Clinical Certification Coordinator - FT - Days

Nursing (RN and LVN) Edinburg, Texas


Description

Position at DHR Health

 

Job Description:

Clinical Certification Coordinator

 

Formulated: 

05/2020

Department:

Clinical Certification

Reviewed by Senior Human Resources Business Partner:

(Date Reviewed)

Reports To:

Clinical Certification Director

 

Approved by Director of Human Resources:

(Date Approved)

 

 

EMPLOYEE’S FULL NAME: ________________________

 

FLSA STATUS: Exempt Non-Exempt

 

MISSION STATEMENT:

Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.

 

VISION:

Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.

 

POSITION SUMMARY:

(Description summary of position)

 

POSITION EDUCATION/ QUALIFICATIONS­:

  • Bachelor’s Degree preferred (Nursing or other clinical healthcare license/degree).
  • Prefer minimum experience of three years  of accreditation and/or quality experience in a hospital setting.
  • Prefer experience with coordinating TJC preparation and participation in State and CMS surveys within the last three years.
  • Computer skills required with proficient knowledge of Microsoft Office suite. 
  • Good written and verbal communication skills required.
  • Some evening or weekend work will be required.
  • Bilingual – English/Spanish preferred

 

JOB KNOWLEDGE/EXPERIENCE­:

  • Prefer 3 years of accreditation experience in healthcare
  • Strong organizational, interpersonal, management and leadership skills.
  • Proactive, self-confident and recognized as a credible resource in patient care and patient safety issues.
  • Ability to work independently, have good judgment, and decision making ability.
  • Work collaboratively with patient care service staff and physicians to lead transformational change.
  • Ability to bring together diverse entities and personalities for the purpose of creating a highly effective and productive team.
  • Knowledge of statistics, data collection and survey design.
  • Skill in establishing a balanced perspective on mission effectiveness and business results is critical.
  • Knowledge of State, Federal, and The Joint Commission regulations.
  • Willingness to learn additional accreditation and/or certification designations

 

POSITION RESPONSIBILITES:

  • Promotes the facility mission, vision and values by effectively communicating them to others.  Considers mission, vision and values in developing services, standards and practices.
  • Establishes and enforces policies, procedures, standards and objectives. 
  • Assist with planning and implementing the performance improvement program to meet the needs of the hospital and accrediation programs.
  • Provides education to medical staff, hospital staff and Governing Body around accreditation initiatives. 
  • Assists with performance improvement activities and process improvement activities throughout the hospital. 
  • Acts as resource person to administrative team, department managers and medical staff. 
  • Assists department managers with preparation for various committee presentations
  • Assist team with all regulator body surveys, i.e., TJC, State Licensing Review, HCFA (CMS) Validation surveys. 
  • Ability to develop and analyze quality/performance data to identify trends, develop action plans, and implement program modification for change. 
  • Must have a good understanding of regulatory standards/requirements.
  • Coordinate the quality improvement and patient safety programs at DHR. 
  • Other duties as assigned.

 

LINES OF REPSONSIBILITES:

(Chain-of-command)

  1. Clinical Certification Coordinator 2.Clinical Certification Director 3. VP Quality and Patient Safety             

 

 

 

CUSTOMER SERVICE:

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Compassion, Accountability, Respect, Excellence through Knowledge and Safety & Social Conscience.

 

AGE SPECIFIC:

Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit.  The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status and interpret the appropriate information needed to identify each patient’s requirement relative to his or her age.  

 

AMERICANS WITH DISABILITIES ACT: (ADA)

 

A.Essential Duties:Indicated by bold print within performance standards, preceding individual numbered criteria.

 

The following table provides physical requirements that will be associated with, but not limited to, this position:               

Light/moderate lifting up to 20 lbs, from the floor to shoulder height. 

Yes

Kneeling

Yes

Must be able to assist other employees with lifting more than 20 lbs.

Yes

Walking

Yes

Light/moderate carrying up to 20 lbs.

Yes

Standing/Squatting

Yes

Straight pulling

Yes

Sitting

Yes

Pulling hand over hand

Yes

Pushing

Yes

Repeated bending

Yes

Stooping/Bending

Yes

Reaching above shoulder

Yes

Climbing Stairs

Yes

Simple grasping

Yes

Climbing Ladders

No

Dual simultaneous grasping

Yes

Depth Perceptions needed

Yes

Ability to see

Yes

Identify Colors

Yes

Operating office equipment

Yes

Twisting

Yes

Operating mechanical equipment

Yes

Crawling

No

Ability to read and write

Yes

Ability to Count

Yes

Ability to hear verbal communication without aid

Yes

Operating Personal Vehicle

Yes

Ability to comprehend written/verbal communication

Yes

Other:  Ability to deal with stress

Yes

OSHA Category

III

 

 

 

B.Working Conditions:  The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes.  The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents. 

 

C.Occupational Exposure:  This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids).  Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.    

D.Aptitudes:HIGH123456LOW

 

Intelligence:  General learning ability:  The ability to “catch on” or understand instructions and underlying principles.  Ability to reason and make judgments. 3

 

Verbal:Ability to understand meanings of words and ideas associated with them, and to use them effectively.  To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly.              3

 

Numerical:Ability to perform arithmetic operations quickly and accurately.   2

 

Spatial:Ability to comprehend forms in space and understands relationships of plane and solid objects.  Frequently described as the ability to “visualize” objects or two or three dimensions, or to think visually of geometric forms.  2

 

Form Perception:Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines.   3

 

Clerical Perception:Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2

 

Motor Coordination:  Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly.               3

 

Finger Dexterity:Ability to move hands easily and skillfully.  To work with fingers in placing and turning motions.              3

 

Manual Dexterity:Ability to move hands easily and skillfully.  To work with hands in placing and turning motions.              3

 

Eye-Hand-Foot Coordination:Ability to move the hand and foot coordinately with each other in accordance with visual stimuli.              3

 

Color Discrimination:Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color.  To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately.              3

 

 

I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.

 

If applicable ____________ certification will be completed within _________ time frame of hire/transfer date.

 

 

Employee Signature:________________________________Date:____________________

 

 

Transfer/Hire Date Effective: ________________________.

 

 

DISCLAIMER

The above statements are intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. DHR leadership reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.