Rn Jobs in Bay Area

About The Position

Requirements

• Associate Degree in Nursing, Healthcare Administration, Public Health, or a related field required
• 3-5 years of experience in accreditation, regulatory compliance, or quality improvement in a healthcare setting required
• Knowledge of accreditation and regulatory requirements applicable to hospitals and healthcare facilities.
• Strong understanding of performance improvement tools, root cause analysis, and process mapping.
• Effective communication and facilitation skills with the ability to work across clinical and administrative teams.
• Ability to analyze and interpret data to identify trends and inform decision-making.
• Proficiency in Google Suite or Microsoft Office and electronic quality/compliance reporting tools.
• RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred
• Applicants must be authorized to work in the U.S. for any employer.

Nice To Haves

• Bachelor's Degree in Nursing, Healthcare Administration, Public Health, or a related field preferred
• Prior experience coordinating Joint Commission or CMS survey readiness preferred
• CPHQ - Certified Professional in Healthcare Quality preferred or CHCQM - Certified Healthcare Quality Management preferred

Responsibilities

• Coordinates all accreditation and regulatory readiness activities across departments, ensuring ongoing compliance with standards from accrediting bodies such as The Joint Commission (TJC), CMS, and state agencies.
• Serves as liaison with external accrediting and regulatory agencies, supporting survey preparation, coordination, and follow-up.
• Facilitates multidisciplinary teams to address compliance gaps and implement corrective action plans.
• Conducts routine compliance rounds in clinical and non-clinical areas, identifying issues, educating staff, and escalating concerns when needed.
• Provides education and training on accreditation standards, performance improvement methodologies, and regulatory changes to hospital staff and leadership.
• Collaborates with hospital leadership and medical staff to track and trend performance indicators related to quality, safety, and accreditation.
• Assists departments in developing and evaluating policies and procedures to ensure alignment with accreditation and licensure standards.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Benefits

• Competitive compensation
• Paid time off plans for vacations, holidays and illness
• Health insurance, including coverage for medical, dental, vision and prescription drugs
• 401(k) retirement plan
• Education & student loan assistance
• Life and disability insurance
• Flexible spending accounts