Accreditation Specialist

Position: Accreditation Specialist

Job ID: 161053

Location: US-TX-Houston

Department: Medical Staff Services & Educ

Talent Area: Professional - Non-Clinical

Full/Part Time: Full-Time

Regular/Temporary: Regular

About Texas Children's Hospital

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S.News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years.   Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Center for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; and Texas Children’s Hospital The Woodlands, the first hospital devoted to children’s care for communities north of Houston. We have also created the nation’s first HMO for children, established the largest pediatric primary care network in the country and a global health program that is channeling care to children and women all over the world. Texas Children’s Hospital is also academically affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.   To join our community of 14,000+ dedicated team members, visit for career opportunities. You can also learn more about our amazing culture at   Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.  


We are searching for an Accreditation Specialist -- someone who works well in a fast-paced setting. In this position, you will work as part of the Quality & Outcomes Management Team to achieve cost effective health care throughout the organization and maintain necessary accreditation status for the organization.


Think you’ve got what it takes?

Responsibilities :

  • Participates in the internal mock survey program, which includes planning, development of tools, training, conducting mock surveys, reporting findings and follow-up as needed
  • Participates in conducting annual ICM. Report findings and develop action plans. Monitor metrics monthly as required
  • Coordinates regulatory educational offerings including internal and external presentations
  • Communicates with Joint Commission SIG group for questions regarding interpretation of accreditation issues. Inform appropriate parties of SIG ruling
  • Develops regulatory articles and newsletters for the organization error free and on time
  • Develops presentations with style, accuracy and professionalism as evidenced by error free presentation. Includes not only power point but written material as well
  • Provide input related to the development of the operating budget
  • Acts as a Facilitator or Team Leader on projects as assigned


  • Being fully vaccinated against COVID-19, including any booster dose(s) of the COVID-19 vaccine recommended by the Centers for Disease Control when eligible, is required for all employees at Texas Children’s, unless approved for a medical or religious exemption
  • Bachelor’s degree in Nursing, Pharmacy, Social Sciences (Social Work), Respiratory Therapy, Health Information Management, or Business Administration required
  • Bachelor’s degree in Nursing preferred
  • CPHQ certification preferred
  • RN license or other clinical discipline preferred
  • 2 years clinical, quality, and/or accreditation experience required

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