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AVP, Regulatory and Accreditation Services
Who we are:
At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, you will be an integral part of a group working together to elevate Lifepoint's healthcare delivery network. Our network includes 60 community hospitals, 60 rehabilitation/behavioral health hospitals, and 250 additional sites of care across the United States. As an organization, we are dedicated to serving communities nationwide by providing exceptional care. We believe in the power of our talented teams and strive to create environments where employees find purpose and fulfillment.What you’ll do:
As theAVP, Regulatory and Accreditation Services, you will guide, support, and assist with education, training, and mentorship for CMS regulatory, accreditation, and survey readiness activities. This includes clinical quality, patient safety, care management, infection control, organizational performance, and compliance. You will collaborate with the Hospital Operations Quality Team and local facilities to advance safety, quality, clinical processes, and regulatory compliance, achieving positive patient outcomes while serving as a coach and mentor.
Responsibilities:
Serve as a subject matter expert for regulatory and accreditation.
Conduct Survey Readiness Assessments (SRAs) to evaluate performance and compliance.
Provide resources for accreditation, CMS Conditions of Participation, performance improvement, and patient safety.
Analyze compliance with standards and care delivery systems, engaging staff in discussions to identify improvement opportunities.
Prepare and communicate SRA reports linking deficiencies with organizational risks.
Ensure leaders are updated on TJC/CMS and other accreditation standards and requirements.
Support organizations in developing and implementing improvement plans and disseminate best practices.
Provide consultative and educational support, mentor new quality directors, and participate in other assigned activities.What you’ll need:
Education:Master’s degree required (RN with a master's in healthcare administration/management or related field; PharmD considered).
Minimum of 7 years of healthcare experience with at least 5 of those yearsserved in a managerial/supervisory or leadership role
7 years in quality, patient safety, regulatory, and accreditation
Strong background in healthcare quality required and current professional license required
Ability to travel 75% of the time
CPPS and/or CPHQ certifications preferredWhy choose us:
As a team member of the Health Support Center, our goal is to support those that are in our facilities who are interfacing and providing care to our patients and community members. Our focus is to attract, retain, and empower a diverse and determined workforce. Our mission statement is at the heart of who we are and what we do: “Making Communities Healthier.” In this shared mission, we believe that our collective efforts will shape a healthier future for the communities we serve.
Benefits:We offer an excellent total compensation package, including a competitive salary and benefits. Some of our benefits include 401k, flexible PTO, generous Employee illness benefit (EIB), medical, dental, vision, tuition reimbursement, and an Employee Assistance Program. We believe that happy, healthy people have a passionate engagement with life and work and have designed our package to enhance your wellbeing.Job: Please select a valid job field Organization: LifePoint Health Support Center Title: AVP, Regulatory and Accreditation Services - Remote Location: Tennessee-Brentwood Requisition ID: 7410-7423
Vacancy expired!