Accreditation and Regulatory Consultant

Join IU Health – Indiana’s Leading Healthcare Provider and Elevate Your Career!

Are you passionate about making a difference in patient care and ensuring healthcare excellence? IU Health, Indiana’s most trusted healthcare system, is looking for a dynamic Accreditation and Regulatory Consultant to join our dedicated team. This is your chance to work at the forefront of healthcare quality and compliance, supporting one of the Indiana's top hospitals—Ball Memorial Hospital in Muncie, IN.

Why IU Health?

• Impactful Work: Play a vital role in maintaining the highest standards of patient safety and care across our organization.
• Supportive Environment: We foster a culture of growth, collaboration, and innovation.
• Work-Life Balance: Enjoy a Monday-Friday, day shift schedule—no weekends or holidays!
• Career Development: Access ongoing learning opportunities, leadership development, and advancement pathways.

What We Offer:

• Competitive Benefits Package:
  • Comprehensive Medical, Dental, and Vision Insurance
  • 401(k) with Company Match
  • Generous Paid Time Off (PTO)
  • Tuition Reimbursement & Continuing Education Support
  • Wellness Programs and Employee Assistance Resources
• A vibrant, inclusive workplace committed to your growth.

Your Role & Key Responsibilities: 

• Lead Accreditation & Compliance Efforts: Drive the successful achievement and maintenance of accreditation standards across assigned facilities. Develop and implement strategies to prepare for and sustain compliance with regulatory requirements and accreditation standards.
• Manage & Oversee the Tracer Program: Lead the facility tracer program to assess real-time compliance, identify opportunities for improvement, and ensure continuous readiness for surveys and inspections.
• Coordinate Accreditation Activities: Facilitate comprehensive survey preparation, including staff education, documentation review, and mock surveys. Act as the primary onsite survey manager during accreditation visits.
• Oversight of IDOH & JC Visits: Assist in planning, preparing for, and managing both announced and unannounced inspections from the Indiana Department of Health (IDOH) and The Joint Commission (JC). Ensure all required documentation and processes are in place, and serve as a liaison during these visits.

Qualifications:

• Bachelor's Degree is required.
• Requires 3-5 years of relevant experience.
• CPHQ or other comparable healthcare regulatory certification endorsed by IU Health System Regulatory Affairs required within two years of employment.
• Interfacility travel for surveying and in-state overnight stays is required.
• Requires current state of Indiana license as a health care professional (e.g., Registered Nurse with an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license, Respiratory Therapist, Pharmacy or Rehabilitation license). 

Join us and be part of a team that’s shaping the future of healthcare in Indiana. Apply today and take the next step in your professional journey with IU Health!

• Indiana University Health has nearly 40,000 team members, including more than 3,600 physicians and 1,200 advanced practice providers, and we’re home to the largest nursing network in Indiana with more than 9,000 nursing team members at over 800 sites of care.
• IU Health is ranked No. 1 in Indiana by U.S. News & World Report, Riley Children's Health is ranked among the top children's hospitals in the country by U.S. News & World Report.
• A unique partnership with the Indiana University School of Medicine – one of the nation’s largest medical schools – gives patients access to groundbreaking research and innovative treatments, and it offers team members access to the latest science and the very best training – advancing healthcare for all.
• With 15 hospitals, including seven with Magnet designation and eight with Pathways to Excellence designation, our team members are leading the way through excellence.
• At Indiana University Health, your personal and professional growth is a top priority. You will have access to many diverse opportunities to learn and develop in meaningful ways that matter most to you, such as advanced clinical training, leadership development, promotion opportunities and cross training development.
• Indiana University Health is invested in the