Accreditation Program Manager - Quality Care Management

Providence; Richland (WA); On-site; USD 110,000 - 150,000; Full time

Job summary

Providence Kadlec Regional Medical Center seeks a Regulatory Readiness Program Manager to oversee preparation for regulatory surveys and monitor hospital and clinic compliance with accreditation and regulatory standards. The role collaborates with department leaders to implement action plans and ensures readiness for site visits.

The position focuses on organizing readiness frameworks, acting as a subject-matter expert on standards and regulations, and communicating essential information to

Qualifications

• Graduation from an accredited nursing program.
• Bachelor's Degree in Nursing or in progress; if in progress, must be completed within three (3) years from date of hire.
• 5 years Recent acute care or ambulatory RN experience.

Responsibilities

• Assists in preparation for regulatory surveys and monitors standards compliance.
• Communicates necessary information to department leaders and staff and recommends actions to maintain or exceed compliance.
• Facilitates and collaborates with departmental leaders on assessing standards compliance and action plans.
• Organizes the survey readiness framework and site visit preparations for surveys or accreditation processes.
• Serves as a content expert in standards and regulations for operational leaders.

Skills

Regulatory facilitation

Project coordination

Adult education

Policy analysis

Education

Bachelor's Degree in Nursing

Nursing degree in progress

Tools

Word Processing

Excel

Access

Job description

Under the general supervision of the Director of Quality, the Regulatory Readiness Program Manager has wide latitude for independent decision-making and understanding of the overall policies and procedures. The REGULATORY READINESS PROG MGR assists in preparation for various regulatory surveys; Remains responsible for monitoring standards compliance for the hospital and clinics in alignment with health-care accreditation and non-financial regulatory requirements for the hospitals and clinics covered under licensure; Effectively communicates necessary information to appropriate department leaders and staff and recommends actions to maintain or exceed compliance with standards; Facilitates and collaborates with departmental leaders in assessing standards compliance in their areas of responsibility and ensuring action plans are in place for areas of focus or areas identified as non-compliant without assuming ownership of those action plans; Organizes the survey readiness framework and site visit preparations related to any survey or accreditation process; and acts as a resource to operational leaders and is content expert in areas of standards and regulations.

Providence caregivers are not simply valued - they're invaluable. Join our team at Kadlec Regional Medical Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:

• Coursework/Training: Graduation from an accredited nursing program
• Bachelor's Degree in Nursing or in progressor If Bachelor's degree in nursing or higher is in progress, must be completed within three (3) years from date of hire into the position.
• 5 years Recent acute care or ambulatory RN experience.

Preferred Qualifications:

• Master's Degree
• 2 years Performance improvement process experience.
• 2 years Experience working with The Joint Commission standards, DOH regulations and compliance.
• Project and/or team facilitation, adult education and policy development and analysis.
• Software applications experience, which includes Word Processing, Excel, and Access.

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our mission of providing safe, compassionate care.