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Skills
Clinical Medicineunmatched
Communication Skillsunmatched
Consultingunmatched
Content Management Systems (CMS)unmatched
Corrective Actionunmatched
Cross-Functionalunmatched
Diversityunmatched
Educational Evaluationunmatched
Healthcareunmatched
Healthcare Administrationunmatched
Institute for Medical Qualityunmatched
Interpret Regulationsunmatched
Licensingunmatched
Nursingunmatched
Performance Managementunmatched
Policy Developmentunmatched
Quality Managementunmatched
Regulationsunmatched
Regulatory Complianceunmatched
Regulatory Reportsunmatched
Regulatory Requirementsunmatched
Reporting Skillsunmatched
Requirements Managementunmatched
Sales/Support Engineering (SE)unmatched
Standards Developmentunmatched
Training Program Developmentunmatched
Training/Teachingunmatched
Trend Analysisunmatched
Description
Accreditation & Licensure Consultant
Oakland, CA - Onsite
Shift: Day 5x8-Hour (8:00 - 5:00)
Company Provides all Equipment
SUMMARY / DUTIES:
The Accreditation & Licensure Consultant supports Alta Bates Summit Medical Center and affiliate teams with continuous readiness for state, federal, and accreditation inspections and surveys.
This full-time contractual temporary role provides regulatory interpretation, facility assessments, education, program development, and implementation support.
Responsibilities include evaluating compliance with CMS, CDPH, TJC, and IMQ requirements; developing standardized readiness tools and policies; conducting focused or comprehensive assessments; and preparing reports, recommendations, and corrective action plans.
The consultant serves as a liaison during surveys, analyzes findings and trends, supports responses to immediate jeopardy or condition-level deficiencies, and guides performance improvement activities.
Note: MUST be legally authorized to work in the United States.
REQUIREMENTS:
Bachelor’s degree in Nursing, Business, Healthcare Administration, or a related field; equivalent experience accepted
8+ years of recent relevant experience
Working knowledge of CMS, CDPH, TJC, and IMQ accreditation and licensing requirements
Experience with healthcare delivery, clinical care coordination, and quality improvement methodologies
Experience conducting regulatory assessments and supporting continuous survey readiness
Ability to interpret regulatory requirements, analyze findings, and develop corrective action plans
Ability to communicate regulatory guidance through reports, presentations, training, and written communications
Ability to manage competing priorities and confidential information in a fast-paced environment
PREFERRED REQUIREMENTS:
Experience with state, federal, and accreditation inspections or surveys
Experience developing standardized policies, readiness tools, and educational materials
Experience serving as a liaison with regulatory agencies and survey teams
Proficiency in applications and databases supporting regulatory compliance workflows
Ability to influence leaders and collaborate with cross-functional stakeholders
We are an equal opportunity employer, and we are an organization that values diversity. We welcome applications from all qualified candidates, including minorities and persons with disabilities.