Mayo Clinic offers a variety of employee benefits. For additional information please visit Mayo Clinic Benefits . Eligibility may vary.
Position description
The Accreditation/Regulatory Specialist works in conjunction with Mayo Clinic leaders, medical staff and allied health staff to facilitate education regarding emerging and market driven trends in healthcare accreditation and regulatory processes. Provides education and consultation regarding healthcare quality, and interpretation of regulations and accreditation standards, with an emphasis on hospital, critical access hospital, ambulatory, behavioral health, home care and disease specific care certification standards and/or regulations. Assists in facilitating an integrated organizational approach to assessing and meeting regulatory requirements and process improvements. Supports and facilitates coordination of regulatory surveys for the outpatient and inpatient practice.
This position supports the Mayo Clinic Accreditation Program, operating in four primary areas: Survey Management, Compliance Activities, Standards Interpretation, and Education & Communication. Under these areas the specialist conducts scheduled assessments, performs departmental visits (Tracers), and supports on-site survey activities.
They do this by meeting with stakeholders, managing/revising materials to support staff knowledge and understanding of the standards/regulations, conducting tours and interviews for data collection and analysis using software analytics. The Accreditation and Regulatory Specialist serves as a consultant to the clinical practice to help ensure activities are in compliance with Wisconsin and CMS regulations and also Joint Commission standards, periodically reporting to site leadership.
Qualifications
Bachelor’s degree required. Three years leadership or project management experience. Ability to communicate and work successfully with other leaders, medical staff, and allied health staff; expertise in evaluation techniques, and ability to organize information from a variety of sources and communicate it in a meaningful way.
Additional qualifications
Master’s degree in a healthcare field preferred. Clinical background a plus. Good understanding of data management, experience in accreditation processes, quality improvement methodology, and facilitation skills. Accrediting and regulatory bodies: State of Minnesota, Center for Medicaid & Medicare Services, The Joint Commission, and others as identified.
Exemption status
Exempt
Compensation Detail
$66,788.80 – $100,172.80/ year
Benefits eligible
Yes
Schedule
Full Time
Hours / Pay period
80
Schedule details
Successful candidate may have to work occasionally outside normal business hours due to onsite survey activity support.
Weekend schedule
n/a
Remote
Yes
International Assignment
No
Site description
Eau Claire, with a metro area of 163,000 is home to the 11,000 students at the University of Wisconsin – Eau Claire. Strong schools, low crime rate, and a reasonable cost of living may be expected. With an abundance of outdoor activities, The city also serves as the retail center for west central Wisconsin and the major metro area of Minneapolis/St. Paul is 90 minutes away. Mayo Clinic Health System in Eau Claire is recognized as a Best Hospital in Northwestern Wisconsin and within the top 5 for Hospitals in Wisconsin (U.S. News & World Report, 2021-2022).
Recruiter
Lynnette Fleshman
EOE
As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.
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