Director of Professional Standards & Accreditation Job at Membership Bespoke

RN Regulatory Program Coordinator

The Regulatory Program Coordinator serves as the expert resource on regulatory/a...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

Bachelor’s degree in nursing from an accredited institution
Five (5) years nursing experience in a hospital setting
Current RN licensure permitting work in the state of Arizona
Knowledge of regulatory requirements (TJC and CMS)
Knowledge of the accreditation process
Knowledge of survey preparation and required follow-up activities
Skill in written and oral communications
Skill in conducting mock regulatory surveys using the tracer methodology
Ability to interpret, prepare, and present reports to management in both written and oral formats
Ability to make presentations, design and provide training/education to staff and management

Job Responsibility

Serves as the expert resource on regulatory/accreditation and licensure standards and expectations for compliance
Designs and implements a systematic approach to ensure a high level of awareness of regulatory and accrediting agency requirements throughout the organization
Guide the development of policy and guidelines as they relate to the hospital and compliance with regulatory and accreditation guidelines
Assist in the interpretation of these policies
Provides central expertise regarding accreditation and licensure standards
Identify, plan for, communicate, monitor, and evaluate actions to comply with existing and new regulations, standards and accreditation requirements throughout the organization
Provides leadership for organizational preparation and readiness for regulatory and accreditation surveys
Implements a periodic organizational needs assessment for regulatory compliance including Intra-cycle Monitoring (ICM), using the Focused Standards Assessment (FSA) Tool required by The Joint Commission
Identify areas of vulnerability and assist area leaders in developing corrective action plans
Identify and communicate areas of success to celebrate and encourage promotion of best practices

Fulltime

Campus Director, Academic Education - Physician Assistant

As the Director of Academic Education (DAE) is a key member of the leadership te...

Location

United States , Ontario

Salary:

138230.12 - 200406.07 USD / Year

American Career College

Expiration Date

Until further notice

Requirements

For PA and Physician Candidates: Minimum of three (3) years of teaching, research, or clinical experience in a PA program/Medical School, or equivalent experience in health professions education, healthcare delivery, or related fields that directly support PA student learning and curricular outcomes
For Non-Clinician Scientist candidates: Minimum of one (1) year of full-time experience in PA education, academic support, or curriculum development in alignment with program needs
Demonstrated the ability to develop clinical and didactic curriculum, program evaluation and student assessment
Leadership knowledge in the program field to cultivate a learner-centered environment and to foster excellence
Knowledge and evidence of strong supervisory and management skills as applicable to specialized program area
Knowledge of state, federal and local laws/regulations relating to programs, governmental compliance and other regulatory standards such as Title IV, WSCUC, and ARC-PA and other accreditation standards
For PA candidates: Graduation from an ARC-PA accredited PA program
For PA candidates: Master’s degree in education or a related health- or social-science discipline
For PA candidates: Current National Commission on Certification of Physician Assistants (NCCPA) certification or eligibility to sit for the PANCE (initial certification) or PANRE (recertification) at the time of hire
For PA candidates: State PA licensure or eligibility for licensure in state of campus location

Job Responsibility

Collaborate as a member of the programmatic leadership team to achieve a shared vision for the program
Lead the design, development, implementation, coordination, and ongoing evaluation of an innovative didactic curriculum to ensure alignment with ARC-PA Standards, PAEA-specific assessments, the NCCPA blueprint, state licensure requirements, and requirements for entry-level clinical knowledge
Develop, review, and revise as necessary the mission statement, program goals, and competencies of the program
Assists with new course development, assuring quality outcomes and consistent implementation of Bloom’s taxonomy, course sequencing, and appropriate progression throughout the program to entry-level competencies are being met and assessed appropriately
Oversee scheduling, coordination, and support of principal and instructional faculty, guest lecturers, and lab facilitators
Develop the teaching schedule and workload for the didactic phase in collaboration with the MPA Dean/Program Director
Trains didactic faculty, didactic instructional faculty (adjuncts), and guest lecturers to provide an innovative didactic education curriculum
Serve as course director for assigned didactic or clinical phase courses, providing student instruction in areas of clinical or professional expertise
Develop and maintain curriculum mapping, syllabi, instructional objectives, student learning outcomes, and assessments
Ensure the development and consistency of syllabi, textbooks, learning outcomes, instructional objectives, and assessments across the didactic phase of the program meets WCU expectations and ARC-PA requirements

What we offer

medical
dental
vision
flexible spending accounts
401(k) match
paid time off
holidays
parental leave
tuition reimbursement
adoption assistance

Fulltime

Accreditation Manager

Reporting to the Director of Continuing Professional Education, the Accreditatio...

Location

United States , Boston

Salary:

94600.00 - 109100.00 USD / Year

Dana-Farber Cancer Institute

Expiration Date

Until further notice

Requirements

Bachelor's degree in Business Administration, Healthcare Administration, Public Health, or a closely related field
Five years of experience in operations, quality assurance, or management, which clearly demonstrates essential knowledge and applied expertise of CME/CPD, accreditation standards, and regulatory compliance
Comprehensive knowledge of ACCME, ANCC, ACPE, and Joint Accreditation (JA) standards and the ability to apply them across interprofessional education programs
Strong organizational, analytical, and problem-solving skills to manage complex accreditation timelines, processes, and documentation
Excellent written and verbal communication skills to collaborate effectively with faculty, clinicians, and administrative staff across Nursing, Pharmacy, and APP disciplines
Proficiency with Microsoft Office and project-tracking tools (e.g., Smartsheet, learning management or accreditation platforms) and ability to adapt to new systems quickly
Demonstrated ability to mentor and support staff, fostering consistency, accuracy, and professional growth within the education team

Job Responsibility

Ensure that all DFCI-accredited educational activities meet the standards and criteria of Joint Accreditation (JA), including ACCME, ANCC, and ACPE requirements
Identify and mitigate accreditation-related risks or compliance issues that may impact DFCI’s accreditation standing
Review activity proposals and educational content to ensure alignment with JA criteria, institutional policies, and interprofessional education (IPCE) standards
Manage the disclosure and conflict-of-interest (COI) review and resolution process for accredited activities
Maintain accountability for the accuracy and timely submission of annual, reaccreditation, and audit reports to ACCME, ANCC, ACPE, and JA
Participate in audits, self-studies, and strategic initiatives related to achieving and maintaining the highest level of JA accreditation
Promote DFCI’s mission and values by ensuring that all educational activities reflect evidence-based practices, equity, and inclusion principles
Partner with Nursing, Pharmacy, and Advanced Practice (PA/APP) leadership, and the education office to develop a unified accreditation process that supports consistent documentation, tracking, and evaluation across professions
Lead efforts to centralize accreditation workflows, templates, and evaluation tools within DFCI’s CE/CPD infrastructure (e.g., Smartsheet, evaluation systems, accreditation management tools)
Identify opportunities to streamline operations, reduce redundancy, and enhance efficiency across educational teams

Fulltime

Director Perioperative Services

Coordination and administration of all daily operational aspects to provide effe...

Location

United States

Salary:

68.20 - 102.30 USD / Hour

Advocate Aurora Health

Expiration Date

Until further notice

Requirements

Graduate from an accredited school of nursing
Masters in administration, business or nursing
Five years progressive experience in health care management
Demonstrated leadership of multiple departments which represent a broad portfolio of responsibility
Basic PC skills
Financial analysis and planning
Problem solving and analytical skills
Effective communication and team-building skills across departments and disciplines
Ability to develop and lead multi-disciplinary teams to achieve outcomes in a changing environment
Business development and strategic planning skills

Job Responsibility

Coordination and administration of all daily operational aspects to provide effective quality care for patients
Plans and directs the administrative and operational functions to maximize patient revenues, attract new patients, and meet regulatory requirements
Prepares and administers the department operating and capital budgets to ensure sufficient funds and personnel to accomplish departmental objectives within approved financial guidelines
Monitors department productivity levels and work functions to ensure proper staff and resource utilization
Ensures the development of staff within the department
Identifies areas for operational efficiency improvements and implements changes
Develops and implements key performance indicators including outcome, operations, growth, and financial for the entire service line
Monitors weekly/monthly and facilitates improvements as required
Assures patient, associate and physician engagement goals are being met
Oversight of leadership development in area

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Museum Director

Responsible for the administration and oversight of all facets of museum operati...

Location

United States , Statesboro

Salary:

78706.00 - 102285.00 USD / Year

Georgia Southern University

Expiration Date

Until further notice

Requirements

Ph.D. degree in History or American Studies
A minimum of five year's museum or cultural resource executive management experience
Demonstrated success in the development and administrative management of programs and personnel
Successful budgetary management skills and development of private/external support
Consistently exhibit engaging customer service
Ability to support various constituencies served by the University
Proven proficiency with computers including Microsoft Office, Google, and/or applications as required for specific position
Ability to communicate and teach effectively
Ability to work collaboratively and with dynamic populations
Adhere to University policies and procedures to meet Institutional goals and support University's mission for student success

Job Responsibility

Hires, supervises, evaluates and trains museum staff including undergraduate and graduate students, grant funded and temporary staff
Oversees planning and implementation of exhibits and educational programming on and off-site
Develops and secures outside funding sources through grants, donations, and formal fund development in collaboration with the Georgia Southern University Foundation and Office of University Advancement
Oversees and administers museum fiscal matters including annual budgets and budget requests, Foundation funds, and earned income according to university policies and procedures
Maintain a working knowledge of significant developments and best practices in the field. Establish sound working relationships and leadership roles in museum professional organizations ensuring best practices and accreditation standards are maintained and integrated into student learning
Oversee marketing, advertising, social media, and internal/external messaging, acting as the primary spokesperson to enhance the museum's visitation, reputation and collaboration
Oversee museum facilities and collections to ensure for their proper care and preservation
With status as faculty in the Department of History, the Director manages the museum's graduate teaching responsibilities and the museum's collaboration in the MA programs in Public History and Museum Studies and the development of a Ph.D. program in Museum and Public Humanities

Fulltime

Assistant Director of NCLEX Review

Join our faculty at American Career College and discover an innovative learning ...

Location

United States , Ontario

Salary:

87964.06 - 127521.21 USD / Year

American Career College

Expiration Date

Until further notice

Requirements

A minimum of at least one (1) year's previous experience with program management
Knowledge in technological support and delivery of educational programs and services
Knowledge and evidence of strong management skills, and administrative systems management as applicable to specialized program area
Knowledge of state, federal and local laws/regulations relating to programs, governmental compliance, and other regulatory standards such as ABHES, BVNPT, BRN, and other accreditation standards
ATI product experience
A minimum of one to two years of professional testing and/or statistical data experience involving database management
Experience working with nursing programs
Experience with Blackboard Learning Management System
Experience with Campus Vue
Bachelor's degree from an accredited college or university that includes course work in education or business administration OR equivalent experience required

Job Responsibility

Providing each nursing program(s) with the necessary Assessment Technologies Institute (ATI) management and oversight to help each cohort achieve or exceed ACC's outcomes
Achieving a 90% or better first-time pass rate on the NCLEX each quarter
Collaborating with the Director of Nursing (DON), overseeing a comprehensive success plan that evaluates the effectiveness of ATI initiatives, creating new methods to improve specific ATI student/graduate and faculty performance
Developing/implementing administrative systems and procedures to monitor and improve ATI effectiveness and provides analysis and remediation strategies to help ensure students/graduates are actively engaged in their ATI program and that graduates pass NCLEX with a satisfactory level of performance on their first attempt
Serving as the campus ATI champion to support both existing students and graduates until NCLEX is passed

What we offer

HEALTHCARE
401(K) RETIREMENT PLANS AND EMPLOYER MATCHING
PROFESSIONAL DEVELOPMENT
DAY OF SERVICE
PTO DAY
COLLABORATION
MANAGEMENT AWARDS & RECOGNITION

Fulltime

Cytogenetics Technologist

The Cytogenetic Technologist is able to work independently setting up and proces...

Location

United States , Lenexa

Salary:

Not provided

The University of Kansas Health System

Expiration Date

Until further notice

Requirements

Bachelor of Science Biological, Physical, Chemical or Clinical Laboratory Science / Medical Technology from an accredited institution
Bachelors Degree and meets the CLIA requirements for high complexity testing
High School Graduate
Technologist in Cytogenetics (CG) - American Society for Clinical Pathology Board of Certification (ASCP) must be completed within 6 months of hire within 180 Days

Job Responsibility

Accurately analyzes patient, control and proficiency testing specimens and records results in a timely manner according to laboratory policy
Calibrates, maintains, operates, troubleshoots instrumentation issues and completes appropriate documentation
Completes continuing education and submits appropriate documentation where applicable to maintain certification
Completes paperwork accurately and submits appropriately
Follows chain of command and brings issues to the attention of the supervisor, Assistant Director or Medical Director
Follows regulatory, accreditation, safety and hospital standards, policies and procedures
Instructs, orients and mentors students, employees, residents, patients and other health care providers as applicable
Maintains an adequate inventory of all chemicals and supplies
Accurately prepares, labels, stores and disposes of reagents, standards, controls and specimens for analysis
Participates in quality assurance and quality improvement activities

Fulltime

Clinical Nurse Facilitator Critical Care

The Clinical Nurse Facilitator (CNF) plays a vital role in providing clinical su...

Location

Ireland , Lucan, Co. Dublin

Salary:

Not provided

Blackrock Health Hermitage Clinic

Expiration Date

Until further notice

Requirements

Be registered in the general division of the Register of Nurses maintained by NMBI
At least 3 years recent post-registration nursing experience (full-time or equivalent hours part-time) in an acute hospital setting with a minimum of 3 years recent nursing (full-time or equivalent hours part-time) in ICU/Critical care
A recognised post-registration nursing course in the specialty
Holds an up-to-date ACLS course or a willingness to undertake same
Holds an up-to-date BLS and Manual Handling Instructor course or is willing to undertake same
Holds a teaching qualification or a willingness to undertake same

Job Responsibility

Provide education, mentorship and professional development support
Monitors standards of nursing care provided and problem solves clinical nursing concerns
Is available to patients, relatives and visitors to provide the necessary support, education, reassurance and clinical and allied clinical information
Supervision and direct support of registered nurses, pre-registered nurses, health care assistants and student nurses while maintaining a safe working environment
Ensures the agreed hospital policies and procedures are known, understood and implemented by the staff
Provides education and support for the implementation of national clinical guidelines
Gives direct nursing care to patients in a proactive manner
Works within a Multidisciplinary team in the co-ordination of holistic patient care
Implements evidence-based nursing practice using a care planning / pathway approach
Liaises with medical staff on relevant matters concerning patient care and particularly with Department consultants

What we offer

An Education Support Programme
Development opportunities
Opportunities for career progression
Access to a Pension Scheme
Subsidised Restaurant
Free staff car parking
Employee Assistance Programme
Life Assurance

Fulltime

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Director of Professional Standards & Accreditation

Job Description

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