Accreditation Specialist

For over 25 years, our award-winning practice has been recognized as Richmond's Best Plastic Surgeon by both physicians and patients more often than any other in the region. We are known not only for exceptional surgical outcomes, but for the outstanding team behind the scenes who make them possible. Our office includes an on-site, Quad A accredited operating room, allowing us to provide safe, high-quality, patient-centered surgical care on site.

We are seeking an experienced and detail-oriented Registered Nurse (RN) to serve as our Accreditation Specialist, ensuring ongoing compliance with all regulatory standards and maintaining our Quad A accreditation. This contract position requires an average commitment of just a few hours per month and is ideal for a nurse who values safety, precision, and excellence in surgical care. The role offers an excellent opportunity for a retired nurse seeking limited, flexible work or for an active nurse interested in supplementing income.

Key Responsibilities

• Serve as the primary liaison with Quad A and oversee all aspects of accreditation and regulatory compliance.
• Compile and maintain all documentation required for annual self-surveys and the triennial on-site accreditation survey.
• Coordinate with Quad A surveyors and represent the practice during the site visit.
• Work with staff to resolve any identified deficiencies and ensure timely corrective actions.
• Ensure ongoing compliance with the Office-Based Surgery Standards Manual, including:
• Anesthesia
• Operating Room Environment and Safety
• Equipment Maintenance
• Emergency Preparedness
• Medications
• Infection Control
• Records Management
• Governance
• Quality Assurance
• Personnel Standards
• Conduct monthly medical record reviews with the Medical Director.
• Develop, implement, and update policies and procedures related to patient safety, infection control, and clinical operations.
• Provide staff education and training on accreditation standards and updates.

Qualifications

• Active Registered Nurse (RN) license in Virginia.
• Minimum 3-5 years of clinical experience in an ambulatory surgery center (ASC), hospital, or accredited outpatient facility.
• Prior experience with accreditation processes, strongly preferred.
• Strong understanding of infection control, patient safety, and quality improvement standards.
• Exceptional organizational skills, attention to detail, and ability to work independently.
• Effective communication and problem-solving abilities.

Position Details

• Status: Contract Position
• Compensation: Competitive hourly rate (no benefits)
• Estimated Time Commitment:
• Several hours monthly to maintain compliance and documentation
• ~8 hours annually to complete the annual self-survey documentation
• Increased hours during the triennial on-site survey period

Join a team where clinical excellence, safety, and patient-centered care are at the heart of everything we do.