Assistant Director, Compliance

About the Work Unit:

The Clinical Affairs unit supports VUSN academic programs by overseeing clinical placement operations, compliance, contracting, and external partnerships.  The unit operates in a complex, highly regulated, multi-jurisdictional environment requiring coordination across state Boards of Nursing, accrediting bodies, clinical partners, and internal stakeholders.  The Compliance function serves as a centralized governance and oversight mechanism to ensure regulatory readiness, audit preparedness, and institutional risk mitigation.

Key Functions and Expected Performance:

Regulatory Compliance and Program Oversight

• Oversee and maintain day-to-day operations of a comprehensive 50-state compliance program related to nursing education, clinical placements, faculty licensure, and student eligibility
• Monitor state Board of Nursing (BON) requirements and regulatory changes and assess operational impact on clinical education activities
• Ensure required documentation, tracking, and verification processes are in place to support BON compliance
• Prepare compliance summaries, reports, and documentation for internal review and submission, as required, with final approval by senior leadership
• Serve as the primary operational resource for regulatory compliance questions, escalating complex or high-risk issues to the Assistant Dean for Clinical Affairs

Contracts Management and Risk Review Support

• Maintain and manage a centralized contracts and agreements database for all clinical affiliation agreements
• Routinely audit contracts for expiration, renewal timelines, and alignment with institutional standards
• Initiate and track contract renewal processes to prevent lapses in authorization or coverage
• Conduct first-line vetting of clinical affiliation agreements for regulatory, compliance, and risk considerations prior to submission to the Assistant Dean for Clinical Affairs
• Monitor contract workflow progress and follow up with internal and external stakeholders to resolve delays
• Collaborate with contracts staff and legal counsel, as directed, to support legally sound and operationally appropriate agreements.

Quality Assurance, Quality Control and Audit Readiness

• Lead internal QA/QC processes related to compliance, contracting, licensure, and regulatory documentation
• Conduct routine internal reviews and audits of compliance records, systems data, and documentation
• Identify gaps, trends, and compliance risks and develop recommendations for corrective action
• Maintain audit-ready documentation to support internal audits, accreditation reviews, and external inquiries
• Support accreditation reporting and site visits by organizing and maintaining required evidence data and evidence

Certificates of Insurance and Worker's Compensation Administration

• Oversee the collection, review, and ongoing management of Certificates of Insurance (COI) for clinical sites, preceptors, and partners, ensuring compliance with Vanderbilt and program requirements
• Verify appropriate liability coverage, limits, and endorsements as required for student placements and clinical affiliations
• Ensure appropriate workers' compensation documentation and coverage tracking for students and faculty in jurisdictions where required
• Maintain state-specific records related to insurance and workers' compensation requirements and support verification or reporting needs
• Monitor expiration dates, coordinate renewals, and follow up with sites to prevent lapses in coverage
• Escalate complex, ambiguous, or high-risk insurance or workers' compensation issues to senior leadership for review and determination

Leadership and Team Management

• Manage or co-manage one to three staff members supporting compliance, contracting, credentialing, or related functions
• Establish standardized workflows, documentation practices, and internal controls within the compliance function
• Provide training, guidance, and oversight to staff to ensure consistent execution of compliance processes

Collaboration and Governance

• Work closely with the Director of Clinical Affairs Operations, Assistant Dean for Clinical Affairs and Assistant Director of Preceptor Engagement to align compliance, operational, and engagement activities
• Participate in compliance governance discussions and contribute to policy development and process improvement initiatives
• Escalate identified risks, regulatory ambiguities, and systemic issues to senior leadership in a timely and structured manner