Healthcare Process Improvement & Accreditation Specialist

Sioux Center Health; Sioux Falls (SD); On-site; USD 65,000 - 90,000; Full time

Job summary

Avera Heart Hospital in Sioux Falls, SD is seeking a Process Improvement & Accreditation Specialist to drive continuous survey readiness by managing regulatory compliance, conducting tracers, and ensuring adherence to TJC and CMS standards.

The role supports organization-wide performance improvement and peer-review activities in line with PI Plan, Medical Staff bylaws, rules and FPPE/OPPE policies, with a Monday–Friday schedule and occasional weekends.

Qualifications

• Associate degree required; bachelor’s degree preferred.
• Licensed as a registered nurse or healthcare professional.
• Experience with regulatory compliance and accreditation programs.

Responsibilities

• Drive survey readiness by managing regulatory compliance.
• Conduct tracers and ensure adherence to TJC and CMS standards.
• Support organization-wide performance improvement and peer-review activities.

Skills

Regulatory compliance

Performance improvement

Data analysis

Tracers

CMS standards

Education

Associate degree in health information administration

Bachelor's degree preferred

Job description

Avera Heart Hospital in Sioux Falls, SD is seeking a Process Improvement & Accreditation Specialist to drive continuous survey readiness by managing regulatory compliance, conducting tracers, and ensuring adherence to TJC and CMS standards.

The role supports organization-wide performance improvement and peer-review activities in line with PI Plan, Medical Staff bylaws, rules and FPPE/OPPE policies, with a Monday–Friday schedule and occasional weekends.