-time
Onsite
Mid, Senior Level
$84K/yr - $128K/yr
5+ years expCleveland Clinic is a leading healthcare organization recognized for its commitment to patient-centered care. As a Regional Manager of Accreditation and Regulatory, you will lead accreditation and regulatory efforts across multiple hospitals, ensuring compliance with standards and driving initiatives for high-quality care.
Health CareHospitalMedicalNon Profit
Responsibilities
Provide consultation and direction to ensure programs and services are implemented at the highest standards and patients receive the highest level of care consistent with regulatory standards
Facilitate regulatory compliance by facilitating teams, evaluating practices, assisting in development of new processes and monitoring variances throughout the system
Assist in ensuring that daily hospital operations are conducted in accordance with hospital and departmental policies and procedures, safety guidelines, federal, state and local laws and regulations
Facilitate professional development and provide coaching to accreditation regulatory team members
Partner with stakeholders and ensures that accreditation and the local hospital leadership teams are effective
Assist in preparations for Joint Commission surveys
Assist to formulate a response to survey activity findings and to quality of care/clinical inquiries from regulatory agencies
Ensure accreditation rounding data is trended and made available for review
Ensure coordination of survey preparation activities and serves as a liaison with regulatory agencies
Ensure all required corrective actions are collected, and reported to appropriate regulatory bodies, as required
Ensure staff development, counseling, performance evaluations, and hiring of positions for all direct reporting areas
Develop and maintain policies and procedures for areas of responsibility
Ensure results of regulatory compliance activities are integrated
Facilitate, support, and organize accreditation teams and provides staff support services to such teams
Remain current concerning industry-wide, clinical care best practices and evaluates for implementation
Educate Governing Board and administrative staff concerning current trends in accreditation and regulatory standards
Maintain and regularly update accreditation/regulatory review plans and strategies
Work with appropriate education staff to ensure that education activities reflect recommendations formulated by regulatory readiness work teams
Develop and track productivity standards for all direct reports
Ensure education of regulatory standards and compliance by all direct report departments
Qualification
Required
Master's Degree
Healthcare Accreditation Certified Professional (HACP) OR Certified Joint Commission Professional (CJCP) required within one year of hire date
Minimum 5 years previous experience working with The Joint Commission, Healthcare Facilities Accreditation Program (HFAP), and Centers for Medicare and Medicaid (CMS) surveys processes, preferably in a leadership/coordination role. Accreditation certification required. Offset: An additional 5 years of related experience could offset the Master's Degree requirement
Excellent analytical, project management and independent problem-solving skills
Proven demonstration of excellent typing skills, knowledge of Word, Excel, and PowerPoint software programs
Excellent communication skills
Ability to demonstrate excellent judgment, attention to process and detail. Discretion, confidentiality, tact, and ability to deal with sensitive issues
Demonstrates excellent organizational skills, ability to work independently, and ability to work interdependently
Demonstrates ability to interact with all levels of staff and management, and ability to set priorities and manage multiple demands effectively
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision
Job requires regular local travel between CCHS facilities
Ability to walk extensively
Ability to lift up to 25 pounds
Ability to wear protective equipment such as respirators, boots, gloves and protective eye gear
Must wear personal protective equipment as required by policy
Preferred
Registered Nurse (RN)
Benefits
403(b) Savings & Investment Plan
Investment Pension Plan (IPP)
Tuition Reimbursement
Paid Time Off (PTO)
Employee Discounts
Dental and Vision Plans
Life Insurance and Disability
Company
Cleveland Clinic
Cleveland Clinic is a non-profit medical center that combines clinical and hospital care with research and education. It is a sub-organization of Ashtabula Regional Medical Center.
10001+ employees
H1B Sponsorship
Cleveland Clinic has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (89)
2024 (78)
2023 (100)
2022 (60)
2021 (71)
2020 (46)
Funding
Current Stage
Late StageTotal Funding
$362.54MKey Investors
National Institutes of HealthNational Cancer InstituteAgency for Healthcare Research and Quality
2023-02-21Grant· $3.14M
2022-09-22Grant· $7.9M
2022-06-30Grant· $14.2M
Leadership Team
Delos Cosgrove
CEO & President
Tomislav Mihaljevic
President & Chief Executive Officer, Cleveland Clinic
Recent News
2026-01-14
2026-01-03
Company data provided by crunchbase