Regulatory Accreditation Consultant

at Moffitt Cancer Center
Published August 18, 2022
Location Tampa, FL
Category Default  
Job Type Full-time  


At Moffitt Cancer Center, we come face-to-face with cancer every day, but we also see courage. And it inspires us to be the safest and best place for cancer care - to bring greater hope to every patient we serve. It's why we've been continually named One of the Top Places to Work in the Tampa Bay Area. As the only National Cancer Institute-designated Comprehensive Cancer Center based in Florida, Moffitt employs some of the best and brightest minds from around the world. Moffitt is the leading cancer hospital in both Florida and the Southeast and has been nationally ranked by U.S. News & World Report since 1999. Because working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. Join a dedicated, diverse and inclusive team of over 7,000 to be a part of the Courageous future we envision.




The Regulatory & Accreditation Consultant is responsible for monitoring, trending, and improving the enterprise wide continuous survey and accreditation readiness plan. Working in collaboration with the leadership of the Center, the consultant will assist the various areas in improving their readiness and sustaining a state of continuous readiness for regulatory and accreditation surveys for all federal, state, local and accrediting bodies, both mandatory and voluntary certifications. This position will serve as the regulatory and accreditation subject matter expert in all areas of the Center. The consultant works with areas in need of assistance in meeting guidelines utilizing best practice methodology for performance improvement. The Consultant will be included in all regulatory and accreditation visits and be present when possible in order to identify issues and work with areas to ensure action plans meet guidelines and timeframes. The consultant will also be responsible for maintaining the regulatory and accreditation data base that tracks all site visits, mail requests, the issues involved, the responses and action plan compliance.

This position has the opportunity for a hybrid remote work schedule after successful completion of a 90-day probationary period.


  • Education:
    • Bachelor's degree (Field of study - nursing or business) - REQUIRED
      • Will accept an Associate's degree or diploma nurse with 5 years of regulatory experience in lieu of Bachelor's degree
    • Master's degree (Field of study - Nursing or business) - PREFERRED
  • Licensure:
    • CJCP (Certified Joint Commission Professional) -OR- HACP (Healthcare Accredited Certified Professional) - Must obtain within one year of hire/transfer date - REQUIRED
      • Existing coordinators must obtain one of the above certifications within 2 years of this update
    • CPHQ (Certified Professional in Healthcare Quality) - PREFERRED
    • BLS (Basic Life Support) - PREFERRED
    • Lean Six Sigma - PREFERRED
  • Minimum Experience Required:
    • 5 years of clinical experience plus 7 years of regulatory experience in healthcare including 3 years of Quality & Patient Safety Specialist level experience, including peer review and medical staff quality and patient safety and prior regulatory and tracer experience, or actual agency survey experience
    • Excellent team building, communication and presentation skill
    • Strong Microsoft Office skill
    • Strong critical thinking skill
    • Strong consulting skills, including team building, identifying opportunities for improvement, collaboratively working with leadership to create realistic and manageable action plans.

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Equal Employment Opportunity

Moffitt Cancer Center is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, or protected veteran or disabled status. We seek candidates whose skills, and personal and professional experience, have prepared them to contribute to our commitment to diversity and excellence.
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