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Regulatory Compliance Program Manager

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American Nursing Care

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Location:
United States , Seattle

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Category:
Health and Beauty

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Contract Type:
Not provided

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Salary:

49.78 - 74.05 USD / Hour
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Job Description:

Virginia Mason Franciscan Health (VMFH) is seeking a dedicated Regulatory Compliance Program Manager to provide essential operational support and strategic coordination for our Patient Safety, Accreditation, and Licensing programs. This critical role ensures that all facets of patient safety are identified and integrated into comprehensive plans, and that our assigned hospitals and clinics consistently align with The Joint Commission (TJC) standards, as well as state and federal regulations.

Job Responsibility:

  • Strategic Program Integration: Provide operational support and overall strategic implementation for Patient Safety and Accreditation and Licensing programs, ensuring a cohesive and comprehensive approach
  • Compliance Leadership: Ensure assigned hospitals and clinics are continuously aligned with The Joint Commission (TJC) standards and all applicable state and federal regulations
  • Continuous Readiness Facilitation: Drive ongoing regulatory compliance activities through extensive rounding and engagement with both clinical and non-clinical departments across VMFH facilities
  • Policy & Procedure Implementation: Oversee the effective implementation of policies and procedures to ensure regulatory adherence
  • Survey Preparedness & Management: Lead and coordinate all aspects of survey preparation, manage survey processes, and ensure diligent follow-up on findings
  • Vulnerability Assessment & Reporting: Proactively assess standards compliance, identify potential vulnerabilities, and report findings to key stakeholders with clear actionable insights
  • Training & Education: Develop and conduct targeted training programs for management, educators, and staff in response to identified or potential deficiencies, fostering a culture of compliance
  • Incident Review & Trend Analysis: Assist in the review and trending of incident report information, providing valuable quality data for internal quarterly reviews and ongoing physician performance evaluations
  • Guidance & Coaching: Offer expert guidance and coaching to management, empowering them to achieve and maintain a state of continuous readiness for all licensure, accreditation, and certification programs, as well as ensuring ongoing compliance with state and federal rules and regulations

Requirements:

  • Bachelor's degree in healthcare administration, nursing or other healthcare-related field
  • Five years of progressively responsible related work experience that would demonstrate attainment of the requisite job knowledge
  • Minimum of three (3) years of progressive management responsibility in an acute care setting, one (1) of which is related to managing an organization’s or department Quality, Safety, or Regulatory Program
  • Minimum of two (2) years of clinical, patient experience or equivalent
  • Experience developing, and implementing clinical, service and operation process initiatives, both small and large scale
  • Any equivalent combination of education and experience which meets requirements and provides the required knowledge, skills and abilities to perform the essential functions of the position

Nice to have:

  • Active Washington State Registered Nurse License
  • Certified Professional in Healthcare Quality (CPHQ)
What we offer:
  • medical
  • prescription drug
  • dental
  • vision plans
  • life insurance
  • paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually)
  • tuition reimbursement
  • retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings

Additional Information:

Job Posted:
January 04, 2026

Employment Type:
Fulltime
Work Type:
On-site work
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