Director Regulatory Compliance and Accreditation

HCA Healthcare • Thousand Oaks, CA

1d

About The Position

Los Robles Regional Medical Center is seeking a Director of Regulatory Compliance and Accreditation to oversee activities that support continuous regulatory and accreditation readiness, quality excellence, and corporate safety compliance. The role provides oversight for regulatory matters involving the Centers for Medicare and Medicaid Services (CMS), The Joint Commission (TJC), and other external agencies. The Director works with the quality and safety department, facility leadership, and department leaders to develop and implement systems that ensure compliance with external accrediting and regulatory bodies while advancing process improvement and safety across the facility.

Los Robles Regional Medical Center is a 380+ bed acute care hospital serving Ventura and Los Angeles Counties and the Greater Conejo Valley. It is the only Level II Trauma Center in East Ventura County and offers services including a 24-hour emergency department, comprehensive stroke center, ICU/CCU, maternity care, Level III NICU, comprehensive cancer center, heart and cardiovascular center, same-day surgery, and rehabilitation.

Requirements

• Bachelor's degree required.
• At least 1 year of technical and managerial experience in accreditation required.
• Certification as a Certified Professional in Healthcare Quality (CPHQ) or Certification in Healthcare Quality Management (CHCQM) required within 12 months.

Nice To Haves

• Master's degree preferred.
• Current license as a registered nurse or health professional in the state(s) of practice, or an active compact license, preferred.

Responsibilities

• Administer and oversee activities to achieve continuous regulatory and accreditation readiness, quality excellence, and corporate safety compliance.
• Oversee regulatory compliance matters involving CMS, The Joint Commission, and other external agencies.
• Work with the quality and safety department, facility leadership, and department leaders to facilitate, develop, and implement compliance systems.
• Drive process improvement and safety across the facility.

Benefits

• Comprehensive medical coverage, including prescription drug and behavioral health coverage, telemedicine, and AirMed medical transportation.
• Dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans, and additional insurance and assistance options.
• Free counseling services and resources for emotional, physical, and financial wellbeing.
• 401(k) plan with a 100% match on 3% to 9% of pay, based on years of service.
• Employee Stock Purchase Plan with a 10% discount on HCA Healthcare stock.
• Fertility and family-building benefits and adoption assistance.
• Child, elder, and pet care referral services and other home and personal service referrals.
• Consumer discounts.
• Retirement readiness, rollover assistance, and preferred banking partnerships.
• Education assistance, including tuition, student loan, certification support, and dependent scholarships.
• Colleague recognition program.
• Time Away From Work Program, including paid time off, paid family leave, disability coverage, and leaves of absence.
• Employee Health Assistance Fund offering free employee-only coverage to eligible full-time and part-time colleagues based on income.
• Moving assistance.
• Pet insurance.
• Legal counseling.
• Long-term care coverage.

What This Job Offers

• Job Type: Full-time
• Career Level: Director