La Rabida Children's Hospital
Pediatric chronic illness care hospital
Manager of Regulatory & Emergency Management
Full-Time
$134k - $169k/yr
Senior
Bachelor's, Master's
Chicago, IL, USA
In Person
About the job
Requirements
- A bachelor's degree in Healthcare Administration, Public Health, Emergency Management, Quality Management, or a related field is required.
- At least five years of progressive experience in healthcare regulatory compliance, accreditation, quality, patient safety, emergency management, or related healthcare operations is required.
- Experience leading accreditation surveys, regulatory readiness programs, tracers, mock surveys, or emergency preparedness activities is required.
- Experience in a hospital setting is required.
- FEMA IS-100, IS-200, IS-700, and IS-800 certification is preferred or must be obtained within the established timeframe.
- CPR and PALS are listed as not required.
Responsibilities
- Direct and oversee the hospital-wide regulatory compliance and accreditation readiness program.
- Ensure continuous compliance with The Joint Commission, CMS Conditions of Participation, Illinois Department of Public Health requirements, and other applicable regulatory standards.
- Lead planning, preparation, coordination, and follow-up activities for accreditation surveys, regulatory inspections, and validation reviews.
- Serve as the primary liaison for regulatory and accreditation agencies and coordinate organizational responses to survey findings.
- Oversee hospital licensure, certifications, permits, registrations, and required regulatory submissions.
- Monitor regulatory changes and communicate new requirements to organizational leaders and stakeholders.
- Conduct regulatory rounds, tracers, mock surveys, environmental tours, audits, and gap assessments to evaluate organizational compliance and readiness.
- Review policies, procedures, clinical documentation, and operational practices to identify regulatory vulnerabilities and opportunities for improvement.
- Develop corrective action plans and monitor implementation to ensure sustained compliance.
- Lead regulatory performance improvement initiatives using evidence-based practices, risk reduction strategies, and High Reliability Organization principles.
- Analyze compliance findings, survey outcomes, and organizational data to identify trends, prioritize risks, and support leadership decision-making.
- Develop and maintain compliance dashboards, scorecards, reports, and readiness metrics.
- Develop, implement, and maintain the hospital's Emergency Management Program and Emergency Operations Plan.
- Ensure compliance with CMS Emergency Preparedness requirements, The Joint Commission standards, OSHA requirements, and applicable federal, state, and local regulations.
- Conduct annual Hazard Vulnerability Analyses and risk assessments to identify threats and vulnerabilities and develop mitigation strategies.
- Develop and maintain emergency preparedness policies, procedures, and response plans.
- Coordinate emergency preparedness activities across all hospital departments to support organizational readiness and resilience.
- Manage emergency preparedness grants, programs, and reporting requirements as applicable.
- Plan, facilitate, and evaluate emergency preparedness training, tabletop exercises, functional exercises, and full-scale disaster drills.
- Educate staff regarding emergency response procedures, Hospital Incident Command System roles, and individual responsibilities during emergencies.
- Maintain the Hospital Incident Command System structure and support activation, response, recovery, and after-action activities during emergency events.
- Serve as the primary liaison with healthcare coalitions, public health agencies, emergency management organizations, and community partners.
- Coordinate emergency communications, surge planning, resource management, and continuity of operations activities.
- Lead post-event evaluations, corrective action planning, and after-action reporting to strengthen future preparedness efforts.
- Participate in hospital committees, task forces, accreditation teams, and multidisciplinary workgroups.
- Provide consultation and education to leaders and staff on regulatory compliance, accreditation standards, and emergency preparedness requirements.
- Assist with organizational initiatives related to patient safety, quality improvement, risk reduction, and operational excellence.
- Represent the hospital during external meetings, surveys, healthcare coalition activities, and emergency preparedness events.
- Perform other duties as assigned in support of organizational priorities.
Desired Qualifications
- A master's degree is preferred.
- Pediatric healthcare experience is preferred.
- Certified Professional in Healthcare Quality certification is preferred.
- Certified Professional in Patient Safety certification is preferred.
- Certified Healthcare Emergency Professional, Certified Healthcare Emergency Coordinator, or Certified Emergency Manager certification is preferred.
- Knowledge of Joint Commission standards, CMS Conditions of Participation, OSHA standards, High Reliability Organization principles, and emergency preparedness regulations is preferred.
About the company
La Rabida is a nonprofit pediatric specialty hospital in Chicago that provides extended acute and long-term care for children with lifelong medical conditions, offering inpatient and outpatient services plus rehabilitation therapies. Care is delivered by a multidisciplinary team across inpatient units, clinics, and transitional services, including the Chicago Children’s Diabetes Center and NICU transition care, with affiliation to the University of Chicago for education and research. The hospital emphasizes social supports and serves mainly Medicaid patients, distinguishing itself through its focus on chronic pediatric conditions and a commitment to access regardless of a family’s ability to pay. Its goal is to improve health and quality of life for children with complex medical needs by delivering comprehensive, family-centered care.
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Simplify's Take
What believers are saying
- Updated September 2026 news highlights Little Rainbow Explorers, backed by Philly Baer Foundation.
- The 2025 report shows $93.4 million revenue and $11.9 million net income.
- La Rabida kept expanding services into Homer Glen and St. John/Northwest Indiana.
What critics are saying
- March 2025 Medicaid-cut warnings threatened La Rabida's core payer base and patient volume.
- Any Illinois reimbursement squeeze pushes complex children into higher-cost PICUs across Chicago.
- A prolonged Medicaid collapse breaks La Rabida's nonprofit model by 2027.
What makes La Rabida Children's Hospital unique
- Since 1896, La Rabida has specialized in medically complex children, not general pediatrics.
- Its 2025 annual report says 87% of patients use Medicaid, driving focused operations.
- The hospital combines inpatient rehab, diabetes, feeding therapy, and trauma services under one roof.
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