Manager, Accreditation & Regulatory Compliance, Day Shift, Full Time

Central to all that California has to offer, Adventist Health Bakersfield has been providing an extraordinary team of world-class physicians, top-notch medical technology, caring professionals and award-winning quality since 1910. We are comprised of a 254-bed acute care hospital and 20 primary and specialty care medical offices. As one of America's fastest growing cities, Bakersfield offers affordable housing on the West Coast, beautiful weather, high-quality education and it is just a few hours away from Yosemite and Sequoia National Parks, the Central California Coast and Southern California's great sports, theaters, concerts and amusement parks.

Job Summary:

Manages all survey and regulatory compliance with various governmental agencies, including the Joint Commission. Manages improvement processes and programs related to all accreditation preparation and licensing, ensuring sustained compliance with submitted plans of correction. Works closely with Nursing, Medical Staff and other disciplines as part of an organizational team to provide focus and education on accreditation, regulatory and licensing issues. Manages the activities of various levels of assigned personnel utilizing both professional and supervisory discretion and independent judgment.

Job Requirements:

Education and Work Experience:

• Bachelor’s Degree or equivalent combination of education/related experience”.: Required
• Master's Degree: Preferred
• Five years' technical experience: Preferred
• One year's leadership experience: Preferred

Essential Functions:

• Partners with clinical and non-clinical staff to develop, implement, monitor and improve structures required to achieve high quality, safe, cost-effective health care. Assists managers and leaders to mobilize various teams throughout the organization to ensure continuous accreditation standards compliance. Coordinates contract renewal and oversight activities associated with compliance monitoring system.
• Provides leadership and expertise in the pursuit and attainment of organizational goals related to accreditation, licensing and regulatory compliance. Manages a team of professionals who collectively safeguard facility licensing status, maintain accreditations/certifications, and assure compliance with a vast range of healthcare regulations.
• Identifies opportunities for improvement and utilizes professional knowledge of facility licensing (CDPH), complaint investigation and validation surveys (CMS), Joint Commission accreditation and certifications, Managed Care Medi-Cal certifications (DHCS), and California Children's Services (CCS) certifications.
• Addresses key organizational issues, ensuring client and organizational needs are met consistently. Educates the organization on regulatory and accreditation issues.
• Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.