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Clinical Accreditation and Regulatory Specialist RN - Regional Office - Rockville, MD - Clinic

Company: Kaiser Permanente
Location: Rockville
Posted on: May 29, 2023

Job Description:

Clinical Accreditation and Regulatory Specialist RN - Regional Office - Rockville, MD -Job Summary:Responsible for continued accreditation, certification, and licensing with CMS, AAAHC, Multi-States, and other accrediting bodies and government agencies. Collaborates with Department leader in the development of a regional continuous readiness program and regulatory education program to develop a maintain a state of readiness in order to ensure regulatory compliance and quality patient care. Responsible for leading on-site regulatory surveys, audits, and submit Plan of Corrections as required by statute. Able to work collaboratively and effectively with operations leaders, physician partners, and other stakeholders.Essential Responsibilities:

  • Plans and implements announced and unannounced audits and surveys to Audits to measure the effectiveness of accreditation and regulatory readiness, new processes, or/and action plans.
  • Tracks, trends, and analyzes results in order to develop training programs and execute training programs to improve regulatory compliance.
    -Basic Qualifications:Experience
  • Minimum eight (8) years of experience in a healthcare setting required.Education
  • Bachelors degree in Nursing required.License, Certification, Registration
  • This job requires credentials from multiple states. Credentials from the primary work state are required before hire. Additional Credentials from the secondary work state(s) are required post hire.
  • Registered Nurse License (District of Columbia) within 6 months of hire
  • Registered Nurse License (Maryland) within 6 months of hire
  • Registered Nurse License (Virginia) within 6 months of hireAdditional Requirements:
  • Interpreted and applied accreditation standards, CMS regulations, and other regulatory requirements in health care settings.
  • Experience as a leader or coordinator during at least three major accreditation surveys, equivalent state, or other regulatory agency surveys.
  • Proven ability to influence leaders and drive change.
  • Previous leadership experience.
  • Excellent computer skills.Preferred Qualifications:
  • Eight (8) years of experience with survey readiness preferred.
  • Healthcare accreditation certification or quality certification (CPHQ) preferred.
  • Previous quality improvement experience or compliance preferred.
  • Working knowledge of CMS, AAAHC and state laws preferred.
  • Masters degree in healthcare or a healthcare related field preferred.

Keywords: Kaiser Permanente, Rockville , Clinical Accreditation and Regulatory Specialist RN - Regional Office - Rockville, MD - Clinic, Healthcare , Rockville, Maryland

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