Accreditation Specialist

Owensboro Health•Owensboro, KY

1d•Onsite

About The Position

Accreditation Specialists serve as key resources supporting compliance and survey readiness across the Owensboro Health system. They work collaboratively with operational leaders to ensure alignment with accreditation standards, regulatory requirements, and internal policies, promoting continuous readiness and quality improvement at all Owensboro Health facilities.

Requirements

Requires critical thinking skills and decisive judgment.
Works under general supervision.
Must be able to work in a stressful environment and take appropriate action.
Applies more advanced skills and knowledge in the area of specialization.
A minimum of 3 years' relevant experience required
Bachelor's degree or higher in Nursing required upon hire OR Bachelor's degree or higher in nursing related field required upon hire
RN - Licensed as a Registered Nurse. Eligible to practice nursing in the State of Kentucky required upon hire OR Current licensure in related field required upon hire

Nice To Haves

Accreditation/Clinical Program related certification preferred

Responsibilities

Serves as an expert consultant for staff in one or more of the following areas: accreditation & regulatory compliance, organizational policies, policy management, clinical procedures.
Interprets regulatory standards and organizational policies & procedures.
Assists with and/or coordinates activities, projects, and operational efforts related to accreditation, licensure, and/or certification with critical organization-wide impact, including participation in regulatory site visits/surveys. This may also include assisting with the development and/or implementation of new or revised processes, policies and/or procedures.
Utilizes and/or maintains related databases/information management systems. Responsible for training, updates, security management, and report generation as applicable to assigned database/information management system.
Works collaboratively with leadership to plan, facilitate and evaluate multidisciplinary process improvements related to accreditation and regulatory initiatives.
Facilitates change process through committee participation as needed.
Utilizes standardized methods for improvement efforts, including project coordination.
Also utilizes common concepts for statistical analysis, outcomes measurement, quality improvement tools, systems thinking, and operations improvement practices.
Interprets and disseminates related data to stakeholders.
Reviews and/or develops related content and communicates information to all team members via multiple forms of publication and communication.
Develops and implements related staff educational materials as needed.
Participates in staff orientation and continuing education as assigned.
Required to travel to off-site locations for participation in accreditation & regulatory-related activities.