Accreditation Specialist

Job Description

At Texas Children's, every patient deserves safe, high-quality care. As Clinical Accreditation Specialist, part of our Quality & Outcomes Management team, you'll play an important role in ensuring our teams are prepared to meet the highest standards for patient care, regulatory compliance, and accreditation.

This role brings together clinical expertise, quality improvement, regulatory knowledge, and collaboration to help Texas Children's remain continuously survey-ready and focused on exceptional patient outcomes.

What You'll Do

As a trusted clinical and regulatory resource, you'll partner with nurses, physicians, clinical teams, and leaders across the organization to evaluate care delivery, identify opportunities for improvement, and strengthen high-risk clinical processes.

You'll:

• Lead and participate in mock surveys, clinical tracers, patient care observations, and regulatory readiness activities across Texas Children's.
• Help prepare teams for Joint Commission, CMS, Texas Health and Human Services (HHSC), and specialty accreditation surveys.
• Participate in unannounced surveys, providing education and support before, during, and after the survey process.
• Evaluate clinical practices and workflows related to areas such as medication management, infection prevention, patient identification, clinical documentation, handoff communication, and restraint management.
• Identify opportunities for improvement and partner with leaders to develop and monitor action plans.
• Serve as a consultant and subject matter expert to clinical and operational leaders on accreditation standards, regulatory requirements, patient safety, and evidence-based practices.
• Develop and deliver education, presentations, newsletters, and other resources to help teams stay informed and prepared.
• Collaborate with leaders and multidisciplinary teams to improve survey readiness and the overall patient care experience.
• Support new and existing clinical surveys by helping coordinate communication, stakeholder engagement, and survey logistics.
• Participate in committees, special projects, and initiatives that support quality and patient safety across the organization.

Why This Role Matters

Survey readiness is about more than passing an inspection. It's about creating an environment where safe, high-quality care is part of how we work every day.

In this role, you'll have the opportunity to influence clinical practice across a leading pediatric health system, work alongside passionate healthcare professionals, and help identify opportunities that ultimately improve outcomes for children and families.

What You'll Bring

We're looking for a clinically experienced nurse who is curious, collaborative, and passionate about quality and patient safety.

Required:

• Bachelor's degree in Nursing
• Active RN license through the Texas Board of Nursing or Nursing Licensure Compact
• At least 2 years of experience in clinical, quality, and/or accreditation settings
• Knowledge of Joint Commission standards, CMS requirements, and Texas HHSC regulations
• Strong communication, organization, and problem-solving skills
• Ability to build relationships and work effectively with leaders and multidisciplinary teams

Join a Team That Helps Set the Standard

If you're an experienced RN who enjoys solving problems, educating others, improving processes, and helping healthcare teams deliver their best work, this is an opportunity to make an impact well beyond a single patient encounter.

Bring your clinical expertise to a role where quality, safety, and continuous improvement are at the center of everything you do.

About Us

Since 1954, Texas Children's has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children's hospital in Texas, and among the top in the nation by U.S. News & World Report as well as recognition from Houston Business Journal as one of this city's Best Places to Work for ten consecutive years.


Texas Children's comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Tower for pediatric research; Texas Children's Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children's Hospital West Campus, a community hospital in suburban West Houston; Texas Children's Hospital The Woodlands, the first hospital devoted to children's care for communities north of Houston; and Texas Children's Hospital North Austin, the new state-of-the-art facility providing world-class pediatric and maternal care to Austin and Central Texas families. We have also created Texas Children's Health Plan, the nation's first HMO focused on children; Texas Children's Pediatrics, the largest pediatric primary care network in the country; Texas Children's Urgent Care clinics that specialize in after-hours care tailored specifically for children; and a global health program that is channeling care to children and women all over the world. Texas Children's Hospital is affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.

To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.

Texas Children's is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.