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   Current UPMC employees must apply in HR Direct

Accreditation/Regulatory Specialist

Description

Assists the Director, Accreditation and Regulatory Compliance in ensuring compliance with Joint Commission, Department of Health, Center for Medicare and Medicaid Services, and other applicable regulations and standards. Serves as a liaison for Accreditation & Regulatory Compliance activities in the absence of the Director.

The ideal candidate for this role will preferably have a degree in a Nursing related field, in addition to experience in a Behavioral Health setting. Training and regulatory-related experience also preferred.

Responsibilities:

 

  • Identify deficiencies in standards and sets priorities for correction.
  • Integrate knowledge and skills in the facilitation of education and implementing actions related to compliance.
  • Monitor and evaluate trends, and follow through on action plans and activities addressing areas of non-compliance.
  • Conduct tracer and education activities with inpatient staff to ensure knowledge and skill in meeting accreditation and regulatory requirements
  • Audit clinical documentation for compliance
  • Advise Director of opportunities for process or practice improvement.
  • Promote and participate in educational activities related to new standards and staff education related to the same.
  • Lead in the development, implementation, and evaluation of education based on learning needs and clinical priorities, standards of nursing care, and nursing policies related to nursing functions and accreditation/regulatory requirements.
  • Demonstrate current knowledge in accreditation standards and exhibit ability to implement action plans related to specific responsibilities.
  • Represent the Department in the absence of the Director.
  • Demonstrate a high level of initiative, work independently, and establish priorities to meet department and organizational goals

 

Qualifications

  • Bachelor's degree in healthcare related field (or actively pursuing).
  • 3 to 5 years experience in acute care is required.
  • Current knowledge of medical care/treatment, Joint Commission standards, federal/state regulations preferred.
  • Expert clinical practice, leadership skills, and critical thinking skills.


Licensure, Certifications, and Clearances:

  • Comprehensive Crisis Management (CCMC)
  • Act 31 Child Abuse Reporting with renewal
  • Act 33 with renewal
  • Act 34 with renewal
  • Act 73 FBI Clearance with renewal

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

Total Rewards

More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life &emdash; because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.

Our Values

At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

   Current UPMC employees must apply in HR Direct