Accreditation Partner

Company: Children's Health
Location: Dallas
Posted on: May 3, 2025

Job Description:

Job Title & Specialty Area: Accreditation PartnerDepartment: Accred Reg ReadLocation: Children's Health- Trinity TowersShift: Full-time Monday through Friday from 8:30am - 4:00pmJob Type: On-site; this position will work 3 days onsite and 2 days remote weeklyWhy Children's Health?At Children's Health, our mission is to Make Life Better for Children, and we recognize that their health plays a crucial role in achieving this goal. Through our cutting-edge treatments and affiliation with UT Southwestern, we strive to deliver an extraordinary patient and family experience, ensuring that every moment, big or small, contributes to their overall well-being. Our dedication to promoting children's health extends beyond our organization and encompasses the broader community. Together, we can make a significant difference in the lives of children and contribute to a brighter and healthier future for all.Summary:Direct the planning and designing of operational strategies and tactics that will assist multiple hospital accreditations, licensed programs, and certified service lines across Children's Health System of Texas. Assist both the Manager of Accreditation and Sr. Director in overall continual regulatory readiness and compliance with all standards and regulations of accreditation, certification and licensure for multiple hospitals and several affiliates. Serve as a key contributor to all site visits for The Joint Commission, Joint Commission Resources and other regulatory agencies such as Centers for Medicaid and Medicare. Participate in and coordinate ongoing readiness activities for the healthcare system. Serves as a conduit between operations, corporate services, and department leadership in assisting/developing the accreditation and regulatory readiness strategic direction set forth by leadership.Responsibilities:

• Maintain and sustain the regulatory readiness program that continually analyzes current performance and designs, and implements corrective interventions as needed for our healthcare systems; to include collaboration with various leaders across the health system in the continuing to sustain and develop disease specific certified programs and other divisional and/or program specific certifications. Provide consultative communication, feedback and decision-making to ensure the accreditation team is focused, committed and capable of producing expected results. Facilitate coordination of other regulatory activities as deemed necessary that may include, but are not limited to, DSHS, CAMTS, FACT, etc.
• Oversee the overall accreditation program by developing and executing an ongoing survey readiness plan for all clinical operations of Children's Health Children's Medical Center (e.g. Periodic Performance Review Leads, Auditors, Tracer Teams, etc). Coordinate day-to-day activities with the Accreditation Managers and provide direction in achieving established strategic goals by the Sr. Director and Executive Leadership.
• Provide and direct ongoing communication of regulatory standards to all levels of constituents across the Children's Health with emphasis on functional importance of regulatory compliance while remaining focused on quality and patient safety while striving towards sustainability. Perform in-service education for clinical and medical staff as requested by clinical leadership and other key members of the medical staff.
• In collaboration with the Sr. Director participates in and represent divisional activities in various designated health systems committee(s) and task teams with primary responsibility of directing the preparation and facilitation of the bi-weekly senior executive accreditation steering committee meetings.How You'll Be Successful:WORK EXPERIENCEAt least 7 years Clinical experience in hospital setting RequiredAt least 3 years Supervisory experience in hospital operations PreferredComprehensive knowledge of Joint Commission Standards; Experience in gathering, analyzing, summarizing and presenting data/findings effectively and accurately; Experience in leading multidisciplinary teams; Experience in implementing and maintaining change in organizations; Experience with, and knowledge of, a variety of approaches, tools and techniques for anticipating, recognizing and resolving operational process problems RequiredExperience with meeting hospital-related requirements, including but not limited to The Joint Commission, EMTALA, CMS and HIPAA RequiredEDUCATIONFour-year Bachelor's degree or equivalent experience RequiredGraduate or professional work or advanced degree; or equivalent experience PreferredLICENSES AND CERTIFICATIONSRN or MBA Upon Hire PreferredCertified in Healthcare Quality or Certified Joint Commission Professional Upon Hire PreferredA Place Where You BelongWe put our people first. We welcome, value, and respect the beliefs, identities and experiences of our patients and colleagues. We are committed to delivering culturally effective care, creating meaningful partnerships in the communities we serve, and equipping and developing our team members to make Children's Health a place where everyone can contribute.Holistic Benefits - How We'll Care for You:

• Employee portion of medical plan premiums are covered after 3 years.
• 4%-10% employee savings plan match based on tenure
• Paid Parental Leave (up to 12 weeks)
• Caregiver Leave
• Adoption and surrogacy reimbursementAs an equal opportunity employer, Children's Health does not discriminate against employees or applicants because of race, color, religion, sex, gender identity and expression, sexual orientation, age, national origin, veteran or military status, disability, or genetic information or any other Federal or State legally-protected status or class. This applies to all aspects of the employer-employee relationship including but not limited to recruitment, hiring, promotion, transfer pay, training, discipline, workforce adjustments, termination, employee benefits, and any other employment-related activity.
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Keywords: Children's Health, Dallas , Accreditation Partner, Other , Dallas, Texas