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All the benefits and perks you need for you and your family:

+ Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

+ Paid Time Off from Day One

+ 403-B Retirement Plan

+ 4 Weeks 100% Paid Parental Leave

+ Career Development

+ Whole Person Well-being Resources

+ Mental Health Resources and Support

+ Pet Benefits

Our promise to you:

Joining UChicago Medicine AdventHealth Hinsdale is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. UChicago Medicine AdventHealth Hinsdale is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better.

Schedule:** **Full Time

Shift: Days; Typically Monday - Friday

The community you'll be caring for:** **UChicago Medicine AdventHealth Regional Hospitals - Will travel as needed to all 4 sites (LaGrange, Hinsdale, Bolingbrook and Glen Oaks)

The role you'll contribute:

Directs accreditation and regulatory programs, policies, practices and resources for the organization.

The value you'll bring to the team:

+ Assesses and analyzes information from accreditation and regulatory agencies to identify survey readiness and compliance risks.

+ Performs ongoing risk assessment activities to identify issues.

+ Develops and implements accreditation and regulatory work plans.

+ Works with leadership to provide advice and resources to implement improvements.

+ Coordinates with relevant departments to ensure compliance.

+ Collaborates with facilities leadership to ensure compliance with federal, state, and local accreditation and regulatory requirements.

+ Documents standards and regulations that may affect organizational policies, practices, and procedures.

+ Serves as the organization liaison for accreditation and regulatory matters relative to continuous state of readiness and compliance.

+ Monitors changes in accreditation and regulatory requirements and updates policies accordingly.

+ Provides training and education to staff on accreditation and regulatory standards.

+ Conducts internal audits to ensure ongoing compliance with accreditation and regulatory standards.

+ Prepares and submits required documentation to accreditation and regulatory agencies.

+ Other duties as assigned.

Qualifications

The expertise and experience you'll need to succeed** **:

+ **Education:** High school diploma or equivalent required. Associates or Bachelors degree required; **Masters degree preferred** .

+ **Experience:** Minimum of **five (5) years of relevant work experience required** . **Eight (8) to ten (10) years of experience** within a hospital or healthcare setting and in leadership roles is **strongly preferred** .

+ **Skills and Abilities:**

+ Excellent **verbal and written communication** skills.

+ Strong **critical thinking and decision-making** abilities.

+ Proven ability to **collaborate effectively** across multiple departments and levels of the organization.

+ Demonstrated **team-oriented mindset** with a focus on partnership and shared success.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

**Category:** Quality/Clinical Effectiveness

**Organization:** UChicago Medicine AdventHealth Great Lakes

**Schedule:** Full-time

**Shift:** 1 - Day

**Req ID:** 25040809

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We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.