MANAGER, QUALITY & PATIENT SAFETY
EDUCATION / EXPERIENCE / COMPETENCY REQUIREMENTS
REGULATORY & ACCREDITATION CONSULTANT
The Regulatory & Accreditation Consultant is responsible for monitoring, trending, and improving the enterprise wide continuous survey and accreditation readiness plan. Working in collaboration with the leadership of the Center, the consultant will assist the various areas in improving their readiness and sustaining a state of continuous readiness for regulatory and accreditation surveys for all federal, state, local and accrediting bodies, both mandatory and voluntary certifications. This position will serve as the regulatory and accreditation subject matter expert in all areas of the Center. The consultant works with areas in need of assistance in meeting guidelines utilizing best practice methodology for performance improvement. The Consultant will be included in all regulatory and accreditation visits and be present when possible in order to identify issues and work with areas to ensure action plans meet guidelines and timeframes. The consultant will also be responsible for maintaining the regulatory and accreditation data base that tracks all site visits, mail requests, the issues involved, the responses and action plan compliance.
This position has the opportunity for a hybrid remote work schedule after successful completion of a 90-day probationary period.