RN Regulatory Advisor - Performance Improvement
WRM Western Regional Medical Center
Apply to this jobAbout City of Hope,
City of Hope's mission is to make hope a reality for all touched by cancer and diabetes. Founded in 1913, City of Hope has grown into one of the largest and most advanced cancer research and treatment organizations in the U.S., and one of the leading research centers for diabetes and other life-threatening illnesses. City of Hope research has been the basis for numerous breakthrough cancer medicines, as well as human synthetic insulin and monoclonal antibodies. With an independent, National Cancer Institute-designated comprehensive cancer center that is ranked top 5 in the nation for cancer care by U.S. News & World Report at its core, City of Hope’s uniquely integrated model spans cancer care, research and development, academics and training, and a broad philanthropy program that powers its work. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and cancer treatment centers and outpatient facilities in the Atlanta, Chicago and Phoenix areas.
The successful candidate:
** This position is open only to local candidates due to onsite requirements
Location: Zion, IL.
Schedule
Mon - Fri, Day shift (40 hrs per week)
Job Summary
The Regulatory and Accreditation Advisor provides strategic leadership, expert guidance, and independent oversight for regulatory compliance and accreditation activities across the organization. This role interprets and applies federal and state regulatory requirements, national accreditation standards, and internal policies to assess compliance risk, advise leaders, establish priorities, and recommend strategies that support survey readiness, quality outcomes, and safe patient care.
This position leads and facilitates performance improvement and regulatory readiness initiatives from scope definition through implementation, including project planning, timeline development, stakeholder engagement, outcome evaluation, and documentation of results to support compliance with accreditation and quality standards.
The Regulatory and Accreditation Advisor independently manages regulatory and quality improvement projects from concept through implementation and participates in more complex enterprise initiatives. This role develops and recommends communication strategies, prepares internal and external reports by analyzing and summarizing data and information for leadership, and maintains project documentation necessary to support compliance, decision-making, and sustained performance improvement.
They partner with clinical, administrative, legal, and quality leaders to interpret changing regulations, evaluate organizational practices, guide readiness for surveys and inspections, and recommend corrective actions and system improvements. The role supports enterprise-wide initiatives and serves as a regulatory and accreditation resource to leadership, departments, clinics, physicians, and administration.
This position exercises discretion and independent judgment in matters of significance, including interpreting regulatory and accreditation requirements, assessing compliance risk, advising leaders, determining implementation priorities, and recommending strategies to maintain continuous survey readiness and support quality and patient safety outcomes. Provides cross-coverage for Quality team functions as needed.
Position Qualifications
Minimum Education
Bachelors of Science degree in Nursing
License
Illinois State RN License
Minimum Experience
Minimum of three (3) years of experience in clinical nursing and/or quality, risk, or regulatory functions
Preferred Qualifications
Certification
Healthcare Accreditation Certification Program (HACP)
Experience
Thorough knowledge of Joint Commission standards, Illinois Department of Public Health (IDPH), CMS Conditions of Participation, and other regulatory agencies
Skills & Abilities
Demonstrates sensitivity to patient care and patient privacy
Strong interpersonal skills that promote trust and collaboration
Professional demeanor that fosters a positive organizational image
Cultural sensitivity and awareness of diversity and inclusion
Excellent verbal, written, organizational, and presentation skills
Proficiency with computer applications and software tools
Data analysis and data visualization skills
Ability to build engagement and enthusiasm for quality and compliance initiatives
City of Hope is an equal opportunity employer.
City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.
Summary
Lead and manage regulatory compliance, accreditation, and performance improvement initiatives.
Job title
RN Regulatory Advisor - Performance Improvement
Experience level
3+ years
Minimum experience
3+ years exp
Industry
healthcare
Location requirements
Onsite in Zion, IL, no remote work allowed.
Salary
Not specified
Visa sponsorship
H-1B sponsor history
Management role
No
Required skills
Preferred skills
Specializations
Structured locations inferred from the posting.
Zion, IL 60099, USA