Accreditation Program Specialist

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Job Summary:

Key Position Details:

This role is a hybrid remote position that will support the Allina Health Cancer Institute and responsibilities for FACT Accreditation for Cellular Therapy. candidate will be required to travel to AHCI clinics when necessary.

• 1.0 FTE (80-hours per two-week pay period)
• 8-hour day shifts
• No weekends

Job Description:

Provides regulatory program support at the business unit level. Partners with site teams to analyze and operationalize accreditation, certification, and regulatory requirements to ensure compliance, and incorporate high-reliability principles and tools into these efforts. Partners with colleagues to lead the development, implementation and evaluation of site accreditation, certification, and regulatory initiatives. Supports data analysis, gap assessments, and presentations related to priority accreditation, certification, and regulatory standards, as well as processes and projects at the site level. Partners with Physician and Clinical and Operational Leaders to mobilize teams to improve compliance with accreditation, certification, and regulatory standards to optimize patient outcomes.

Principle Responsibilities

• Participates in system and site policy and procedure development, revision and implementation to ensure alignment with accreditation, certification, and regulatory standards.
  • Assists in identifying existing and needed processes and procedures and supports policy updates.
  • Supports teams to develop or revise policies and procedures.
  • Collaborates with key stakeholders to reliably implement policies and procedures in alignment with safety and quality principles and practices.
• Possesses and provides entry-level knowledge in accreditation, certification, and regulatory to perform tasks and address problems.
  • Serves as a resource to ensure accreditation, certification, and regulatory compliance.
  • Assesses and analyzes accreditation, certification, and regulatory requirements and compliance.
• Partners with colleagues to develop and implement processes to meet accreditation, certification, and regulatory standards, reduce duplication of efforts and gain efficiency in the program.
  • Guides site accreditation, certification, and regulatory processes including internal surveys, application updating, system contracts, and internal tracers.
  • Supports a sustainable approach to compliance.
  • Participates in internal surveys.
  • Participates in external regulatory surveys.
• Assists colleagues to provide guidance and support to business unit leadership, clinical and departmental teams in functional area.
  • Incorporates HRO principles and improvement tools into accreditation, certification, and regulatory project implementation and sustainment.
  • Uses problem-solving skills from work experience and applies these skills to support stakeholders in decision-making.
• Other duties as assigned.

Required Qualifications

• Bachelor's degree Nursing, Public Health, Pharmacy, Health Care Administration, Engineering or other health care related field required
• 0 to 2 years experience in accreditation, certification, and/or regulatory required (actively leading survey readiness or formal accreditation, certification, regulatory role)
• 2 to 5 years Healthcare experience in related field

Physical Demands

• Sedentary:
• Lifting weight up to 10 lbs. occasionally, negligible weight frequently

Pay Range

Benefit Summary

Allina Health believes the best way to provide safe and compassionate care for our patients is by nurturing the passion of those who care for them. That's why we devote extraordinary resources to help you grow and thrive - not only as a professional but also as a whole person. When you join our team, you have access to a wealth of valuable employee benefits that support the total well-being - mind, body, spirit and community - of you and your family members.

Allina Health is all in on your well-being. Because well-being means something different to everyone, our award-winning program provides you with the resources you need to help you navigate your personal journey. This includes up to $100 in well-being dollars, dedicated well-being navigators, and many programs, activities, articles, videos, personal coaching and tools to support you on your journey.

In addition, Allina Health offers employee resources groups (ERGs) -- voluntary, employee-led groups that serve as a resource for members and organizations by fostering a diverse, inclusive workplace aligned with the organization's mission, values, goals, business practices, and objectives. Allina Health also engages employees in various community involvement and volunteering events.

Benefits include:

• Medical/Dental

• PTO/Time Away

• Retirement Savings Plans

• Life Insurance

• Short-term/Long-term Disability

• Paid Caregiver Leave

• Voluntary Benefits (vision, legal, critical illness)

• Tuition Reimbursement or Continuing Medical Education as applicable

• Student Loan Support Benefits to navigate the Federal Public Service Loan Forgiveness Program

• Allina Health is a 501(c)(3) eligible employer

*Benefit eligibility/offerings are determined by FTE and if you are represented by a union.