Director Accreditation & Licensure

We are so glad you are interested in joining Sutter Health!

Organization:
SHSO-Sutter Health System Office-Valley

Position Overview:
Leads the strategic guidance and expert support for programs and activities to assist entities (hospitals and medical foundations) in maintaining continuous readiness for accreditation and licensure surveys. Manages system-wide activities to include program development, implementation, and facility assessment and education. Designs, develops and administers standardized processes and practices to ensure ongoing compliance with legislative and regulatory requirements.

Job Description:

EDUCATION:

• Graduate of an accredited school of nursing

CERTIFICATION & LICENSURE:

• RN-Registered Nurse of California Upon Hire

TYPICAL EXPERIENCE:

• 12 years recent relevant experience.

SKILLS AND KNOWLEDGE:

• Working knowledge of CMS, cdph, tjc and institute of medical quality (imq) accreditation standards and licensing requirements.
• Working knowledge of healthcare delivery, clinical care coordination, and quality improvement/management methodologies.
• Strategic skills for reviewing processes and strategies to ensure successful alignment with business needs and for identifying improvement opportunities
• Analytical skills with proven ability to resolve issues/problems by leveraging business and functional knowledge, and client relationships.
• Ability to operate strategically and tactically.
• Demonstrates credible leadership presence, with the ability to respond to questions with logic, clarity, calmness and authority.
• Ability to bring individuals together to resolve differences and/or to achieve acceptance of a solution.
• Ability to influence others by persuasion, negotiation, and problem solving, and to move others to recognize and appreciate different points of view and to consider/accept alternative options.
• Collaborative working style to facilitate open sharing of information and cooperation with various project participants and/or stakeholders.
• Demonstrates a proactive approach to identifying and resolving issues to manage/minimize risks.
• Ability to interact and maintain effective working relationships with those contacted in the performance of role's duties while respecting cultural and linguistic differences and fostering an inclusive work environment.
• Ability to communicate through verbal and written means, and to present concepts and information in a manner that is readily understood by management and employees.
• Organization and planning skills to effectively delegate, manage and/or re-prioritize activities and projects to meet deadlines while maintaining a high degree of responsiveness.
• Ability to work effectively in a dynamic and fast-paced environment with changing business priorities.
• Displays integrity and ethics in handling confidential and sensitive information.
• Ability to use essential applications and/or databases associated with the role's duties and responsibilities.

Job Shift:
Days

Schedule:
Full Time

Days of the Week:
Monday - Friday

Weekend Requirements:
None

Benefits:
Yes

Unions:
No

Position Status:
Exempt

Weekly Hours:
40

Employee Status:
Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $83.00 to $132.80 / hour

The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.