Director of Regulatory Compliance & Patient Experience

About the role

Specialized Care for the Patients Who Need It Most. NeuroPsychiatric Hospitals (NPH) is dedicated to providing unparalleled service to our patients, team members, physicians, and families. We dare to do things differently, bringing together compassionate care, specialized expertise, and an interdisciplinary approach to meet the unique needs of those we serve. It is this commitment that distinguishes NPH as the healthcare provider of choice. As a national leader in behavioral healthcare, NPH specializes in caring for patients with acute psychiatric and complex medical needs. Our hospitals provide patient-centered care through an interdisciplinary, multi-specialty approach, ensuring our patients receive the specialized support they need when they need it most. With locations in Indiana, Michigan, Texas, Ohio, and Arizona, we are expanding access to our unique model of care across the United States. Join NPH and become part of a team that is daring to do things differently and making a lasting difference in the lives of our patients, families, and communities every day. Overview NeuroPsychiatric Hospital of Indianapolis s seeking a Director of Regulatory Compliance & Patient Experience – RN to lead facility-based efforts in regulatory compliance, risk management, patient safety, and patient and family experience. This highly visible leadership role works collaboratively with hospital leadership, physicians, staff, patients, and families to identify and address risks, promote a culture of safety and accountability, and ensure ongoing regulatory readiness. The Director uses clinical expertise and sound judgment to drive meaningful improvements in patient care, safety, and the overall patient experience.

Responsibilities

• Implement and maintain a comprehensive facility-wide risk management program in collaboration with the Corporate Director of Quality and Compliance.
• Identify, investigate, analyze, and trend actual and potential risks involving patients, employees, visitors, clinical care, and facility operations.
• Lead or coordinate investigations of significant incidents, adverse events, near misses, complaints, grievances, and other potential exposures; ensure timely escalation and follow-through.
• Promote a culture of safety and effective incident reporting; educate staff on risk identification, reporting, mitigation, and prevention.
• Collaborate with facility leadership and corporate resources to assess potential liability, legal exposure, reportability, and regulatory notification when significant events occur.
• Develop and maintain systems that support patient safety, proactive risk reduction, and continuous regulatory readiness.
• Conduct routine and targeted facility rounds, tracers, audits, and mock surveys to identify clinical, environmental, operational, and regulatory vulnerabilities before they become adverse events or findings.
• Use RN clinical judgment during rounding and event review to identify patient-safety and care-delivery concerns and promptly escalate nursing or medical issues to the appropriate clinical leader.
• Partner with the Director of Nursing on nursing-related risk and readiness issues without assuming operational authority for nursing services.
• Review complaints and grievances for patient-safety, regulatory, clinical, legal, and reputational exposure; coordinate timely service recovery and follow-through with patients and families.
• Maintain a highly visible and accessible presence for patients and families and conduct proactive rounding to identify concerns early and prevent avoidable escalation.
• Coordinate Root Cause Analyses and other structured reviews for specified events; develop corrective and preventive actions and monitor effectiveness.
• Lead or coordinate the facility Safety Committee and support QAPI activities using incident, complaint, grievance, survey, environmental, and other risk data.
• Maintain continuous