Job Description

Quality/Accreditation Spec II

Department

Ambulatory Nursing

One Ford Place

1 Ford Place

Detroit MI 48202

Work Schedule

Full-Time (40 Hours Per Week)

Monday - Friday, 8:00 AM - 5:00 PM.

GENERAL SUMMARY:

Under limited direction, plans, organizes and maintains a process to ensure organizational compliance with regulatory standards and continuous survey readiness. Serves as an internal consultant for the interpretation of standards and functional measurement of compliance. Develops performance improvement plans with management/staff on an as needed basis. Interprets new regulations for education purposes and implementation efforts.

Qualifications

EDUCATION AND EXPERIENCE:

• Bachelors degree in Nursing or healthcare related field required, Master¿s degree in health care field preferred; RN preferred.
• Minimum 5 years hospital experience required; clinical/operational experience preferred
• Demonstrated knowledge of TJC, DNV, CMS Conditions of Participation required and familiarity with other accrediting, licensing and regulatory standards desirable.
• Evidence of continuing education in standards/regulations/training
• QI/PI Team member, lead or facilitator 1 -3 years required
• Scope: Broad Business unit/multidisciplinary team experience (working with several departments, and//or deep experience within one service line, value stream, etc)
• Experience presenting to departmental, product line, and business unit leadership.
• Knowledge of current healthcare issues and trends.