Accreditation & Regulatory Consultant - Behavioral Health Focus

Job Description Summary Assists in the evaluation, implementation, monitoring, improvement of compliance with internal and external regulatory requirements, and policies for the organization. Works on a multi-disciplinary team and shares best practices among all areas. Essential Functions 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. Education Requirement Bachelor’s of Science or work experience in the field equivalent to a bachelor's, required. Master’s Degree, preferred. Licensure Requirement (not specified) Certifications Certified Professional in Healthcare Quality (CPHQ), certification, preferred. Skills Demonstrated planning, presentation, and project management skills required. Strong skill in promoting multidisciplinary collaboration. Experience 2 years working in a hospital and experience with survey readiness and accreditation related activities. Physical Requirements 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), 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. Additional Physical Requirements Performed But Not Listed Above 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 #J-18808-Ljbffr Nationwide Children's Hospital