Accreditation Coordinator, Registered Nurse (Rn), Ambulatory, Hybrid, Full Time, First

UC Health; Cincinnati (OH); On-site; USD 70,000 - 90,000; Full time

Job summary

UC Health is seeking a Registered Nurse (RN) Accreditation Coordinator for the Ambulatory Center to ensure compliance with regulatory standards. The role involves managing compliance data, leading regulatory committees, and coordinating educational programs. Candidates should have a Bachelor's Degree in a healthcare-related field, be a licensed RN, and possess 3-5 years of relevant experience. Join us to advance healing and provide world-class care in a collaborative environment.

Qualifications

• Bachelor's Degree in a healthcare-related field required.
• Registered Nurse in good standing in Ohio.
• 3-5 years of equivalent experience required.

Responsibilities

• Manage compliance efforts related to The Joint Commission and regulatory standards.
• Track regulatory compliance data and generate reports for leadership.
• Coordinate training related to regulatory compliance and educational programs.

Skills

Regulatory Compliance

Data Management

Project Management

Effective Communication

Adult Learning Principles

Education

Bachelor's Degree in Healthcare Related Field

Registered Nurse License in Ohio

Tools

AMP Software

Job description

Registered Nurse (RN), Accreditation Coordinator, First Shift

UC Health is hiring a Registered Nurse (RN), Accreditation Coordinator for the first shift. This position is based at the Ambulatory Center with rotating responsibilities across facilities (West Chester, UC Medical Center, and Ambulatory).

At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.

As the region's adult academic health system, we strive for innovation and provide world-class care for our community and patients nationwide. Join our team to develop your skills, grow your career, build relationships, and help us be a source of hope for our friends and neighbors.

UC Health is committed to an inclusive, equitable, and diverse workplace.

Qualifications

• Education: Bachelor's Degree in Healthcare Related Field (minimum)
• License/Certification: Registered Nurse in good standing in Ohio
• Experience: 3-5 years of equivalent experience (minimum)

Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today!

About UC Health

UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky, partnering with the University of Cincinnati. It combines clinical expertise, research, and teaching to offer options for complex cases. Members include UC Medical Center, West Chester Hospital, UC Physicians, and UC Health Ambulatory Services, among others. Many locations have received national recognition for quality and patient satisfaction. Learn more at uchealth.com.

Join UC Health to develop your skills, grow your career, and make a difference in our community. UC Health is an EEO employer.

Responsibilities

The Accreditation Coordinator manages efforts related to The Joint Commission and other regulatory standards, maintaining service readiness and compliance.

Compliance:

• Interpret and evaluate compliance with standards from The Joint Commission, ODH, ODMH, and CMS.
• Lead regulatory committees, perform gap analyses, and formulate action plans to ensure compliance.
• Stay updated on standards, regulations, and scoring criteria.
• Review official publications and communicate updates to management and staff.
• Assist departments in assessing, planning, and monitoring compliance activities, including education and communication.
• Participate in workshops to stay current on standards and regulations.
• Review departmental policies to ensure they guide reimbursement and comply with standards.
• Conduct patient tracers to assess readiness and ensure staff preparedness for accreditation.
• Develop mechanisms to keep management informed about compliance status.
• Maintain constant survey readiness and monitor communication channels for updates.

Data Management:

• Track regulatory compliance data and generate reports for leadership.
• Serve as an expert in AMP Software, assisting with scoring and documentation.
• Maintain documentation related to the annual Periodic Performance Review, including non-compliance issues and action plans.
• Provide training to system users and develop compliance reports.
• Review survey readiness documents quarterly to ensure data accuracy.

Project Management:

• Foster positive relationships through effective communication.
• Apply change management principles in training and communication activities.
• Keep management informed about project status, issues, and initiatives.
• Act as the primary contact for stakeholders regarding internal audits and surveys.

Education:

• Coordinate training related to regulatory compliance.
• Develop and implement educational programs based on learning needs.
• Apply adult learning principles in teaching and instructional design.
• Assist in creating content for safety and regulatory information updates.