Job Title

Methodist Le Bonheur Healthcare is seeking a detail-oriented Registered Nurse professional to transition into a strategic Accreditation & ISO Compliance Officer role. If you have a strong clinical foundation and a passion for excellence, we will provide specialized training on our compliance and accreditation frameworks. This is an elite Officer-level position focused on professional influence and systemic clinical quality. What You Will Do Leads and directs the process for continuous accreditation and ISO: 9001 compliance at both the system level and for assigned facility(s). Develops and coordinates the measurement of internal compliance through data collection, tracking/trending, analysis, and monitoring. Presents findings and recommendations for improvement. Applies risk-based thinking to prioritize, design, and lead internal audits across the system; report results and facilitate corrective action plans. Upon identification of non-conformities, works with appropriate stakeholders to facilitate development of correction action plans and verifications of control. Educates all levels of Associates (leaders to frontline) on the principles and requirements of the Quality Management System, ISO: 9001, and accreditation standards and the processes required for compliance. Provides presentations and updates to facility/system leadership and management review committees regarding accreditation/ISO: 9001 results & compliance, internal audits/corrective action plans status, and any component of the Quality Management System. Leads the Hospital's response to CMS investigations. Designs/develops processes and coordinates external audits (DNV, ISO: 9001). Provides expertise/advice during the development of clinical/operational/business policies and procedures to ensure CMS Conditions of Participation and accreditation, and ISO: 9001 standards are met or exceeded. Work Experience Requirements Bachelor's Degree in Nursing 3+ years of clinical experience. BASIC LIFE SUPPORT - American Heart Association Physical Demands The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion. Must have good balance and coordination. The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently. The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading. The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work. Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity. Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.