Quality/Accreditation Specialist II

GENERAL SUMMARY

Henry Ford Providence Southfield & Novi Hospitals

8am - 4:30pm, No Weekends

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.

EDUCATION AND EXPERIENCE

• Bachelors degree in Nursing or healthcare related field required
• Masters 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
• 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.