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The Joint Commission Project Director, Healthcare Standards Development - RN in Oakbrook Terrace, Illinois



Directs projects related to the development of accreditation and certification standards and survey methods. Provides clinical guidance and support for non-clinical staff within the department, division and the Enterprise. Serves as faculty for surveyor and other education programs. Represents the Joint Commission at speaking engagements and as a liaison to various professional organizations.



  • Provides clinical guidance and support for divisional and enterprise wide initiatives. Reviews, analyzes, and synthesizes literature in specified clinical topic areas related to issues of quality and safety in the delivery of patient care. Based on this review and analysis applies their independent clinical judgement in the development of clinically focused standards and survey methods. Understands the clinical implications of the standards on both the delivery of patient care and impacts to healthcare organization work flow.

  • Engages with experts in defined clinically or healthcare focused topic areas, identifies quality and safety issues in assigned topic areas, develops proposals and recommendations to inform standards and survey method development.

  • Develops and defines project goals, activities and work plans for departmental initiatives. Defines project parameters and specifications and organizes related staff resources. Formulates creative and innovative approaches to accomplishing project objectives.

  • Manages daily operations related to assigned projects which are often very large and complex.

  • Monitors current projects to ensure that they are conducted in a highly professional manner. Acts independently and pro?actively to manage and resolve project?related problems as they arise. Leads both department and interdivisional workgroups/teams related to assigned projects.

  • Participates in the development of standard operating procedures necessary for smooth projectimplementation and consistent project performance.

  • The following responsibilities apply only if assigned to a Strategic Business Unit (SBU): Actively contributes to the successful achievement of SBU performance objectives through effective SBU team involvement and proactive communication and collaboration.

  • Provides professional/technical guidance and consultation to other Joint Commission divisions and personnel as it relates to standards and survey methods activities, and associated data collection, analysis and reporting.

  • Manages and actively contributes to the development and refinement of standards and survey methods and data collection instruments for assigned projects including but not limited to:

  • Coordinating activities to ensure timely project implementation and completion.

  • Maintaining and expanding knowledge base using available resources.

  • Offering unique and innovative approaches and alternatives in strategies.

  • Initiates, coordinates, and participates in the dissemination of information related to standards and survey methods development and refinement activities through journal publications, presentations at national conferences, speaking engagements related to project activities and internal communication vehicles (e.g., Accreditation Program Newsletters, Journal on Quality Improvement, etc.

  • Prepares and presents memoranda, position papers and ad hoc reports for the Board of Commissioners, advisory bodies and senior management concerning all aspects of thedepartment's work. Represents the department at external professional forums and in a broadvariety of internal cross-divisional activities.

  • Assists in the development and administration of departmental budgets related to specific projects.

  • Promotes and supports RPI departmental/divisional projects, uses RPI tools appropriate for project work and participates as an RPI team member or lead when assigned.

  • Successfully completes NFRO training and conducts onsite surveys as a central office surveyor within 3 years of hire.INDTJC



Our team members embrace a number of commonly shared values-collaboration, accountability, a bias toward action and results, fairness, pride, camaraderie, appreciation and respect for each other and our customers. These values represent the behavior each employee is expected to exhibit in their role. In our view, fostering a culture that embodies these values will lead to success and growth for our team members and our department.

  1. Registered Nurse with the level of knowledge equivalent to that ordinarily acquired through the completion of at least a master's degree in a related health care field plus previous progressive leadership role in a health care setting.

  2. Five to seven years of experience in health care. Emergency Department, Medical-Surgical, or ICU experience preferred. Understanding of overall hospital operations with experience in multidisciplinary and cross-departmental teams desirable.

  3. Managerial ability to plan, organize, synthesize and independently utilize and apply clinical skills in complex projects involving a wide range of individuals, groups, and/or committees.

  4. Strong analytic abilities to develop project plans, design data collection systems, interpret evaluation results, and oversee project budgets.

  5. Demonstrated critical thinking skills, ability to problem solve, and manage multiple priorities.

  6. Effective interpersonal skills to interact with individuals at various levels both inside and outside of the organization, often in sensitive situations requiring political awareness.

  7. Excellent written and verbal communication skills.

  8. Displays a strong commitment to superior quality.

  9. Displays a willingness to work flexible schedule based on workload and deliverable dates.

  10. 10-15% travel required.

This job description is intended to describe the general nature and level of work performed by an employee assigned to this position. The description is not an exhaustive list of all duties, responsibilities, knowledge, skills and abilities, and working conditions associated with this position. All requirements are subject to possible modification due to business needs and/or reasonable accommodations for individuals with disabilities.

Job Locations US-IL-Oakbrook Terrace

Job ID 2021-4774

# of Openings 1

Category Research

  • Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.

  • Please view Equal Employment Opportunity Posters provided by OFCCP here.

  • The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.

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