AdventHealthAccreditation & Regulatory Coordinator
Killeen, TX

All the benefits and perks you need for you and your family:

  • Benefits from Day One

  • Paid Days Off from Day One

  • Student Loan Repayment Program

  • Career Development

  • Whole Person Wellbeing Resources

  • Mental Health Resources and Support

  • Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)

  • Nursing Clinical Ladder Program*

Our promise to you:

Joining AdventHealth Central Texas is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth Central Texas is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full-Time

Shift : Days

Location: 2201 S. Clear Creek Rd., Killeen, TX 76549

The community you’ll be caring for:

· Located in the heart of Texas, AdventHealth Central Texas provides care for the citizens of Bell, Coryell and Lampasas counties.

· AdventHealth Central Texas is committed to reinvesting in the community by offering the services, technologies, and facilities to set the standard with the continually changing healthcare industry.

· As a member of our team of more than 1,000 employees you will enjoy competitive salaries, exceptional benefits and opportunities for growth while working in an environment that is centered around our mission of Extending the Healing Ministry of Christ.

The role you’ll contribute:

The Accreditation and Regulatory Organizational Performance Officer will support the medical facility by administering and overseeing all activities concerning achieving continuous excellence, adherence to state, regulatory, and accreditation standards, continual survey readiness and facilitate announced and unannounced surveys from all regulatory bodies. Ensures the facility maintains a state of continuous compliance with the rules and regulations of regulatory agencies and that facility policies and procedures are consistently followed.

The Accreditation & Regulatory Organizational Performance Officer will act as an authority and internal resource in the communication of regulatory standards and oversee a program which is a channel of communication to receive and direct information regarding maintaining standards of excellence to administrative and clinical staff and to regulatory bodies as indicated. This position ensures ongoing assessments provide insight to local and executive leaders for knowledge to know and understand facility vulneraries. The Accreditation and Regulatory Organizational Performance Officer will also facilitate application, ongoing monitoring and survey readiness for disease specific certifications.

The Accreditation and Regulatory Organizational Performance Officer will act as a liaison to TJC and all other regulatory bodies. This officer is responsible for maintaining accurate application and ongoing reporting of facility functions/resources, and ensures ongoing attention to facility updates, communications, and ongoing requirements, and is responsible for facility licensure applications and other regulatory requirements in cooperation with the executive office.

The value you’ll bring to the team:

· Keeps informed of pending industry changes, trends, and best practices and assesses the potential impact of these changes on organizational processes

· Interprets regulatory rules or rule changes and ensures that they are communicated through multiple mechanisms, including policies and procedures

· Manages/assists in ongoing and comprehensive risk assessment to identify compliance gaps that need to be resolved or mitigated

· Utilizes quality improvement techniques and tools to assist with the development and implementation of detailed action plans to achieve compliance on a system-wide basis

· Advises managers on how to develop and implement audits to measure the effectiveness of new processes or action plans, including the design of audit tools, sampling methods, and the collation and display of data for analysis

· Manages/assists with the compliance database system including training, updates, security management, report generation, etc.


The expertise and experiences you’ll need to succeed :


· Associate’s degree in related field

· Actively pursuing a Bachelor’s degree or higher

· Experience working in Healthcare setting

· Demonstrated experience in self driven role

· Demonstrated knowledge and application of:

· Governmental regulations (to include CMS)

· Customer service skills and knowledge

· Data collection, sampling, and analysis

· Strong organizational skills, time management, and delegation skills

· Computer skills to include spreadsheets, word processing, email/calendar management, and web based applications.

· Ability to use logic and reasoning to identify strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

· Process Improvement Methodology (PDSA, DMAIC, etc) knowledge and use

· Business and management principles for strategic planning, resource allocation, leadership, and coordination of people and resources.


  • Joint Commission Accreditation Certification

  • RN License

  • Experience with working knowledge of behavioral health care environments related to regulatory requirements.

  • Experience in management of accreditation and regulatory management in a healthcare facility

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Job Snapshot

  • Facility: AdventHealth Central Texas

  • Job Schedule: Full-time

    Pay Range: $29.852 - $44.778

  • Location: Killeen, TX

  • Job ID: 24021094

  • Job Family: Quality/Clinical Effectiveness

  • Shift: 1 - Day

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