Senior Accreditation and Regulatory Specialist

At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve.

Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities.

A Brief Overview
The Sr Accreditation and Regulatory Specialist supports enterprise-wide survey readiness and regulatory compliance across Children's Nebraska, including the hospital, specialty programs, behavioral health, home health, and ambulatory sites. The role partners with senior leaders and program directors to ensure continuous readiness for The Joint Commission, CMS, state licensure, and specialty program regulators. As a subject-matter expert, this role interprets complex standards, identifies system-level risks, and leads initiatives that strengthen compliance and elevate performance. They guide programs through the full accreditation lifecycle—preparation, survey coordination, and post-survey follow-up—while ensuring consistency, accountability, and alignment with organizational priorities. Using strong change-management skills, the role advances a culture of everyday readiness and integrates regulatory excellence into daily operations across all settings.

Essential Functions

• The Sr Accreditation and Regulatory Specialist serves as a system-wide leader for continuous survey readiness, maintaining expert knowledge of accreditation and regulatory requirements across all applicable programs, including the Hospital, Behavioral Health, Home Health, Dialysis, and Heart Transplant. The role partners with senior leaders and program directors to translate complex standards into operational practice and ensure readiness is integrated into daily workflows. They lead organizational initiatives to sustain compliance with The Joint Commission, CMS, state licensure, and specialty program standards, recommending systemwide improvements and best practices. The Sr Accreditation and Regulatory Specialist designs and deploys RLDatix Audits & Standards (A&S) rounding tools, dashboards, and audit mechanisms to support consistent monitoring and proactive compliance improvement. They review audit findings within RLDatix A&S, collaborate with local leaders to provide coaching, confirm timely corrective actions, and ensure sustained resolution of identified gaps in support of high-reliability performance. Additionally, the role acts as a trusted advisor to senior leadership on emerging regulatory trends, risks, and anticipated requirements that may influence strategic planning and service growth.

 

• Drives education, communication, and change management by developing and delivering strategies that strengthen organizational understanding of accreditation and regulatory standards. The role guides teams through change management processes that promote accountability, ownership, and cultural transformation related to regulatory readiness. It mentors leaders and front line staff during walk-rounds, providing real-time coaching and reinforcing expected practices. Additionally, the Strategy Partner leads the maintenance and enhancement of accreditation and regulatory resources on internal platforms, ensuring content remains accurate, accessible, engaging, and aligned with current standards.

 

• Leads mock surveys, tracers, and performance improvement efforts by planning and conducting internal mock surveys, tracers, and focused audits that simulate external survey expectations. The role engages interdisciplinary teams in tracer methodology to uncover gaps, validate corrective actions, and sustain improvements. It prepares high-quality executive reports summarizing readiness findings, trends, and organizational themes, and partners with leaders to prioritize action plans. The Strategy Partner also leads or participates in targeted quality improvement initiatives related to accreditation or regulatory findings, ensuring corrective actions are measurable, evidence based, and sustainable. Additionally, the role monitors intracycle performance metrics, analyzes patterns, and drives targeted interventions to close compliance gaps ahead of upcoming survey cycles.

 

• Coordinates and leads external survey activities by managing all aspects of accreditation and regulatory surveys, including applications, documentation, logistics, and day-of-survey operations. The role leads Command Center operations during s