RN Director of Regulatory Compliance

Director Of Regulatory Compliance

Humboldt Park Health is a safety-net hospital located in the Humboldt Park neighborhood of Chicago. We are dedicated to delivering high-quality, affordable, and compassionate healthcare services to the communities we serve.

As a primary community healthcare provider, Humboldt Park Health focuses on treating and curing disease while promoting wellness through health education, prevention, and early intervention. Our 200-bed hospital provides inpatient acute care, emergency services, diagnostic services, and primary care. We also support the community through a full-service professional building, neighborhood clinics, and two mobile health units.

We are currently seeking a Full-Time Director of Regulatory Compliance to join our team!

Position Summary:

The Director of Regulatory Compliance is responsible for developing, implementing, and sustaining a comprehensive regulatory compliance and continuous survey readiness program across Humboldt Park Health. Reporting directly to the Vice President of Quality & Risk Management, this leader serves as the hospital's operational authority for regulatory compliance and accreditation readiness.

The Director ensures the organization maintains continuous compliance with all applicable federal, state, and accreditation standards, including but not limited to The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), Illinois Department of Public Health (IDPH), Occupational Safety and Health Administration (OSHA), Centers for Disease Control and Prevention (CDC), and other applicable regulatory agencies.

This position partners with executive leadership, physicians, nursing leadership, department directors, and frontline staff to foster a culture where survey readiness is integrated into daily operations rather than viewed as a periodic event. The Director is expected to be a highly visible leader who spends the majority of time in clinical and operational areas validating compliance, coaching leaders, conducting tracers, identifying risks, and ensuring regulatory excellence throughout the organization.

Essential Duties and Responsibilities:

• Regulatory Compliance Leadership
• Continuous Survey Readiness
• Mock Survey Leadership
• Regulatory Auditing
• Policy Governance
• Corrective Action Plan (CAP) Management
• Environment of Care Compliance
• Regulatory Communications
• Regulatory Education
• Regulatory Monitoring
• Executive Reporting
• Leadership Responsibilities
• Other Responsibilities:

Experience Required:

• 5-7 years of experience in TJC accreditation, hospital operations, and clinical leadership

Educational Requirements:

• Bachelors in Nursing required;
• Masters preferred in Healthcare Administration, Nursing, Public Health, or similar.

Benefits:

Benefits eligibility and offerings vary based on employment status and applicable plan requirements. Eligible employees may have access to:

Medical, dental, and vision coverage Employer-paid life and AD&D insurance Flexible Spending Account (FSA) options 403(b) retirement plan with employer match, subject to eligibility requirements Paid Time Off (PTO), which may increase with years of service Employee discount at the Humboldt Park Health Wellness Center Education reimbursement, subject to eligibility requirements Employee wellness programs Additional voluntary benefits Opportunities for additional shifts, where applicable