Accreditation/Regulatory Specialist Hospital Services

Major Responsibilities & Duties

• Maintains expertise in current and proposed Joint Commission and CMS standards, OSHA, state and federal regulatory requirements.
• Completes medical record review documentation audits.
• Works collaboratively with the organization’s quality team and Patient Safety Officer to maintain ongoing readiness binders and required documentation for Joint Commission survey.
• Integrates the analysis and reporting of data and information into continual readiness and performance improvement activities and reports.
• Utilizes statistical tools and methods to communicate and measure results.
• Counsels and trains on Joint Commission/CMS regulatory topics.
• Provides periodic reports to leadership regarding compliance with required standards.
• Conducts training on Joint Commission/CMS regulatory topics.
• Coordinates the development of action plans and educational programs to improve compliance with problematic standards to achieve ongoing readiness.
• In collaboration with the nurse educator, assists with annual competencies and e-learning course development and updates.
• In collaboration with the organization's quality team, assists with the development of plans, policies and procedures that guide, support, and ensure that all clinical services are provided in accordance with standards established through state and federal regulations and Joint Commission accreditation standards.
• Researches community best practices for hospital services.

Required Qualifications

• Current valid RN license or bachelor's degree in healthcare or related field required.
• Minimum 2 years of experience in quality improvement, clinical outcomes management or standards/regulation activities in a hospital setting required.

About Boys Town

Boys Town has been changing the way America cares for children and families since 1917. With over a century of service, our employees have helped us grow from a small boardinghouse in downtown Omaha, Nebraska, into one of the largest national child and family care organizations in the country. With the addition of Boys Town National Research Hospital in 1977, our services branched out into the health care and research fields, offering even more career opportunities to those looking to make a real difference. Our employees are our #1 supporters when it comes to achieving Boys Town's mission, which is why we are proud of their commitment to making the world a better place for children, families, patients, and communities.

A unique feature for employees and their dependents enrolled in medical benefits are reduced to no cost visits for services performed by a Boys Town provider at a Boys Town location. Additional costs savings for the employee and their dependents are found in our pharmacy benefits with low to zero-dollar co-pays on certain maintenance drugs. Boys Town takes your mental health seriously with no cost mental health visits to an in-network provider. We help our employees prepare for retirement with a generous match on their 401K or 401K Roth account. Additional benefits include tuition reimbursement, parenting resources from our experts and professional development opportunities within the organization, just to name a few.

Working at Boys Town is more than just a job, it is a way of life. This advertisement describes the general nature of work to be performed and does not include an exhaustive list of all duties, skills, or abilities required. Boys Town is an equal employment opportunity employer and participates in the E-Verify program. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and/or expression, national origin, age, disability, or veteran status. To request a disability-related accommodation in the application process, contact us at 1-877-639-6003.