Oversee and maintain day-to-day operations of a comprehensive 50-state compliance program related to nursing education, clinical placements, faculty licensure, and student eligibility
Monitor state Board of Nursing (BON) requirements and regulatory changes and assess operational impact on clinical education activities
Ensure required documentation, tracking, and verification processes are in place to support BON compliance
Prepare compliance summaries, reports, and documentation for internal review and submission, as required, with final approval by senior leadership
Serve as the primary operational resource for regulatory compliance questions, escalating complex or high-risk issues to the Assistant Dean for Clinical Affairs
Maintain and manage a centralized contracts and agreements database for all clinical affiliation agreements
Routinely audit contracts for expiration, renewal timelines, and alignment with institutional standards
Initiate and track contract renewal processes to prevent lapses in authorization or coverage
Conduct first-line vetting of clinical affiliation agreements for regulatory, compliance, and risk considerations prior to submission to the Assistant Dean for Clinical Affairs
Monitor contract workflow progress and follow up with internal and external stakeholders to resolve delays
Collaborate with contracts staff and legal counsel, as directed, to support legally sound and operationally appropriate agreements.
Lead internal QA/QC processes related to compliance, contracting, licensure, and regulatory documentation
Conduct routine internal reviews and audits of compliance records, systems data, and documentation
Identify gaps, trends, and compliance risks and develop recommendations for corrective action
Maintain audit-ready documentation to support internal audits, accreditation reviews, and external inquiries
Support accreditation reporting and site visits by organizing and maintaining required evidence data and evidence
Oversee the collection, review, and ongoing management of Certificates of Insurance (COI) for clinical sites, preceptors, and partners, ensuring compliance with Vanderbilt and program requirements
Verify appropriate liability coverage, limits, and endorsements as required for student placements and clinical affiliations
Ensure appropriate workers' compensation documentation and coverage tracking for students and faculty in jurisdictions where required
Maintain state-specific records related to insurance and workers' compensation requirements and support verification or reporting needs
Monitor expiration dates, coordinate renewals, and follow up with sites to prevent lapses in coverage
Escalate complex, ambiguous, or high-risk insurance or workers' compensation issues to senior leadership for review and determination
Manage or co-manage one to three staff members supporting compliance, contracting, credentialing, or related functions
Establish standardized workflows, documentation practices, and internal controls within the compliance function
Provide training, guidance, and oversight to staff to ensure consistent execution of compliance processes
Work closely with the Director of Clinical Affairs Operations, Assistant Dean for Clinical Affairs and Assistant Director of Preceptor Engagement to align compliance, operational, and engagement activities
Participate in compliance governance discussions and contribute to policy development and process improvement initiatives
Escalate identified risks, regulatory ambiguities, and systemic issues to senior leadership in a timely and structured manner
Requirements
Bachelor's Degree or relevant job experience required
Degree in nursing or allied health field preferred
Masters of Science in Nursing (MSN) or advanced practice nursing preparation (APRN) strongly preferred
Two to four years of experience in regulatory compliance, clinical education administration, healthcare operations, or a related field
Demonstrated experience supporting multi-regulatory or licensure compliance programs
Working knowledge of clinical affiliation agreements, compliance auditing, and healthcare contracting
Experience supporting accreditation process and regulatory reporting
Prior experience supervising or leading staff in a compliance or operations-focused role
Strong analytical skills, attention to detail, and professional judgment
Ability to identify compliance risk, apply established frameworks, and appropriately escalate issues in a regulated academic healthcare environment.