Accreditation & Regulatory Consultant - Behavioral Health Focus

Nationwide Children's Hospital; Columbus (OH); On-site; USD 60,000 - 80,000; Full time

Job summary

A leading children's healthcare facility in Columbus, Ohio seeks a professional to assist with regulatory compliance. You will manage surveys, present regulatory updates, and consult on accreditation matters. Candidates should possess a Bachelor's in Science or equivalent experience, with a preference for a Master's Degree and CPHQ certification. The role requires strong project management and collaboration skills, with 2 years of hospital experience. This position involves working within regulatory standards and requires adaptability in a high-stress environment.

Qualifications

• Demonstrated experience with regulatory compliance.
• 2 years working in a hospital environment.
• CPHQ certification preferred.

Responsibilities

• Lead surveys and readiness activities.
• Present regulatory updates to departments.
• Consult on regulatory matters for accreditation.

Skills

Planning and project management skills

Presentation skills

Multidisciplinary collaboration

Education

Bachelor’s of Science or equivalent work experience

Master’s Degree

Job description

Job Description Summary

Assists in the evaluation, implementation, monitoring, improvement of compliance with internal and external regulatory requirements, and policies for the organization. Works on a multi-disciplinary team and shares best practices among all areas.

Essential Functions

• Leads and manages surveys and continuous readiness activities.
• Maintains working knowledge of regulatory and accrediting body standards and rules.
• Prepares and presents regulatory updates to Department as requested.
• Partners with hospital management to guide practice and operations with applicable regulations or standards.
• Acts as a consultant to the unit on all matters related to regulatory and accreditation (TJC, CMS, ODH, OMHAS) surveys.
• Partners with unit on development, implementation and monitoring of action plans.
• Leads or collaborates in work groups to build regulations into operations.

Education Requirement

Bachelor’s of Science or work experience in the field equivalent to a bachelor's, required. Master’s Degree, preferred.

Licensure Requirement

(not specified)

Certifications

Certified Professional in Healthcare Quality (CPHQ), certification, preferred.

Skills

Demonstrated planning, presentation, and project management skills required. Strong skill in promoting multidisciplinary collaboration.

Experience

2 years working in a hospital and experience with survey readiness and accreditation related activities.

Physical Requirements

Occasionally: Biohazard waste, chemicals/medications, climb stairs/ladder, cold temperatures, fume/gases/vapors, hot temperatures, loud noises, patient equipment, pushing/pulling: 0-25 lbs, working at heights.

Frequently: Bend/twist, driving motor vehicles (work required), hand use: grasping, gripping, turning, lifting/carrying: 11-20 lbs, reaching above shoulder, sitting, squat/kneel, standing, walking.

Continuously: Audible speech, color vision, computer skills, decision making, depth perception, flexing/extending of neck, hearing acuity, interpreting data, lifting/carrying: 0-10 lbs, peripheral vision, problem solving, repetitive hand/arm use, seeing – far/near.

Additional Physical Requirements Performed But Not Listed Above

High stressful Environment.

The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet