Consultant-Accreditation and Regulatory Senior

Indiana University Health System • Indianapolis, IN

14h

About The Position

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.

Requirements

• Bachelor's Degree in nursing or healthcare related field.
• 7-10 years of experience in clinical operations and/or healthcare quality.
• 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).
• Strong experience in leading complex projects or systematic performance improvement.
• Certified Professional in Healthcare Quality (CPHQ) is required.

Nice To Haves

• Master's Degree preferred.

Responsibilities

• Support system wide efforts to be successfully accredited and continuously ready for patients.
• Consult and advise key stakeholders and leaders on accreditation/regulatory interpretations.
• Educate and facilitate survey preparation activities.
• Manage and audit onside surveys.
• Serve as a liaison between the organization and its accreditation and regulatory bodies.
• Analyze and provide recommendations around performance and continuous quality improvement initiatives.
• Drive acceptance by stakeholders.
• Serve as an accreditation matters expert for leaders and team members.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior