Assistant Director, Compliance

About the Work Unit:

The Clinical Affairs unit supports VUSN academic programs by overseeing clinical placement operations compliance contracting and external partnerships. The unit operates in a complex highly regulated multi-jurisdictional environment requiring coordination across state Boards of Nursing accrediting bodies clinical partners and internal stakeholders. The Compliance function serves as a centralized governance and oversight mechanism to ensure regulatory readiness audit preparedness and institutional risk mitigation.

Key Functions and Expected Performance:

Regulatory Compliance and Program Oversight

• 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

Contracts Management and Risk Review Support

• 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.

Quality Assurance Quality Control and Audit Readiness

• 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

Certificates of Insurance and Workers Compensation Administration

• 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

Leadership and Team Management

• 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

Collaboration and Governance

• 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

Supervisory Relationships:

This position has a co-supervisory responsibility for the clinical placement coordinator for compliance related tasks. This position reports administratively and functionally to the Assistant Dean for Clinical Affairs.

Education and Certifications:

• Bachelors 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

Experience and Skills:

• 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