Quality/Accreditation Specialist II

SmartRecruiters, Inc.; Southfield (MI); On-site; USD 90,000 - 130,000; Full time

Job summary

Henry Ford Health seeks an experienced professional to plan and maintain a process ensuring organizational compliance with regulatory standards and survey readiness across facilities. The role serves as an internal consultant, developing improvement plans and interpreting regulations for education and implementation.

With focus on patient safety and quality, you will collaborate with leadership to foster compliance excellence, training, and continuous survey readiness across Henry Ford

Qualifications

• Bachelor's degree in Nursing or healthcare field required.
• Master's degree in healthcare field preferred.
• RN preferred.
• Minimum 5 years hospital experience required; clinical/operational experience preferred.
• Knowledge of TJC, DNV, CMS.
• Conditions of Participation and familiarity with other regulatory standards desirable.
• Continuing education in standards/regulations/training QI/PI team member 1–3 years required.
• Broad cross-functional experience with multiple departments or a deep single service line.
• Experience presenting to leadership of departments, product lines, and business units.
• Knowledge of current healthcare issues and trends.

Responsibilities

• Serves as an 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 compliance

Performance improvement

Regulatory education

Regulatory interpretation

Education

Bachelor's degree in Nursing or healthcare field

Master's degree in healthcare field

RN preferred

Job 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

GENERAL SUMMARY

Henry Ford Providence Southfield & Novi Hospitals

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


• Masters 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


• 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.