Henry Ford Health · 1 month ago
Quality/Accreditation Specialist II - Full time - Detroit
Detroit, MI
Full-time
Onsite
Senior Level
5+ years expHenry Ford Health is seeking a Quality/Accreditation Specialist II to ensure organizational compliance with regulatory standards and continuous survey readiness. This role involves serving as an internal consultant, developing performance improvement plans, and providing education regarding new regulations.
BiotechnologyHealth CareHealth InsuranceMedical
Responsibilities
Provides direction and oversight to regulations/accreditation compliance including but not limited to: TJC, DNV, State and Federal agencies (CMS) for hospital/system
Develops and monitors the org. infrastructure necessary to assure ongoing compliance with standards/regulations
Functions as a consultant, resource, educator to support the leadership team
Develops/implements an ongoing readiness plan to achieve continuous readiness/compliance
Reviews and/or develops Policies/Procedures assuring compliance with regs
Manages associates and activities to ensure continuous operation and delivery of services
Serves as a technical resource and assists in resolution of complex problems when necessary
Coordinates agency specific accreditation requirements (TJC/DNV)
Assists depts.. in resolution of deficiencies by providing strategies that successfully meet the intent of the standards
Provides leadership/direction for on-site surveys and unannounced visits
Provides routine reports to the quality committee; other committees regarding problem-prone areas, action plans, etc
Continuous learner regarding accreditation standards, Fed, state, local laws, regulations, compliance program, code of conduct as well as other p/p’s in order to ensure adherence in a manner that reflects honest, ethical and professional behavior
Develops and provides formal and informal education to all members of the health care team and support staff, to support continuous regulatory readiness and safe practices; shares best practices
Demonstrate knowledge and understanding of the science of process improvement and provide formal and informal consultation to all members of the health care team and support staff, external customers (including students), and administrative staff in process improvement methodologies, performance measurement, sustain and spread methodologies
Direct, facilitate and coordinate the design and implementation of business unit, regional and system wide clinical quality and patient safety initiatives, programs and projects; provide project management support to clinical improvement initiatives
Possess strong analytical skills/problem solving techniques for conceptualizing, interpreting, developing, and implementing effective systems and processes
Demonstrate innovation and forward thinking skills to promote positive outcomes
Conducts self in a professional manner demonstrating leadership skills at all times/remains calm under pressure/stressful situations
Demonstrates excellent communication, discretion, and interpersonal skills for frequent contacts with internal customers and external stakeholders to persuade and negotiate results
Must possess strong teaching and counseling skills and the ability to inspire and build confidence in others to garner support
Demonstrate effective leadership skills; acts as an ambassador of the organization with external agencies
Demonstrates the ability to communicate, manage knowledge, mitigate error, and support decision making using information technology
Qualification
Required
Bachelor's degree in Nursing or healthcare related field required
Minimum 5 years hospital experience required
Demonstrated knowledge of TJC, DNV, CMS Conditions of Participation required
Evidence of continuing education in standards/regulations/training
QI/PI Team member, lead or facilitator 1 – 3 years required
Scope: Broad Business unit/multidisciplinary team experience (working with several departments, and//or “deep” experience within one service line, value stream, etc)
Experience presenting to departmental, product line, and business unit leadership
Knowledge of current healthcare issues and trends
Must meet or exceed core customer service responsibilities, standards and behaviors as outlined in the HFHS' Customer Service Policy
Must practice the customer skills as provided through on-going training and in-services
Preferred
Master's degree in health care field preferred
RN preferred
Clinical/operational experience preferred
Familiarity with other accrediting, licensing and regulatory standards desirable
Company
Henry Ford Health
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10001+ employees
H1B Sponsorship
Henry Ford Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (212)
2024 (156)
2023 (134)
2022 (159)
2021 (140)
2020 (153)
Funding
Current Stage
Late StageTotal Funding
$40.27MKey Investors
Mort Harris
2020-06-04Grant· $0.27M
2018-04-09Grant· $20M
2016-12-05Grant· $20M
Leadership Team
Robert Riney
President and CEO
Brenda Craig
Vice President, Integrated Communications
Recent News
2025-11-07
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