Require Accreditation Specialist/Improvement Advisor, RN - Quality & Safety - Fargo in Fargo, ND
Posted 2025-03-14Job title: Accreditation Specialist/Improvement Advisor, RN - Quality & Safety - Fargo
Company: Sanford Health
Job description: Create Your Career With Us
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.
Facility: Broadway Clinic
Location: Fargo, ND
Address: 737 Broadway N, Fargo, ND 58102, USA
Shift: Day
Job Schedule: Full time
Weekly Hours: 40. 00
Salary Range: $27.50 - $44.00
Pay Info: Pay starts at $27.50 and increases according to years of applicable experience.
Department Details
No weekends, no nights and no holidays.
Job Summary
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/Improvement Advisor (RN) will support corporate and local strategic plans that achieve high impact and significant improvements in organizational performance, patient safety and regulatory compliance by providing oversight to performance improvement components and continual readiness activities. The candidate must have demonstrated ability in problem solving, critical thinking, conflict management, and team building skills to ensure a productive work environment and achievement of goals.
The responsibilities of this role include data and project management, analytical reasoning, interpreting and evaluation of complex information, identifying patterns and essential issues, while measuring and evaluating the attainment of results. The advisor is also responsible for utilizing and teaching process improvement methodologies to support informed decision making for operational efficiencies and effectiveness that align with system strategies. Knowledge of and conformance to regulatory requirements, contractual obligations, and the organizations policies is essential, along with the ability to maintain confidentiality of sensitive information. Promotes systems designed to reduce the opportunity for human failure 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. 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 travel may be required based on needs of the team and organization.
Qualifications
Bachelor's degree required. In lieu of education, leadership may consider an Associate's degree and 5 years of applicable experience. If degree is in nursing, graduate from a nationally accredited nursing program, including but not limited to, Commission for Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA).
RN preferred. Minimum of two years experience in operational process improvement, clinical, or healthcare management setting preferred.
Certification in regulatory accreditation, patient safety or quality specialty or equivalent required within three years of hire date. must obtain within three years of hire date. If a licensed registered nurse (RN), currently hold an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state. Obtains and subsequently maintains required department specific competencies and certifications. Quality improvement/assurance personnel with nursing backgrounds can maintain their license without seeking additional hours based on role's responsibilities.
Benefits
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, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/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 protected] .
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.
Req Number: R-0159147
Job Function: Quality and Risk Management
Featured: No
Expected salary:
Location: Fargo, ND