Since our founding in 1853, Sheppard Pratt has been transforming care and leading the way, creating a mental health continuum that advances the field on a national level. The department of Quality and Patient Safety plays a crucial role in ensuring that patient care meets high standards of safety, effectiveness, and efficiency.

What to expect.

You will provide general oversight of accreditation, licensing, and policy management for the Sheppard Pratt health system. The ideal candidate must have experience leading successful survey teams for The Joint Commission (TJC) and/or the Commission of Accreditation of Rehabilitation Facilities (CARF).

Specific responsibilities will include:

Overseeing activities related to renewals, modifications or new initiatives, and maintenance of conformance to voluntary and government licensing and accreditation standards. Managing preparation efforts for all activities associated with accreditation surveys, leading all survey and survey response activities. Leading the Accreditation Readiness Committee to consolidate accreditation and regulatory compliance activities across service lines. Coordinating and submitting all state licensing applications. Communicating changes as appropriate to licensing and regulatory authorities. Collaborating with compliance auditors to ensure conformance with regulatory requirements. Serving as a resource for policy development and management, reviewing policies and forms before dissemination to ensure conformance. Collaborating with other departments to streamline and standardize policies, procedures, and forms. Collaborating with team on performance measurement, management, and improvement

What you’ll get from us.

At Sheppard Pratt, you will work alongside a multi-disciplined team led by a bold vision to change lives. We offer:

A commitment to professional development, including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation Comprehensive medical, dental and vision benefits for benefit eligible positions 403b retirement match Generous paid-time-off for benefit eligible positions Complimentary Employee Assistance Program (EAP) Generous mileage reimbursement program

Pay for this position is determined on a number of factors, including but not limited to, years and level of related experience.

What we need from you.

Master’s degree in healthcare discipline. 5 years’ experience in quality, compliance, or related field with experience leading efforts to achieve and maintain accreditation compliance. Experience in direct supervisory experience for a team of at least three individuals.

Sheppard Pratt’s mission-driven culture offers an environment where you can explore what motivates you both professionally and personally. Impact opportunities include hospitals, special education schools, residential programs, outpatient centers, and more. Through continuing education, tuition reimbursement, and career development programs, Sheppard Pratt will team with you to facilitate growth opportunities that put your purpose to work.