Heart. Soul. Expertise. That’s what defines an Emory Employee. No matter where you are in your Healthcare career, when you chose this distinguished profession, you chose to change lives. Emory Healthcare is the only health system in Georgia with four Magnet®-designated hospitals as well as the first and only in Georgia with a Magnet®-designated ambulatory practice. 

Be Inspired. Be valued. Belong.  

Join us at Emory University Hospital!

JOB DESCRIPTION:

• Provides Operating Unit (OU) direction and oversight for regulatory and accreditation compliance including The Joint Commission (TJC), State and Federal agencies.
• Assists in the development, coordination and implementation of activities to assure compliance with OU accreditation and regulatory requirements.
• Supports OU clinical compliance with the TJC, State & Federal regulations.
• Remains current with accreditation and regulatory standards.
• Maintains collaborative relationships between OU departments, units, EHC hospitals, and appropriate regulatory agencies.
• Collaborates with Leadership on recommendations for sustainable processes and system improvements to maintain quality metrics and/or accreditation-related objectives.
• Serves as OU resource for education and training regarding quality improvement, accreditation standards, internal process improvements, and external regulatory requirements.
• Assists OU in maintaining preparedness for accreditation and licensure surveys.
  
  MINIMUM QUALIFICATIONS:
• Licensure as a Registered Nurse in the state of Georgia strongly preferred.
• BA/BS degree in a health related field with five (5) years of experience in a clinical healthcare environment.
• Experience in clinical operations and/or experience working in performance improvement, patient safety, risk management or quality management areas in the healthcare environment.
• Knowledge of Quality Improvement methodology, group facilitation, project management, and healthcare regulatory event reporting requirements.
• Previous accreditation/regulatory readiness experience preferred.