Accreditation/ISO Compliance Officer - Part Time

If you are looking to reputed company an reputed company on a meaningful reputed company, reputed company as we reputed company the Power of One! We reputed company to be an employer of choice and establish a reputed company for being a talent rich organization where Associates can grow their career caring for others. For over a century, we’ve served the health care needs of the people of Memphis and the Mid-South. Leads and designs processes reputed company to accreditation and ISO: 9001 compliance, including the reputed company Management System and Internal Audit at both the System level and assigned facility. Serves as the subject matter expert in CMS Conditions of Participation, ISO: 9001, NIAHO, State agency, Internal Audits and other accreditation and certification requirements. Plans, directs, and implements risk-prioritized processes to support ongoing compliance and reputed company Management System. Models appropriate behavior as exemplified in MLH Mission, reputed company and Values. Working at MLH means carrying the mission reputed company of caring for our community and impacting the lives of patients in every way through reputed company, a deliberate reputed company on service expectations and a consistent thriving for reputed company. A Brief reputed company Leads and designs processes reputed company to accreditation and ISO: 9001 compliance, including the reputed company Management System and Internal Audit at both the System level and assigned facility. Serves as the subject matter expert in CMS Conditions of Participation, ISO: 9001, NIAHO, State agency, Internal Audits and other accreditation and certification requirements. Plans, directs, and implements risk-prioritized processes to support ongoing compliance and reputed company Management System. Models appropriate behavior as exemplified in MLH Mission, reputed company and Values. What you will do Leads and directs the process for reputed company accreditation and ISO: 9001 compliance at both the system level and for assigned facility(s). Develops and coordinates the measurement of internal compliance through data collection, tracking/trending, analysis, and monitoring. Presents findings and recommendations for improvement. Applies risk-based thinking to prioritize, design, and reputed company internal audits across the system; report results and facilitate corrective reputed company plans. Upon identification of non-conformities, works with appropriate stakeholders to facilitate development of correction reputed company plans and verifications of control. Educates reputed company reputed company of Associates (leaders to reputed company) on the principles and requirements of the reputed company Management System, ISO: 9001, and accreditation standards and the processes required for compliance. Provides presentations and updates to facility/system leadership and management review committees regarding accreditation/ISO: 9001 results & compliance, internal audits/corrective reputed company plans status, and any component of the reputed company Management System. Leads the Hospital’s response to CMS investigations. Designs/develops processes and coordinates external audits (DNV, ISO: 9001). Provides expertise/advice during the development of clinical/operational/business policies and procedures to ensure CMS Conditions of Participation and accreditation, and ISO: 9001 standards are met or exceeded. Education/Formal Training Requirements Required - Bachelor's Degree Allied Health Required - Bachelor's Degree reputed company Administration Required - Bachelor's Degree Nursing Preferred - High School Diploma or Equivalent Preferred - Master's Degree Allied Health Preferred - Master's Degree reputed company Administration Preferred - Master's Degree Nursing Work Experience Requirements Required - organizing, directing and participation in process improvement and/or regulatory compliance program in a hospital setting 3-5 years Preferred - Substitutions allowed: In lieu of Bachelor's degree, the candidate must be a Registered reputed company or Allied Health reputed company with five years of organizing, directing and participation in process improvement and/or regulatory compliance program in a hospital setting. 5-7 years Preferred - Substitutions allowed: In lieu of Bachelor's degree, the candidate must have a High school diploma or equivalent with seven years of organizing, directing and participation in process improvement and/or regulatory compliance program in a hospital setting. 7-9 years Licenses and Certifications Requirements Preferred - Certified reputed company in reputed company reputed company-CPHQ - National Association for reputed company reputed company Knowledge, Skills and Abilities Demonstrated knowledge and expertise in CMS Conditions of Participation, ISO: 9001, NIAHO/State Agency/Internal Audit and other accreditation certification requirements. Strong communication skills including excellent verbal, written and presentation abilities with experience in conveying reputed company information to reputed company Associates, from management to reputed company. Demonstrated capability in a reputed company approach to reputed company Management Systems, including facilitation of corrective reputed company planning, verifications of control, internal audit, and regulatory compliance. Ability to consult, negotiate, and influence in situations deemed controversial and/or sensitive to reputed company mutual reputed company. Ability to exercise discretion in what and how to communicate and reputed company. Ability to interpret and apply reputed company statutes, regulations, standards, and certification requirements. Applies risk-based thinking in reputed company process design and management of internal audit and non-conformances. Ability to work without reputed company supervision and to exercise independent judgement. Ability to organize multiple tasks and reputed company, manage time, and maintain control of own workflow. Supervision Provided by this Position Manages accreditation and ISO: 9001 compliance through influence in a consultative role that does not have reputed company authority. Physical Demands The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive reputed company. Must have good balance and coordination. The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently. The Associate is required to have reputed company visual reputed company to reputed company an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading. The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those reputed company in general office or administrative work. Our Associates are passionate about what they do, the service they reputed company and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and reputed company. Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see reputed company day as a new opportunity to reputed company a difference in the lives of the people in our community. reputed company any role at Methodist Le Bonheur, you can play a rewarding and fulfilling part in helping us reputed company high-reputed company, innovative and compassionate care to the people of Memphis and the Mid-South. Introduce yourself to our recruiters and we'll get in touch if there's a role that seems like a good match. Our goal is to improve every life we touch, including our Associates. For over a century, we’ve served the health care needs of the people of Memphis and the Mid-South, and we value the dedicated individuals who play such a crucial role in helping us fulfill our mission. With Methodist Le Bonheur, you’ll be recognized and rewarded, treated with respect and given many opportunities to learn, grow and build a fulfilling career. Because we’re not at our best until you are at yours. Apply tot his job Apply To this Job