Consultant-Accreditation and Regulatory Senior

Consultant-Accreditation and Regulatory Senior Job Description Overview Plans, implements, directs, and facilitates activities that support system wide efforts to be successfully accredited and continuously ready for patients. Consults and advises key stakeholders and leaders on accreditation/regulatory interpretations, educates and facilitates survey preparation activities, manages and audits onside surveys, and serves as a liaison between the organization and its accreditation and regulatory bodies. Analyzes and provides recommendations around performance and continuous quality improvement initiatives that drive organizational outcomes. Drives acceptance by stakeholders and serves as an accreditation matters expert for leaders and team members. Bachelor's Degree in nursing or healthcare related field required. Master's Degree preferred. Requires 7-10 years of experience in clinical operations and/or healthcare quality. Requires current state of Indiana license as a healthcare professional (e.g., Registered Nurse with an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license, Respiratory Therapist, Pharmacist or Rehabilitation license.) Requires strong experience in leading complex projects or systematic performance improvement. Certified Professional in Healthcare Quality (CPHQ) is required. We are an equal opportunity employer. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. Indiana University Health is Indiana's most comprehensive health system, with 15 hospitals and nearly 40,000 team members serving Hoosiers across the state. Our partnership with the Indiana University School of Medicine gives our team members access to the very latest science and the very best training, advancing care for all. We're looking for team members who share the things that matter most to us. People who are inspired by challenging and meaningful work for the good of every patient. People who are compassionate and serve with a purpose. People who aspire to excellence every day. People who are always ready to apply themselves.