Hiring: AVP for Behavioral Health Quality and Regulatory Affairs Company: Stony Brook Eastern Long Island Hospital Location: Greenport, NY Job Posted Time: 2026-09-12 13:20:07 Employment Type: Full-time Target Skills & Keywords : CV, Clinical Documentation, Regulatory Compliance, Risk Management About the job Required Skills: •Actively facilitate and support VP in managing daily operations of the Quality and Regulatory Affairs department to maintain compliance with The Joint Commission, CMS, NYS DOH, OMH, OASAS, NYSJC and other accrediting bodies. •Coordinate Behavioral Health accreditation readiness activities, regulatory surveys, follow-up corrective actions, and continuous survey preparedness efforts. •Provide oversight of all Behavioral Health regulatory compliance, ensuring alignment with OMH, OASAS, NYSJC, NIMRS, WISR NYS Web Submission of Investigation Report, AARM NYS Administrative Action Reporting Mechanism and DOH reporting requirements. •Submit, complete and monitor reporting into the NYSJC, NIMRS, and WISR as required. •Respond to and manage timely submission of Behavioral Health incidents and sentinel events to required regulatory agencies. •Provide supporting documentation including investigation reports, case reviews, and timelines to appropriate regulatory agencies in accordance with state and federal regulations. •Track, trend, and implement policy and process changes in response to Behavioral Health regulatory updates, policy revisions, and documentation standards. •Lead the development and implementation of Behavioral Health quality improvement initiatives and data-driven performance improvement plans. Qualifications: •Bachelor’s degree in nursing or social work required; with Master’s degree within five (5) years from an accredited college or university in Business/Healthcare Administration, Social Work, Nursing Leadership and Administration, Behavioral Health discipline or approved related program. •Minimum of ten (10) years of combined clinical and administrative experience in a Behavioral Health setting. •Knowledge of clinical documentation review and physician engagement strategies. •Demonstrated success in managing and leading teams. •Understanding of how Behavioral Health quality, regulatory compliance and risk management influence hospital-wide performance and patient safety. •Knowledge of Behavioral Health regulatory standards (The Joint Commission, CMS, NYS DOH, OMH, OASAS, and the NYSJC), with experience ensuring compliance and readiness for surveys or audits. •Understanding of incident reporting, event investigation, and proactive risk assessment from a clinical leadership perspective. •Strong interpersonal and written/verbal communication skills, with the ability to effectively engage with executive leadership, physicians, and support departments. •Skilled at using clinical and operational data to inform decisions; ability to interpret dashboards, identify trends, and contribute to strategic quality initiatives. •Demonstrated capacity to lead change, mentor staff through transitions, and promote a culture of accountability, transparency, and continuous improvement. Compensation: •$120,000 - $140,000 / year Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!