New

RN - Accreditation Consultant

Baptist Health Care
United States, Florida, Pensacola
Jun 05, 2025
Job Description The RN - Accreditation Consultant conducts systematic, ongoing individual patient tracers as well as formal and informal system/ process audits in order to assess and provide feedback, education and consultation on Accreditation/Certification standards compliance to all entities within the organization. In conjunction with the manager, the role facilitates the planning, achievement and maintenance of a continuous state of survey readiness within the organization. Responsibilities Conducts patient-specific, system and process audits for all BHI departments/units according to plan. Identifies performance improvements needed for standards compliance. Researches and provides up to date information and education regarding Accreditation/Certification/CMS standards requirements, survey process. Facilitates execution of action plans to achieve/maintain accreditation compliance. Continually provides education to staff and leaders regarding standards revisions and new Accreditation/Certification requirements. Compares actual processes described by staff and leaders to what is stated in policy and procedure and to Accrediting Organization/CMS standards to determine compliance level. Researches and deploys available resources/ best practices to provide compliance tips for challenging Accrediting Organization/ CMS standards. Qualifications Minimum Education Bachelor's Degree Nursing Required Minimum Work Experience 5 years acute care/ clinical nursing experience Required 2 years experience in a supervisory role within acute care setting Required Licenses and Certifications Registered Nurse Licensed State of Florida or eligible compact state Upon Hire Required Required Skills, Knowledge and Abilities Experience/ knowledge of Process Improvement fundamentals, CMS standards, and healthcare quality. Competent in use of Excel, Word, PowerPoint. Demonstrated ability to communicate effectively and facilitate process improvements. Demonstrated ability to teach 1:1 and in small groups. Knowledge of organization's policies, procedures and practices. About Us Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida. Baptist Health Care, Inc. is an Equal Opportunity Employer. BHC maintains and enforces a policy that prohibits discrimination against any workforce members or applicants for employment because of sex, race, age, color, disability, marital status, national origin, religion, genetic information, or other category protected by federal, state or local law.