Accreditation & Regulatory Consultant - Radiology

In this role you'll oversee Radiology policies, compliance, equipment oversight, and regulatory readiness across all imaging modalities and locations.

Key functions include:

JOB RESPONSIBILITIES

• Regulatory - Demonstrate the application of clear, accurate and current understanding of applicable state, local and federal requirements to allow accurate and timely identification of compliance and potential gaps. Identify and implement best practices for ongoing compliance of requirements through internal and external resources. Seek and review most up to date publications related to accreditation standards, survey preparation and other materials and demonstrate the application to CCHMC policies and operations. Facilitate policy change as required based on updated requirements/standards. Seek ongoing educational opportunities to stay current with standards and regulations.

• Survey - Leads and conducts survey preparatory on the applicable local, state, and federal standards such as the Joint Commission Comprehensive Accreditation Manual for Hospitals, Behavioral Health, and Home Care, as well as the applicable CMS Conditions of Participation, CARF (rehabilitation), etc. Conduct survey readiness assessments and mock surveys at all CCHMC patient care locations. Assume responsibility for assisting in the preparation of the staff for all accreditation surveys, as well as state surveys as required. Conduct routine audits and monitoring activities as part of ongoing readiness. Prepare and preform focused audits as needed . Serve as escort for surveyors and/or resource during any actual survey. Prepare staff as necessary for actual survey. Responsible for development, tracking, and ensuring completion of action items from survey findings.

• Compliance - Provide expertise on standards interpretation and application. Support clinical staff, leaders and executive staff, in developing and/or refining systems that support compliance with standards of accrediting bodies, as well as applicable law and regulation. Provide consultation, facilitation, or leadership on assigned committees and special projects as needed. Responsible for tracking and trending compliance issues.

JOB QUALIFICATIONS

• Bachelor's degree in a related field

• 5+ years of work experience in hospital accreditation and regulatory readiness

• Preferred: Clinical Radiology experience in any modality

Primary Location

Schedule

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Department

Employee Status

FTE

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*Expected Starting Pay Range

*Annualized pay may vary based on FTE status

At Cincinnati Children’s, we come to work with one goal: to make children’s health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children’s. 

 Cincinnati Children's is: 

• Recognized by U.S. News & World Report as a top 10  best Children's Hospitals in the nation for more than 15 years 

• Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding 

• Recognized as one of America’s Best Large Employers  (2025), America’s Best Employers for New Grads (2025) 

• One of the nation's America’s Most Innovative Companies as noted by Fortune 

• Consistently certified as great place to work 

• A Leading Disability Employer as noted by the National Organization on Disability 

• Magnet® designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC) 

 We Embrace Innovation—Together.  We believe in empowering our teams with the tools that help us work smarter and care better. That’s why we support the responsible use of artificial intelligence. By encouraging innovation, we’re creating space for new ideas, better outcomes, and a stronger future—for all of us. 

Comprehensive job description provided upon request.

Cincinnati Children’s is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability