Methodist Le Bonheur Healthcare · 9 hours ago
Accreditation/ISO Compliance Officer - Part Time
Methodist Le Bonheur Healthcare is a prominent healthcare provider in Memphis and the Mid-South. They are seeking an Accreditation/ISO Compliance Officer to lead and design processes related to accreditation and ISO: 9001 compliance, ensuring the Quality Management System and Internal Audits are effectively implemented and maintained.
Responsibilities
Leads and directs the process for continuous 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 lead internal audits across the system; report results and facilitate corrective action plans
Upon identification of non-conformities, works with appropriate stakeholders to facilitate development of correction action plans and verifications of control
Educates all levels of Associates (leaders to frontline) on the principles and requirements of the Quality 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 action plans status, and any component of the Quality 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
Qualification
Required
Bachelor's Degree Allied Health
Bachelor's Degree Healthcare Administration
Bachelor's Degree Nursing
organizing, directing and participation in process improvement and/or regulatory compliance program in a hospital setting 3-5 years
Preferred
High School Diploma or Equivalent
Master's Degree Allied Health
Master's Degree Healthcare Administration
Master's Degree Nursing
Substitutions allowed: In lieu of Bachelor's degree, the candidate must be a Registered Nurse or Allied Health Professional with five years of organizing, directing and participation in process improvement and/or regulatory compliance program in a hospital setting. 5-7 years
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
Certified Professional in Healthcare Quality-CPHQ - National Association for Healthcare Quality
Company
Methodist Le Bonheur Healthcare
Methodist Le Bonheur Healthcare is a comprehensive network dedicated to enhancing the health and outcomes of patients.
H1B Sponsorship
Methodist Le Bonheur Healthcare 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 (20)
2024 (3)
2023 (9)
2022 (15)
2021 (2)
2020 (4)
Funding
Current Stage
Late StageTotal Funding
$1MKey Investors
Health Resources and Services Administration
2021-07-01Grant· $1M
Leadership Team
Recent News
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