Children's Nebraska · 16 hours ago
Director Accreditation & Regulatory Readiness
Omaha, NE
Full-time
Onsite
Lead/Staff, Director/Executive
5+ years expChildren's Nebraska is the region’s only full-service pediatric healthcare center, dedicated to providing excellent care for children. The Director of Accreditation & Regulatory Readiness will lead and manage all accreditation and regulatory compliance activities, ensuring continuous readiness and high-quality care through collaboration with clinical and operational leaders.
Health CareMedicalNon Profit
Responsibilities
Serves as the enterprise subject matter expert for all TJC and CMS regulations and standards across accredited programs
Leads to continuous readiness through systematic evaluation of compliance, identification of risks, and partnership with leaders to implement sustainable corrective actions
Develops and oversees a comprehensive accreditation readiness framework, including tracers, mock surveys, environmental rounds, documentation audits, and process reviews
Collaborates with Medical Staff, nursing, ancillary services, and operational leaders to deliver training, updates, and coaching related to accreditation and regulatory expectations
Recommends and assists with the development of new or revised workflows, policies, and processes to maintain compliance with laws, regulations, and accreditation standards
Ensures timely dissemination and implementation of new or updated regulatory requirements
Leads and coordinates all survey activities, serving as primary onsite contact for accrediting and regulatory agencies
Communicates readiness status, risks, observations, and action plans with transparency and clarity
Oversee organizational compliance with Joint Commission National Performance Improvement Goals; collaborates with Quality, Safety, and operational leaders to evaluate performance
Reviews compliance trends, identifies opportunities for improvement, and develops action plans with accountable owners
Ensures accurate documentation, reporting, and follow-up related to regulatory performance
Qualification
Required
Bachelor's degree in Healthcare Quality, Management, Nursing, Health Administration, or related field required
Minimum 5 years' experience in healthcare leadership with responsibility for accreditation, regulatory compliance, quality, or patient safety required
Demonstrates flexibility and the ability to lead through change
Strong strategic influence skills with the ability to engage leaders and teams
Excellent written, verbal, and presentation communication skills
Skilled at facilitating collaboration, team building, and cross-functional engagement
Project management expertise with ability to manage multiple priorities
Strong analytic and problem-solving skills
Ability to interact professionally with physicians, staff, families, and external partners
Knowledge of systems theory and its application to process design and evaluation
Preferred
Master's degree preferred
Pediatric healthcare experience preferred
Company
Children's Nebraska
At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
G
Gary Perkins
President & CEO
Recent News
Silicon Prairie News
2025-05-17
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