Accreditation/Regulatory Specialist Hospital Services

Job description

Business: Boys Town National Research Hospital Job Summary: In a career as an Accreditation/Regulatory Specialist Hospital Services, you join us in providing life-changing care to patients from across the region. In this role, you will provide leadership and oversight of accreditation and regulatory compliance programs for hospital services. Work collaboratively with Boys Town National Research Hospital leadership to build effective programs for the achievement of ongoing readiness for accrediting/regulatory reviews for the Surgery Center and the Inpatient Units. Schedule: Full-Time, 8:00 AM-4:30 PM Monday-Friday Location: Downtown Clinic MAJOR RESPONSIBILITIES & DUTIES: Maintains expertise in current and proposed Joint Commission and CMS standards, OSHA, state and federal regulatory requirements. Completes medical record review documentation audits. Works collaboratively with the organization’s quality team and Patient Safey Officer to maintain ongoing readiness binders and required documentation for Joint Commission survey. Integrates the analysis and reporting of data and information into continual readiness and performance improvement activities and reports. Utilizes statistical tools and methods to communicate and measure results. Conducts training on Joint Commission/CMS regulatory topics. Provides periodic reports to leadership regarding compliance with required standards. Develops and leads mock surveys/tracer activities in the hospital setting; identifies and communicates positive and negative trends and findings. Coordinates the development of action plans and educational programs to improve compliance with problematic standards to achieve ongoing readiness. In collaboration with the nurse educator, assists with annual competencies and e-learning course development and updates. In collaboration with the organization's quality team, assists with the development of plans, policies and procedures that guide, support, and ensure that all clinical services are provided in accordance with standards established through state and federal regulations and Joint Commission accreditation standards. Researches community best practices for hospital services. Excellent communication, presentation and written skills. Ability to maintain harmonious working relationships with all departments. REQUIRED QUALIFICATIONS: Current valid RN license or bachelor's degree in healthcare or related field required. Minimum 2 years of experience in quality improvement, clinical outcomes management or standards/regulation activities in a hospital setting required. Care and respect for others is more than a commitment at Boys Town – it is the foundation of who we are and what we do. At Boys Town, we cultivate a culture of belonging for all employees that respects their individual strengths, views, and experiences. We believe that our differences enable us to be a better team – one that makes better decisions, drives innovation, and delivers better business results. About Boys Town: Boys Town has been changing the way America cares for children and families since 1917. With over a century of service, our employees have helped us grow from a small boardinghouse in downtown Omaha, Nebraska, into one of the largest national child and family care organizations in the country. With the addition of Boys Town National Research Hospital in 1977, our services branched out into the health care and research fields, offering even more career opportunities to those looking to make a real difference. Our employees are our #1 supporters when it comes to achieving Boys Town's mission, which is why we are proud of their commitment to making the world a better place for children, families, patients, and communities. A unique feature for employees and their dependents enrolled in medical benefits are reduced to no cost visits for services performed by a Boys Town provider at a Boys Town location. Additional costs savings for the employee and their dependents are found in our pharmacy benefits with low to zero-dollar co-pays on certain maintenance drugs. Boys Town takes your mental health seriously with no cost mental health visits to an in-network provider. We help our employees prepare for retirement with a generous match on their 401K or 401K Roth account. Additional benefits include tuition reimbursement, parenting resources from our experts and professional development opportunities within the organization, just to name a few. Working at Boys Town is more than just a job, it is a way of life. This advertisement describes the general nature of work to be performed and does not include an exhaustive list of all duties, skills, or abilities required. Boys Town is an equal employment opportunity employer and participates in the E-Verify program. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and/or expression, national origin, age, disability, or veteran status. To request a disability-related accommodation in the application process, contact us at 1-877-639-6003.