Accreditation and Regulatory Associate

The University of Kansas Health System; Liberty, Northern (MO, KY); Hybrid; USD 25,000 - 39,000; Part time

Job summary

The University of Kansas Health System is seeking an Accreditation and Regulatory Associate for part-time days at Liberty Hospital to support ongoing compliance with accreditation and regulatory requirements. The role emphasizes data collection, real-time observations in clinical settings, and providing feedback to frontline staff to enhance survey readiness.

Responsibilities include data entry, trend analysis, and presenting findings to internal audiences, with coaching on observed compliance

Qualifications

• Associates Degree or Licensed Practical Nurse required.
• Proficient in MS Office and healthcare data handling.

Responsibilities

• Supports initiatives to maintain accreditation and regulatory compliance.
• Interacts professionally with evidence of conflict resolution skills.
• Takes active role in hospital survey readiness activities.
• Validates and monitors post-survey action plans.
• Enters data into systems for analysis and trending.
• Shares and presents data to internal audiences.
• Provides real-time coaching on observed compliance opportunities.
• Works under the Accreditation and Regulatory Compliance manager/director.
• Participates in accreditation and regulatory educational offerings.
• Ability to train groups of employees.
• Provides technical policy support.

Skills

Data entry

Real-time observation

Training groups

Education

Associates Degree

Licensed Practical Nurse

Tools

MS Office

Job description

Accreditation and Regulatory Associate Days - Part Time

Liberty Hospital

Position Summary / Career Interest

Accreditation and Regulatory Associate supports various activities that support compliance with accreditation and regulatory requirements. The Associate performs various data management functions necessary for continuous survey readiness including, but not limited to, providing real-time observations in clinical settings, providing real-time feedback to front line staff, data collection, chart reviews, data entry, maintaining data integrity, performing data validation, and conducting basic data analysis. The Accreditation and Regulatory Associate assists other members of the Accreditation and Regulatory Department to respond to data requests, data dissemination, implementation, and evaluation of performance improvement projects intended to meet the organization's vision to lead the nation in caring, healing, teaching, and discovering.

Responsibilities and Essential Job Functions

• Supports various initiatives to maintain accreditation and regulatory compliance
• Interacts in a courteous, professional manner with evidence of conflict resolution skills
• Takes an active role in hospital survey readiness activities
• Validates and monitors post-survey action plans
• Enters data into systems for analysis and trending
• Shares and presents data to internal audiences
• Provides real-time coaching on observed compliance opportunities
• Demonstrates collaborative working relationships and works under the direction of the Accreditation and Regulatory Compliance manager and/ or director
• Participates in accreditation and regulatory related educational offerings
• Ability to speak and train groups of employees
• Provides technical policy support
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department
• Other duties may be assigned as required

These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit.

Required Education and Experience

• Associates Degree OR Licensed Practical Nurse
• 1 or more years of healthcare experience
• Required Licensure and Certification
• Valid driver's license.
• Proficient in MS Office.

Time Type: Part time

The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status.

See also Diversity, Equity & Inclusion.

The health system provides reasonable accommodations to qualified individuals with disabilities.

About The University of Kansas Health System As part of the region’s premier academic medical center, The University of Kansas Health System in Kansas City is a world-class healthcare provider and destination for complex care and diagnosis. We are driven by our commitment to service, continuous improvement and to the highest degree of excellence. Collaboration between physicians, nurses, researchers, educators and other professionals who share their expertise leads to exciting discoveries and life-changing treatments for the people we serve.