Healthcare Accreditation & Regulatory Performance Lead

Ochsner Health; Louisiana; On-site; USD 90,000 - 130,000; Full time

Job summary

Ochsner Health is seeking an Accreditation Program Director to lead and coordinate the organization's accreditation processes, ensuring compliance with Joint Commission and regulatory standards. You will collaborate with department leaders to educate on standards and drive continuous quality improvement across facilities.

The role requires a high degree of expertise in healthcare quality management, strong communication, and the ability to travel between campuses to support readiness activities

Qualifications

• Required -10 years of healthcare related experience or five years of experience working as a professional in a healthcare environment with a bachelor's degree.
• Experience managing complex processes with general knowledge of the principles and theories of quality management, continuous quality improvement and regulatory and accrediting standards.
• Experience working with highly confidential information.

Responsibilities

• Provides consultation, education and interpretation to the organization related to accreditation and regulatory standards and provides education to the organization related to patient safety and performance improvement.
• Coordinates and conducts regularly scheduled Joint Commission tracers and facilitates organizational continued Joint Commission (TJC) readiness.
• Provides consultation, education and interpretation to the organization related to unanticipated complaint follow up visits.
• Assists leader in other departmental initiatives as assigned such as clinical quality data collection and analysis, accreditation, and survey preparation.
• Facilitates implementation teams related to accreditation and regulatory standards.
• Maintains assigned service line facilitation of quality initiatives.
• Performs other related duties as required.

Skills

Computer skills

Verbal & written communication

Organizational skills

Travel flexibility

Education

High school diploma

Bachelor's degree

Job description

Ochsner Health is seeking an Accreditation Program Director to lead and coordinate the organization's accreditation processes, ensuring compliance with Joint Commission and regulatory standards. You will collaborate with department leaders to educate on standards and drive continuous quality improvement across facilities.

The role requires a high degree of expertise in healthcare quality management, strong communication, and the ability to travel between campuses to support readiness activities