Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
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Facility: Sanford Medical Center Fargo
Location: Fargo, ND
Address: 5270 22nd Ave S, Fargo, ND 58104, USA
Job Schedule: Full time
Weekly Hours: 40.00
Collaborates with operational and executive leadership ensuring compliance with regulatory bodies to include, but not limited to: Department of Health (DOH), Center for Medicare and Medicaid (CMS) Conditions of Participation, and standards of The Joint Commission (TJC). The Accreditation Specialist works with staff, evaluating care, to ensure regulatory compliance (tracers). Evaluates patient safety systems ensuring safe reliable care. Promotes systems designed to reduce the opportunity for human failure in order to achieve a goal of zero harm. Understands and supports an organizational culture of safety. Participates in robust process improvement, utilizing a systematic approach to change management, focused on reducing patient safety and regulatory risk. Supports process change from education through sustainability. Collaborates with all levels of leadership to communicate needs and remove barriers for staff. Guides regulatory perspective to committees as applicable. Requires a self-motivated individual who values patient and staff safety as the top organizational priority. Knowledge and/or an interest in safe systems and High Reliability Organizations necessary. Periodic overnight travel is required.
The Accreditation Team is composed of team members with diverse backgrounds - committed to improving patient and staff safety. Our core work is ensuring that the organization is meeting the requirements set forth by regulatory bodies to ensure safe patient care. This is accomplished through collaboration with clinical and non-clinical teams and ongoing evaluation of practice compared to regulatory standards. Team members enjoy a flexible schedule and fun working environment. Members of the accreditation team are informal leaders throughout the organization - and have an opportunity to work with a variety of stakeholders, teams, and departments throughout the Fargo region and within the enterprise. This role is an excellent opportunity for personal and professional growth within the organization - as you will receive broad exposure to different facets of healthcare.
Graduate from an American Association of Colleges of Nursing (AACN) or National League for Nursing (NLN) accredited college of nursing. Master's Degree in nursing or a health related field preferred.
Two years of experience as front-line staff with an interest in patient safety preferred.
Current Registered Nurse (RN) License is required or multi-state licensure privileges. Certified Joint Commission Professional (CJCP) preferred or must obtain within four years of date of hire. Valid Driver's License required. Must maintain good driving record.
Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, sick leave and paid time off. To review your benefit eligibility, visit https://sanfordhealth.jobs/benefits .
Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to email@example.com .
Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
Job Function: Legal and Compliance
Req Number: R-44552