Senior Accreditation Specialist

Arkansas children's is a tobacco free workplace. Flu vaccines are required. Arkansas children's is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, protected veteran status or any other characteristic protected by federal, state, or local laws.

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Work shift:

Please see job description for details.

Time type:

Full time

Department:

Cc097518 accreditation and survey readiness

Summary:

Monday-friday days - springdale location (some travel to little rock required) - requirements: bachelor's, 6 yrs related work exp & license or registry (see job description details of list of license/registry options)

Additional information:

Department: accreditation reports within the compliance structure and functions at the system level.

Preferred skills: self-directed work, curiosity, detail oriented, strong communication skills and persuasion, process improvement experience.

The senior accreditation specialist is a high-level strategic partner to the director of accreditation and survey readiness, playing a pivotal role in leading our system's efforts to achieve the highest standards of compliance and accreditation. This licensed clinician is a strategic thinker with an innovative approach to quality improvement, ensuring our practices not only meet but exceed benchmarks for patient care excellence.

As an essential member of the compliance team, this role shapes and fortifies the framework for ongoing accreditation success, leveraging extensive knowledge in regulations, standards, and improvement methodologies.

Required education:

Bachelor's degree

Recommended education:

Master's degree

Required work experience:

Related field - 6 years of experience

Recommended work experience:

Leadership - 2 years leadership experience

Required certifications:

1 of the following license or registry is required -
- Recommended certifications:

American registry of radiologic technologists certification (arrt) - american registry of radiology technologist (arrt), audiology license - ar board of examiners speech-language pathology and audiology, certified nuclear medicine technologist (cnmt) - nuclear medicine technology certification board, certified professional healthcare quality (cphq) - national association for health quality (nahq), clinical competence - speech lang. Path. (ccc-slp) - american speech language hearing association (asha), national compliance certification - compliance certification board (ccb), occupational therapist (ot) license - arkansas state medical board, physical therapy license - arkansas state board of physical therapy, radiologic technologist license - arkansas department of health, registered nurse (rn) license - arkansas or compact state, registered respiratory therapist (rrt) - national board of respiratory care (nbrc)

Description

1. Develops and executes strategic plans to ensure continuous compliance with the standards of accrediting oversight organizations, cms, and other regulatory bodies.

2. Leads the preparation for accreditation surveys and site visits, including coordinating mock surveys, staff training, and chart and documentation reviews.

3. Serves as a subject matter expert on accreditation standards, regulatory requirements, and best practices in patient care quality and safety.

4. Conducts ongoing reviews of policies, procedures, and practices to identify areas for improvement and ensure alignment with current standards.

5. Collaborates with clinical and administrative departments to implement changes and improvements that enhance compliance and quality outcomes.

6. Develops and maintains effective communication and education programs for staff on accreditation processes, quality improvement initiatives, and compliance requirements.

7. Analyzes data and generates reports to monitor compliance levels, identify trends, and measure the effectiveness of improvement efforts.

8. Facilitates interdisciplinary teams and working groups focused on accreditation readiness and quality improvement.

9. Acts as a liaison with accrediting agencies and regulatory bodies, ensuring timely and accurate reporting of required information.

10. Performs other duties as assigned.