JOB DESCRIPTION:

• Provides Operating Unit (OU) direction and oversight for regulatory and accreditation compliance including The Joint Commission (TJC), State and Federal agencies.
• Assists in the development, coordination and implementation of activities to assure compliance with OU accreditation and regulatory requirements.
• Supports OU clinical compliance with the TJC, State & Federal regulations.
• Remains current with accreditation and regulatory standards.
• Maintains collaborative relationships between OU departments, units, EHC hospitals, and appropriate regulatory agencies.
• Collaborates with Leadership on recommendations for sustainable processes and system improvements to maintain quality metrics and/or accreditation-related objectives.
• Serves as OU resource for education and training regarding quality improvement, accreditation standards, internal process improvements, and external regulatory requirements.
• Assists OU in maintaining preparedness for accreditation and licensure surveys.
  
  MINIMUM QUALIFICATIONS:
• Licensure as a Registered Nurse in the state of Georgia strongly preferred.
• BA/BS degree in a health related field with five (5) years of experience in a clinical healthcare environment.
• Experience in clinical operations and/or experience working in performance improvement, patient safety, risk management or quality management areas in the healthcare environment.
• Knowledge of Quality Improvement methodology, group facilitation, project management, and healthcare regulatory event reporting requirements.
• Previous accreditation/regulatory readiness experience preferred.

SALARY RANGE: $34.91-$62.31/HR