Regulatory Consultant

About the Role

Guide all organizational areas in compliance with accreditation standards and clinical performance improvement.

Responsibilities

• Coordinate external accreditation surveys and ensure accurate submission of required data and documentation.
• Conduct mock surveys to evaluate compliance with standards, develop tracer and focus tools, and facilitate site readiness.
• Oversee adherence to patient care policies, safety goals, and regulatory requirements.
• Educate leadership and staff on accreditation updates, provide guidance on certifications, and support performance improvement initiatives.
• Perform audits, analyze data, and develop corrective action plans for compliance issues.
• Manage application processes, site surveys, and follow-up actions.
• Mentor staff, develop educational opportunities, and foster effective communication across teams.

Requirements

• Bachelor's degree in healthcare, nursing, or related field.
• Relevant licensure with applicable healthcare licensing boards.
• At least five years of clinical or healthcare quality/performance improvement experience.
• Strong understanding of accreditation standards, regulatory compliance, and performance improvement methodologies.
• Excellent communication, auditing, and leadership skills to support organizational compliance and readiness.