Consultant-Accreditation and Regulatory Senior

Indiana University Health

$75K — $95K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree in nursing or a healthcare related field required.
  • Master's Degree preferred, signaling a commitment to advanced healthcare education.
  • 7-10 years of experience in clinical operations or healthcare quality required, demonstrating seasoned expertise.
  • Current state of Indiana healthcare professional license required, ensuring compliance with local regulations.
  • Strong leadership experience in managing complex projects or systematic performance improvement is crucial.
  • Certification as a Certified Professional in Healthcare Quality (CPHQ) is mandatory.

Responsibilities

  • Plan, implement, and direct accreditation activities to ensure readiness for patients.
  • Consult with key stakeholders on accreditation and regulatory interpretations to enhance understanding.
  • Educate and facilitate preparation activities for surveys, driving organizational compliance.
  • Manage and audit onsite surveys, ensuring adherence to accreditation standards.
  • Analyze performance metrics and propose initiatives for continuous quality improvement outcomes.
  • Serve as a liaison to accreditation and regulatory bodies, maintaining open communication with external stakeholders.
  • Drive stakeholder acceptance and adoption of accreditation practices to bolster organizational integrity.

Benefits

  • Comprehensive healthcare coverage for employees and their families.
  • Robust professional development opportunities to foster career growth.
  • Supportive team environment focused on compassionate patient care.
  • Access to resources that promote work-life balance for all team members.
  • Opportunities to work within Indiana's largest health system, driving significant impact.
Full Job Description
Job Description

Plans, implements, directs, and facilitates activities that support system wide efforts to be successfully accredited and continuously ready for patients. Consults and advises key stakeholders and leaders on accreditation/regulatory interpretations, educates and facilitates survey preparation activities, manages and audits onside surveys, and serves as a liaison between the organization and its accreditation and regulatory bodies. Analyzes and provides recommendations around performance and continuous quality improvement initiatives that drive organizational outcomes. Drives acceptance by stakeholders and serves as an accreditation matters expert for leaders and team members.
  • Bachelor's Degree in nursing or healthcare related field required.
  • Master's Degree preferred.
  • Requires 7-10 years of experience in clinical operations and/or healthcare quality.
  • Requires current state of Indiana license as a healthcare professional (e.g., Registered Nurse with an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license, Respiratory Therapist, Pharmacist or Rehabilitation license.)
  • Requires strong experience in leading complex projects or systematic performance improvement.
  • Certified Professional in Healthcare Quality (CPHQ) is required.


About the Team

Indiana University Health is Indiana's most comprehensive health system, with 15 hospitals and nearly 40,000 team members serving Hoosiers across the state. We're looking for team members who are inspired by challenging and meaningful work for the good of every patient. People who are compassionate and serve with a purpose. People who aspire to excellence every day.

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