Accreditation and Regulatory Consultant

• Leads and manages surveys and continuous readiness activities.
• Maintains working knowledge of regulatory and accrediting body standards and rules.
• Prepares and presents regulatory updates to Department as requested.
• Partners with hospital management to guide practice and operations with applicable regulations or standards.
• Acts as a consultant to the unit on all matters related to regulatory and accreditation (TJC CMS ODH OMHAS) surveys.
• Partners with unit on development implementation and monitoring of action plans.
• Leads or collaborates in work groups to build regulations into operations.

Bachelors of Science or work experience in the field equivalent to a bachelors required. Masters Degree preferred.

(not specified)

Certified Professional in Healthcare Quality (CPHQ) certification preferred.

Demonstrated planning presentation and project management skills required. Strong skill in promoting multidisciplinary collaboration.

2 years working in a hospital and experience with survey readiness and accreditation related activities.

OCCASIONALLY: Biohazard waste Chemicals/Medications Climb stairs/ladder Cold Temperatures Fume /Gases /Vapors Hot Temperatures Loud Noises Patient Equipment Pushing / Pulling: 0-25 lbs Working at Heights

FREQUENTLY: Bend/twist Driving motor vehicles (work required) *additional testing may be required Hand use: grasping gripping turning Lifting / Carrying: 11-20 lbs Reaching above shoulder Sitting Squat/kneel Standing Walking

CONTINUOUSLY: Audible speech Color vision Computer skills Decision Making Depth perception Flexing/extending of neck Hearing acuity Interpreting Data Lifting / Carrying: 0-10 lbs Peripheral vision Problem solving Repetitive hand/arm use Seeing Far/near

High stressful Environment

The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified nor is it intended to limit or modify the right of any supervisor to assign direct and control the work of employees under their supervision. EOE M/F/Disability/Vet