Baptist Health Care
RN - Accreditation Consultant – Baptist Health Care
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RN - Accreditation Consultant
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Baptist Health Care
Job Description The RN - Accreditation Consultant conducts systematic, ongoing patient tracers as well as formal and informal system/process audits to assess and provide feedback, education, and consultation on Accreditation/Certification standards compliance to all entities within the organization. In conjunction with the manager, the role facilitates the planning, achievement, and maintenance of a continuous state of survey readiness within the organization.
Responsibilities
Conduct patient‑specific, system, and process audits for all BHI departments/units according to plan.
Identify performance improvements needed for standards compliance.
Research and provide up‑to‑date information and education regarding Accreditation/Certification/CMS standards requirements and survey process.
Facilitate execution of action plans to achieve/maintain accreditation compliance.
Continuously provide education to staff and leaders regarding standards revisions and new Accreditation/Certification requirements.
Compare actual processes described by staff and leaders to what is stated in policy and procedure and to Accrediting Organization/CMS standards to determine compliance level.
Research and deploy available resources/best practices to provide compliance tips for challenging Accrediting Organization/CMS standards.
Qualifications Minimum Education
Bachelor's Degree in Nursing (Required)
Minimum Work Experience
5 years acute care/clinical nursing experience (Required)
2 years experience in a supervisory role within an acute‑care setting (Required)
Licenses and Certifications
Registered Nurse licensed in the State of Florida or eligible compact state (Upon Hire Required)
Required Skills, Knowledge and Abilities
Experience/knowledge of Process Improvement fundamentals, CMS standards, and healthcare quality.
Competent in use of Excel, Word, and PowerPoint.
Demonstrated ability to communicate effectively and facilitate process improvements.
Demonstrated ability to teach one‑to‑one and in small groups.
Knowledge of the organization’s policies, procedures, and practices.
About Us Baptist Health Care is a not‑for‑profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includes three hospitals, four medical parks, the Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty‑care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non‑governmental employers in northwest Florida.
Baptist Health Care, Inc. is an Equal Opportunity Employer. BHC maintains and enforces a policy that prohibits discrimination against any workforce members or applicants for employment because of sex, race, age, color, disability, marital status, national origin, religion, genetic information, or other categories protected by federal, state, or local law.
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RN - Accreditation Consultant
role at
Baptist Health Care
Job Description The RN - Accreditation Consultant conducts systematic, ongoing patient tracers as well as formal and informal system/process audits to assess and provide feedback, education, and consultation on Accreditation/Certification standards compliance to all entities within the organization. In conjunction with the manager, the role facilitates the planning, achievement, and maintenance of a continuous state of survey readiness within the organization.
Responsibilities
Conduct patient‑specific, system, and process audits for all BHI departments/units according to plan.
Identify performance improvements needed for standards compliance.
Research and provide up‑to‑date information and education regarding Accreditation/Certification/CMS standards requirements and survey process.
Facilitate execution of action plans to achieve/maintain accreditation compliance.
Continuously provide education to staff and leaders regarding standards revisions and new Accreditation/Certification requirements.
Compare actual processes described by staff and leaders to what is stated in policy and procedure and to Accrediting Organization/CMS standards to determine compliance level.
Research and deploy available resources/best practices to provide compliance tips for challenging Accrediting Organization/CMS standards.
Qualifications Minimum Education
Bachelor's Degree in Nursing (Required)
Minimum Work Experience
5 years acute care/clinical nursing experience (Required)
2 years experience in a supervisory role within an acute‑care setting (Required)
Licenses and Certifications
Registered Nurse licensed in the State of Florida or eligible compact state (Upon Hire Required)
Required Skills, Knowledge and Abilities
Experience/knowledge of Process Improvement fundamentals, CMS standards, and healthcare quality.
Competent in use of Excel, Word, and PowerPoint.
Demonstrated ability to communicate effectively and facilitate process improvements.
Demonstrated ability to teach one‑to‑one and in small groups.
Knowledge of the organization’s policies, procedures, and practices.
About Us Baptist Health Care is a not‑for‑profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includes three hospitals, four medical parks, the Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty‑care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non‑governmental employers in northwest Florida.
Baptist Health Care, Inc. is an Equal Opportunity Employer. BHC maintains and enforces a policy that prohibits discrimination against any workforce members or applicants for employment because of sex, race, age, color, disability, marital status, national origin, religion, genetic information, or other categories protected by federal, state, or local law.
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