Lead Accreditation Specialist
Company: Sanford Health
Posted on: November 23, 2021
Create Your Career With Us! Sanford Health is one of the largest
and fastest-growing not-for-profit health systems in the United
States. We're proud to offer many development and advancement
opportunities to our nearly 50,000 members of the Sanford Family
who are dedicated to the work of health and healing across our
broad footprint. Facility: Lake Region Office Bldg Location:
Bemidji, MN Address: 3807 Greenleaf Ave NW, Bemidji, MN 56601, USA
Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours:
40. 00 Starting Rate: $34.50/hr Job Summary Leads programmatic
oversight of a regional accreditation program. Responsible to
coordinate the work of the accreditation team in order to lead the
specific market to a continual state of regulatory readiness.
Collaborates with operational and executive leaders ensuring
compliance with regulatory bodies to include, but not limited to:
Department of Health (DOH), Center for Medicare and Medicaid (CMS)
Conditions of Participation, and standards of The Joint Commission
(TJC) as applicable. Communicates new and pending standard
interpretations, updates, clarifications and issues of concern to
appropriate stakeholders. Quantitatively and qualitatively,
assesses compliance followed by communicating results. The Lead
facilitates regulatory readiness activities. Works with staff,
evaluating care, to ensure regulatory compliance (tracers).
Evaluates patent safety systems ensuring safe reliable care.
Promotes systems designed to reduce the opportunity for human
failure in order to achieve a goal of zero harm. Understands and
supports an organizational culture of safety. Participates in
robust process improvement, utilizing a systematic approach to
change management, focused on reducing patent safety and regulatory
risk. Supports process change from education through
sustainability. Collaborates with all levels of leadership to
communicate needs and remove barriers for staff. Presents
regulatory perspective to committees as applicable. Organizes
system education and strategies towards achieving a constant state
of regulatory readiness. Requires a self-motivated individual who
values patent and staff safety as the top organizational priority.
Knowledge and/or an interest in safe systems and High Reliability
Organizations necessary. Must have a passion for patent and staff
safety. Periodic overnight travel is required. Qualifications
Graduate from an American Association of Colleges of Nursing (AACN)
or National League for Nursing (NLN) accredited college of nursing.
Master's Degree in nursing or a health related field preferred.
Three years of experience in regulatory compliance, quality
management, and performance improvement preferred. Experience in a
management or leadership position in healthcare preferred.
Experience in accreditation and healthcare regulation desired.
Previous Clinical Nursing experience required. Currently holds an
unencumbered Registered Nurse (RN) license with the State Board of
Nursing where the practice of nursing is occurring and/or possess
multistate licensure if in a Nurse Licensure Compact (NLC) state.
(RN preferred but not required.) Certification in regulatory,
patient safety or quality specialty preferred, must obtain within
three years of hire date. Resources Outsourcing (HRO), change
management, Just Culture, Certified Professional in Healthcare
Quality (CPHQ), LEAN, Six Sigma and Human Factors desired. Benefits
Sanford Health offers an attractive benefits package for qualifying
full-time and part-time employees. Depending on eligibility, a
variety of benefits include health insurance, dental insurance,
vision insurance, life insurance, a 401(k) retirement plan,
work/life balance benefits, sick leave and paid time off. To review
your benefit eligibility, visit https://sanfordhealth.jobs/benefits
. Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an
individual with a disability and would like to request an
accommodation for help with your online application, please call
1-877-673-0854 or send an email to firstname.lastname@example.org .
Sanford Health has a Drug Free Workplace Policy. An accepted offer
will require a drug screen and pre-employment background screening
as a condition of employment. Job Function: Legal and Compliance
Req Number: R-70516 Featured: No
Keywords: Sanford Health, Fargo , Lead Accreditation Specialist, Other , Bemidji, North Dakota
Didn't find what you're looking for? Search again!