Quality/Accreditation Spec II - Ambulatory Nursing

Henry Ford Health; Detroit (MI); On-site; USD 85,000 - 105,000; Full time

Job summary

Henry Ford Health in Detroit seeks a Quality/Accreditation Specialist II in Ambulatory Nursing. Under limited direction, you will develop and maintain processes to ensure regulatory compliance and survey readiness across ambulatory services.

You will act as internal consultant interpreting standards (TJC, CMS) and lead performance improvement initiatives with management and staff, including education on new regulations and implementation efforts.

Qualifications

• Bachelor's degree in Nursing or healthcare field required; Master's preferred.
• RN preferred; 5+ years hospital experience; clinical/operational experience desirable.
• Knowledge of TJC, DNV, CMS Conditions of Participation and related standards.

Responsibilities

• Plans, organizes and maintains processes to ensure regulatory compliance and survey readiness.
• Serves as internal consultant for interpretation of standards and measurement of compliance.
• Develops performance improvement plans with management and staff as needed.
• Interprets new regulations for education purposes and implementation efforts.

Skills

Regulatory knowledge

Presentation to leadership

Project management

Education

Bachelor's degree in Nursing or healthcare related field

Master's degree in healthcare field preferred

RN preferred

Job description

Company Description

At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's leading academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and complex care, virtual care, pharmacy, home health, eye care, health insurance, and more. With 12 hospitals and hundreds of ambulatory care locations, including former Ascension Southeast Michigan and Flint Region facilities, our growing network expands access to exceptional care in the communities we serve.

Headquartered in Detroit, Henry Ford Health is helping shape the future of healthcare through the transformative Future of Health: Detroit initiative, a $3 billion investment that is redefining our academic healthcare campus and advancing innovation, research, education, and community impact.

Our work is grounded in purpose, collaboration, and belonging. We empower team members to grow their careers, contribute innovative ideas, and make a meaningful difference every day. Whether you're caring for patients, supporting operations, conducting research, or driving new solutions, you'll be part of a team united by a shared mission: delivering exceptional care, advancing health outcomes, and building healthier communities for all.

Job Description

Quality/Accreditation Spec II

Department

Ambulatory Nursing

One Ford Place

1 Ford Place

Detroit MI 48202

Work Schedule

Full-Time (40 Hours Per Week)

Monday - Friday, 8:00 AM - 5:00 PM.

General Summary

Under limited direction, plans, organizes and maintains a process to ensure organizational compliance with regulatory standards and continuous survey readiness. Serves as an internal consultant for the interpretation of standards and functional measurement of compliance. Develops performance improvement plans with management/staff on an as needed basis. Interprets new regulations for education purposes and implementation efforts.

Qualifications

EDUCATION AND EXPERIENCE:

• Bachelors degree in Nursing or healthcare related field required, Master’s degree in health care field preferred; RN preferred.
• Minimum 5 years hospital experience required; clinical/operational experience preferred
• Demonstrated knowledge of TJC, DNV, CMS Conditions of Participation required and familiarity with other accrediting, licensing and regulatory standards desirable.
• Evidence of continuing education in standards/regulations/training
• QI/PI Team member, lead or facilitator 1 -3 years required
• Scope: Broad Business unit/multidisciplinary team experience (working with several departments, and//or deep experience within one service line, value stream, etc)
• Experience presenting to departmental, product line, and business unit leadership.
• Knowledge of current healthcare issues and trends.