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Senior Accreditation Specialist

3 months ago

Little Rock, Arkansas, United States Arkansas Children's Hospital Full time

Work Shift:
Please see job description for details.

Time Type:
Full time

Department:
CC407515 Corporate Compliance

Summary:
Monday-Friday days - Periodic in-state travel required


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.


Additional Information:
This position will have the opportunity to work with multidisciplinary teams throughout the Arkansas Children's organization

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:American Registry of Radiologic Technologists Certification (ARRT) - American Registry of Radiology Technologist (ARRT), Audiology License - AR Board of Examiners Speech-Language Pathology and Audiology, Certificate of Clinical Competence - Speech Language Pathology (CCC-SLP) - American Speech Language Hearing Association (ASHA), Certified Professional in Healthcare Quality (CPHQ) - National Association for Health Quality (NAHQ), National Compliance Certification - Compliance Certification Board (CCB), Occupational Therapist (OT) License - Arkansas State Medical Board, Physical Therapy License (AR or Compact State) - Arkansas State Board of Physical Therapy, Registered Respiratory Therapist (RRT) - National Board of Respiratory Care (NBRC), RN License (AR or Compact State) - Arkansas State Board of Nursing (ASBN)

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


Arkansas Children's provides equal employment opportunity to all persons without regard to age, race, color, religion, national origin or citizenship status, disability, military status, sexual orientation, gender identity or expression, pregnancy or any other category protected by federal, state and local laws.

Further, Arkansas Children's will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.