Inside Higher Ed
Accreditation Senior Officer - Accreditation & Compliance
Inside Higher Ed, Columbus, Ohio, United States, 43224
Accreditation Senior Officer - Accreditation & Compliance
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Scope of Position The Accreditation Senior Officer is responsible for implementing the administrative aspects of the accreditation strategies developed by the Director of Accreditation and Licensure. This includes monitoring the operationalization of policies and procedures, conducting regulatory audits and drills, monitoring compliance, and assisting with continual survey readiness. The Officer works directly with members of the faculty and staff to ensure high quality patient care while maintaining regulatory compliance across all current and planned inpatient hospital beds (~500+ future) and ambulatory sites.
Position Summary This position directs the hospital’s operations & activities to comply with all accreditations, regulations, and licensing requirements for all health care sites & services across the continuum. The Officer translates accrediting, regulatory & licensing agency requirements into action plans to achieve positive survey/audit reviews, implements systems to monitor compliance to standards, and introduces new processes to meet new requirements. The Officer serves as a professional resource throughout the health system to interpret Joint Commission standards, ODH, CMS regulations, and other applicable accrediting agencies.
Responsibilities include reviewing and analyzing laws, regulations, and accreditation standards to determine operational impact; preparing documents and reports related to policies, procedures, accreditation, and regulatory functions; monitoring hospital compliance for accreditation to include the Joint Commission, ODH, CMS; and assisting with Commission on Cancer, NAPBC, and other voluntary disease accreditation programs supported by The James.
Minimum Qualifications
Master’s Degree in Nursing or a healthcare‑related field (or equivalent)
Current Ohio RN license
4 years of relevant experience required; 4–8 years preferred
Additional Information Location: Ackerman Rd, 660 (0242)
Position Type: Regular, Full‑time
Scheduled Hours: 40 per week
Shift: First Shift
Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post‑offer process.
Equal Opportunity Statement The university is an equal opportunity employer, including veterans and disability. As required by Ohio Revised Code section 3345.0216, Ohio State will: educate students by means of free, open and rigorous intellectual inquiry to seek the truth; equip students with the opportunity to develop intellectual skills to reach their own, informed conclusions; not require, favor, disfavor or prohibit speech or lawful assembly; create a community dedicated to an ethic of civil and free inquiry, which respects the autonomy of each member, supports individual capacities for growth and tolerates differences in opinion; treat all faculty, staff and students as individuals, hold them to equal standards and provide equality of opportunity with regard to race, ethnicity, religion, sex, sexual orientation, gender identity or gender expression.
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Screen reader users may encounter difficulty with this site. For assistance with applying, please contact
hr-accessibleapplication@osu.edu . If you have questions while submitting an application, please review the frequently asked questions.
Scope of Position The Accreditation Senior Officer is responsible for implementing the administrative aspects of the accreditation strategies developed by the Director of Accreditation and Licensure. This includes monitoring the operationalization of policies and procedures, conducting regulatory audits and drills, monitoring compliance, and assisting with continual survey readiness. The Officer works directly with members of the faculty and staff to ensure high quality patient care while maintaining regulatory compliance across all current and planned inpatient hospital beds (~500+ future) and ambulatory sites.
Position Summary This position directs the hospital’s operations & activities to comply with all accreditations, regulations, and licensing requirements for all health care sites & services across the continuum. The Officer translates accrediting, regulatory & licensing agency requirements into action plans to achieve positive survey/audit reviews, implements systems to monitor compliance to standards, and introduces new processes to meet new requirements. The Officer serves as a professional resource throughout the health system to interpret Joint Commission standards, ODH, CMS regulations, and other applicable accrediting agencies.
Responsibilities include reviewing and analyzing laws, regulations, and accreditation standards to determine operational impact; preparing documents and reports related to policies, procedures, accreditation, and regulatory functions; monitoring hospital compliance for accreditation to include the Joint Commission, ODH, CMS; and assisting with Commission on Cancer, NAPBC, and other voluntary disease accreditation programs supported by The James.
Minimum Qualifications
Master’s Degree in Nursing or a healthcare‑related field (or equivalent)
Current Ohio RN license
4 years of relevant experience required; 4–8 years preferred
Additional Information Location: Ackerman Rd, 660 (0242)
Position Type: Regular, Full‑time
Scheduled Hours: 40 per week
Shift: First Shift
Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post‑offer process.
Equal Opportunity Statement The university is an equal opportunity employer, including veterans and disability. As required by Ohio Revised Code section 3345.0216, Ohio State will: educate students by means of free, open and rigorous intellectual inquiry to seek the truth; equip students with the opportunity to develop intellectual skills to reach their own, informed conclusions; not require, favor, disfavor or prohibit speech or lawful assembly; create a community dedicated to an ethic of civil and free inquiry, which respects the autonomy of each member, supports individual capacities for growth and tolerates differences in opinion; treat all faculty, staff and students as individuals, hold them to equal standards and provide equality of opportunity with regard to race, ethnicity, religion, sex, sexual orientation, gender identity or gender expression.
#J-18808-Ljbffr