Senior Accreditation Specialist

Arkansas Children’s Hospital; Little Rock (AR); On-site; USD 75,000 - 110,000; Full time

Job summary

Arkansas Children’s Hospital is seeking a Senior Accreditation Specialist to lead strategic compliance initiatives, coordinate mock surveys, and train staff on accreditation standards across departments. You will collaborate with clinical and administrative teams to ensure ongoing readiness and high-quality patient care.

This role requires a bachelor’s degree and at least six years in a related field, with leadership experience preferred and a track record of improving regulatory outcomes.

Qualifications

• Bachelor's Degree required.
• Related field – 6 years of experience required.
• Master's Degree recommended.
• Leadership experience of at least 2 years preferred.

Responsibilities

• Develops strategic plans to ensure compliance with accrediting standards.
• Leads preparation for accreditation surveys and site visits.
• Acts as subject matter expert on accreditation standards and regulatory requirements.
• Reviews policies and practices to align with current standards.
• Collaborates with departments to implement improvements in compliance and quality.
• Develops staff education programs on accreditation and quality improvement.
• Analyzes data and generates reports to monitor compliance and trends.
• Facilitates interdisciplinary teams focused on readiness and quality.

Skills

Regulatory knowledge

Quality improvement

Policy development

Cross-functional collaboration

Education

Bachelor's Degree

Master's Degree

Tools

ARRT Certification

CNMT

CPHQ

CCC-SLP

CCB

OT License

PT License

RN license

RRT

Job description

ARKANSAS CHILDREN'S IS A TOBACCO FREE WORKPLACE. FLU VACCINES ARE REQUIRED. ARKANSAS CHILDREN'S IS AN EQUAL OPPORTUNITY EMPLOYER. ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION FOR EMPLOYMENT WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, NATIONAL ORIGIN, AGE, DISABILITY, PROTECTED VETERAN STATUS OR ANY OTHER CHARACTERISTIC PROTECTED BY FEDERAL, STATE, OR LOCAL LAWS.

Work Shift: Please see job description for details. Time Type: Full time Department: CC017518

Accreditation and Survey Readiness Summary:

Monday-Friday days - some travel to ACNW/Springdale campus required – Requirements: Bachelor’s, 6 yrs related work exp & license or registry (see job description details of list of license/registry options) Additional Information: The Senior Accreditation Specialist is a high-level strategic partner to the Director of Accreditation and Survey Readiness, playing a pivotal role in leading our system’s efforts to achieve the highest standards of compliance and accreditation. This licensed clinician is a strategic thinker with an innovative approach to quality improvement, ensuring our practices not only meet but exceed benchmarks for patient care excellence. As an essential member of the compliance team, this role shapes and fortifies the framework for ongoing accreditation success, leveraging extensive knowledge in regulations, standards, and improvement methodologies.

Required Education:

Bachelor's Degree

Recommended Education:

Master's Degree

Required Work Experience:

Related Field - 6 years of experience

Recommended Work Experience:

Leadership - 2 years leadership experience

Required Certifications:

1 of the following license or registry is required - - Recommended Certifications:

Recommended Certifications:

• American Registry of Radiologic Technologists Certification (ARRT)
• American Registry of Radiology Technologist (ARRT), Audiology License - AR Board of Examiners Speech-Language Pathology and Audiology
• Certified Nuclear Medicine Technologist (CNMT) - Nuclear Medicine Technology Certification Board
• Certified Professional Healthcare Quality (CPHQ) - National Association for Health Quality (NAHQ)
• Clinical Competence – Speech Lang. Path. (CCC-SLP) - American Speech Language Hearing Association (ASHA)
• National Compliance Certification - Compliance Certification Board (CCB)
• Occupational Therapist (OT) License - Arkansas State Medical Board
• Physical Therapy License - Arkansas State Board of Physical Therapy
• Radiologic Technologist License - Arkansas Department of Health
• Registered Nurse (RN) license - Arkansas or Compact State
• Registered Respiratory Therapist (RRT) - National Board of Respiratory Care (NBRC)

Description

• Develops and executes strategic plans to ensure continuous compliance with the standards of accrediting oversight organizations, CMS, and other regulatory bodies.
• Leads the preparation for accreditation surveys and site visits, including coordinating mock surveys, staff training, and chart and documentation reviews.
• Serves as a subject matter expert on accreditation standards, regulatory requirements, and best practices in patient care quality and safety.
• Conducts ongoing reviews of policies, procedures, and practices to identify areas for improvement and ensure alignment with current standards.
• Collaborates with clinical and administrative departments to implement changes and improvements that enhance compliance and quality outcomes.
• Develops and maintains effective communication and education programs for staff on accreditation processes, quality improvement initiatives, and compliance requirements.
• Analyzes data and generates reports to monitor compliance levels, identify trends, and measure the effectiveness of improvement efforts.
• Facilitates interdisciplinary teams and working groups focused on accreditation readiness and quality improvement.
• Acts as a liaison with accrediting agencies and regulatory bodies, ensuring timely and accurate reporting of required information.
• Performs other duties as assigned.

Arkansas Children’s is the only hospital system in the state dedicated to caring for children, which enables us to uniquely shape the landscape of pediatric care in Arkansas. Arkansas Children’s is driven by four core values—safety, teamwork, compassion and excellence—which inform every action. Arkansas Children’s Hospital has received Magnet Status from the American Nurses Credentialing Center (ANCC), for nursing excellence and patient outcomes. And we are nationally ranked by U.S. News & World Report for Cancer, Cardiology & Heart Surgery, Diabetes & Endocrinology, Nephrology, Neurology & Neurosurgery, Pulmonology & Lung Surgery and Urology. For more than a century, Arkansas Children’s has met the unique needs of children. But we’re more than just a hospital treating sick kids—our services include two hospitals, a pediatric research institute, foundation, clinics, education and outreach, all with an unyielding commitment to making children better today and healthier tomorrow. Arkansas Children’s Little Rock campus includes a 336-bed hospital with the state’s only pediatric Level 1 Trauma Center, burn center, Level 4 neonatal intensive care and pediatric intensive care, as well as a nationally-recognized transport service. And Arkansas Children’s Northwest provides inpatient and emergency care, clinic rooms and diagnostic services to children in that corner of the state. “Arkansas Children’s is a place of hope and comfort for children and parents. When you are at children's, you are part of an elite team united with a common goal of saving children and making their lives better.” Michael – Business Operations Manager “Arkansas Children’s Hospital is a prestigious institution that cares for children.” Linda – Information Systems Analyst “We are an organization of care, love, and hope while we champion children.” Angela – Parking and Fleet Coordinator “Care, love, and hope for children!” Kathy – Administrative Assistant “When I think of my time here at Arkansas Children’s Hospital, I can honestly say that it has given me a unique perspective on the human condition, and the various roles that we all have in patient care. As a supply assistant, I have a very important job ensuring that the doctors and nurses have what they need to provide the world class medical care to the Children of Arkansas and surrounding states. Being a Champion for Children is more than a catch phrase, it is a way of life!” Nick – Supply Assistant