National Standards and Audit Coordinator

The Royal Women's Hospital; Melbourne; On-site; AUD 114,000 - 115,000; Full time

Benefits offered by this job

Salary packaging benefits

Wellbeing program

Public transport at doorstep

Onsite facilities

Mentoring and career development

Five weeks annual leave

Job summary

The Royal Women’s Hospital is seeking a National Standards and Audit Coordinator to support accreditation and compliance across NSQHS standards. You will drive audit programs, report findings and collaborate with clinical and governance teams to improve safety and quality of care.

Reporting to the Director Quality and Safety, this role leads organisation-wide accreditation planning, data analysis and submission processes, delivering education and resources to build staff capability in quality

Qualifications

• Experience in audit design, data analysis and reporting with ability to translate findings into actionable improvement strategies.
• Strong leadership and communication skills to engage clinicians, consumers and executives.
• Background in quality and safety, accreditation and risk management in healthcare.

Responsibilities

• Lead and coordinate organisation-wide accreditation processes, including planning, gap analysis, preparation activities and external survey delivery.
• Support managers and clinical leaders to meet NSQHS Standards and accreditation requirements through tools, advice and responsive support.
• Develop, implement and maintain clinical audit frameworks, programs and tools aligned to organisational priorities.
• Conduct audits as required, and analyse and interpret data to identify risks, trends and improvement opportunities.
• Prepare and present high-quality reports, compliance submissions and recommendations to governance forums and committees.
• Coordinate the submission of accreditation documentation using systems such as ART.
• Partner with multidisciplinary teams to implement and monitor improvement initiatives arising from audit findings.

Skills

Audit design

Data analysis

Leadership

Communication

Education

Nursing or Allied Health related discipline

Tools

ACHS ART System

Job description

• Full time, fixed term until June 2027 role
• Parkville location, with multiple public transport options available
• $113,793 - 114,382 (pro-rata for part time) + salary packaging + super + 5 weeks annual leave

The Royal Women’s Hospital is one of Australia’s oldest and most distinguished tertiary hospitals dedicated to improving the health and wellbeing of women and newborns, offering specialised services within maternity, neonatal and women’s health. Our goal is to be the best place to work, learn and contribute, and to provide exceptional experiences for our patients and consumers.

About the team

The Quality and Safety Unit at the Women’s is committed to driving excellence in care by fostering a culture of continuous improvement, clinical accountability and patient-centred outcomes. We work in partnership with consumers and staff to ensure that care is safe, timely, effective, efficient, equitable and person centred.

About the role

Reporting into the Director Quality and Safety, the National Standards and Audit Coordinator is responsible for supporting The Women's managers and staff to prepare for organisation-wide assessments against the National Safety and Quality in Health Services Standards (NSQHS) and other relevant accreditation and compliance obligations.

The National Standards and Audit Coordinator provides leadership across the Quality and Safety Unit in relation to monitoring, reporting and driving compliance and improvement against the Standards. The role contributes to the functions of the Quality and Safety team, including oversight of the Clinical Audit Framework, support for the National Standards Committees, policy development, KPI reporting, consumer engagement, and delivery of staff education and training.

The role works closely with all members of the Quality and Safety Unit to support audit activities and legislative compliance requirements necessary to maintain accreditation

A regular day will see you:

• Lead and coordinate organisation-wide accreditation processes, including planning, gap analysis, preparation activities and external survey delivery
• Support managers and clinical leaders to meet NSQHS Standards and accreditation requirements through tools, advice and responsive support
• Develop, implement and maintain clinical audit frameworks, programs and tools aligned to organisational priorities
• Conduct audits as required, and analyse and interpret data to identify risks, trends and improvement opportunities
• Prepare and present high-quality reports, compliance submissions and recommendations to governance forums and committees
• Coordinate the submission of accreditation documentation, including use of systems such as the ACHS Assessment Recording Tool (ART)
• Partner with multidisciplinary teams to implement and monitor improvement initiatives arising from audit findings, benchmarking and accreditation outcomes
• Develop and deliver education, training and resources to build staff capability in accreditation, audit and quality improvement
• Maintain accurate records, tools and intranet resources to support organisation-wide readiness and continuous improvement

About you

You are an experienced quality and safety professional with a strong background in accreditation, clinical audit and risk management within a healthcare environment. You bring a strategic and collaborative approach, with the ability to lead initiatives, influence stakeholders and translate data into meaningful improvement outcomes.

You’ll bring with you:

• A qualification in Nursing, Allied Health or a related health or relevant discipline
• 3–5 years’ experience in a quality or risk management role within healthcare
• Demonstrated experience in audit design, data analysis and reporting, with the ability to translate findings into actionable improvement strategies
• Strong knowledge of the NSQHS Standards and ACHS accreditation requirements, with experience supporting organisational readiness and compliance
• Experience applying quality and risk management principles to design and improve systems and processes
• Highly developed communication and leadership skills, with the ability to engage and collaborate with clinicians, consumers, executives and external stakeholders

At the Women’s you will enjoy a culture that is collaborative, supportive and passionate about learning. We have a strong sense of purpose, and engage in meaningful work every day. We offer our people a range of rewarding benefits, including:

• Up to $11,660 in salary packaging benefits, for living expenses, meals and holiday accommodation
• A suite of wellness initiatives designed to support you, including discounted financial, lifestyle and health options, and a comprehensive wellbeing program
• Public transport options at our doorstep and end of trip facilities for cyclists
• Onsite post office, eateries, retail stores and library services
• Mentoring, learning and career development opportunities
• Five weeks annual leave, 17.5% leave loading, monthly ADO’s (for full time) and purchased leave options

Inclusion and belonging

The Women’s celebrates, values and supports a diverse and inclusive environment which reflects our vibrant community. We encourage applications from anyone identifying as Aboriginal and/or Torres Strait Islander. We also welcome anyone who identifies as LGBTQIA+, linguistically, culturally and/or gender diverse, people with disability, and people of any age to apply for our roles. We are committed to gender equity principles, and our people have an awareness of and sensitive approach to violence against women and family violence matters. We are proudly Breastfeeding Association accredited.

All appointments are made subject to a satisfactory Nationally Coordinated Criminal History Check (NCCHC) and a valid Working with Children Check. Clinical staff are required to be vaccinated against, or demonstrate immunity to, COVID-19, influenza, and a range of other diseases.

Should you need assistance or require any adjustments or accommodations to fully participate in the application or interview process, or if you require an accessible copy of the position description, you are most welcome to reach out to the contact person listed. We acknowledge that not all applicants will meet the full list of selection criteria outlined, and wherever possible we will consider applications where relevant experience can apply.

For more information, please view the Position Description for this role.

For a confidential discussion, please contact Donna Smith on [phone] or [e-mail] or Andrea Donnell [phone] 3413