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Careers With Purpose

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

**Facility:** Sanford Bemidji Peak Ctr

**Location:** Bemidji, MN

**Address:** 2017 Net Way NW, Bemidji, MN 56601, USA

**Shift:** 8 Hours - Day Shifts

**Job Schedule:** Full time

**Weekly Hours:** 40.00

**Salary Range:** $29.00 - $46.50

Job Summary

Collaborates with operational and executive leadership ensuring compliance with regulatory bodies to include, but not limited to: Department of Health (DOH), Center for Medicare and Medicaid (CMS) Conditions of Participation, and standards of The Joint Commission (TJC). The Accreditation Specialist works with staff, evaluating care, to ensure regulatory compliance. Evaluates patient safety systems ensuring safe reliable care. Promotes systems designed to reduce the opportunity for human failure in order to achieve a goal of zero harm. Understands and supports an organizational culture of safety. Participates in robust process improvement, utilizing a systematic approach to change management, focused on reducing patient safety and regulatory risk. Supports process change from education through sustainability. Collaborates with all levels of leadership to communicate needs and remove barriers for staff. Guides regulatory perspective to committees as applicable. Requires a self-motivated individual who values patient and staff safety as the top organizational priority. Knowledge and/or an interest in safe systems and High Reliability Organizations necessary.

Qualifications

Bachelor's degree required. In lieu of education, leadership may consider an Associate's degree and 5 years of applicable experience. If degree is in nursing, graduate from a nationally accredited nursing program, including but not limited to, Commission for Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA).

Minimum of two years of experience in clinical, nursing, healthcare safety, accreditation or healthcare management setting required.

Certification in regulatory accreditation, patient safety or quality specialty or equivalent preferred. If a licensed registered nurse (RN), currently hold an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state. Obtains and subsequently maintains required department specific competencies and certifications. Quality improvement/assurance personnel with nursing backgrounds can maintain their license without seeking additional hours based on role's responsibilities.

Benefits

Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .

Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to [email protected] .

Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

**Req Number:** R-0230577

**Job Function:** Quality and Risk Management

**Featured:** No