Accreditation Readiness Coordinator (RN/LVN Preferred) - FT - Days

Professional Edinburg, Texas


Description

Position at DHR Health

POSITION SUMMARY:

Under the direct supervision of the Supervisor, the Coordinator supports the overall patient safety program across the continuum of care at DHR. The Coordinator is responsible for participating in short-term and long-term strategies to ensure the organization’s mission, vision, and values are carried out through the delivery of high quality, cost effective patient care with a high level of integrity.

 

POSITION EDUCATION/ QUALIFICATIONS­:

  • RN/LVN preferred
  • Minimum experience of three (3) years of accreditation/quality experience in a hospital setting preferred
  • Experience in coordinating TJC preparation and participation in State and CMS surveys within the last three (3) years preferred
  • Computer skills required with proficiency in Microsoft Office Suite
  • Effective written and verbal communication skills required
  • Bilingual – English/Spanish preferred
  • Current valid driver’s license required

 

JOB KNOWLEDGE/EXPERIENCE­:

  • Three (3) years of accreditation experience in the acute healthcare setting preferred
  • Strong organizational, interpersonal, management and leadership skills

 

 

POSITION RESPONSIBILITES:

  • Work collaboratively with hospital and medical staff to achieve transformational change
  • Use high level of organizational skills to manage assignments
  • Draft, revise, and enforce policies and procedures in accordance with the mission, vision, regulations and standards
  • Provide education to the hospital and medical staff around accreditation initiatives
  • Assist with performance and process improvement activities throughout the hospital
  • Conduct audits, data abstraction, and chart reviews as assigned and input information into appropriate software or tool
  • Provide timely feedback and support to stakeholders
  • Generate and disseminate reports to stakeholders
  • Assist department managers with preparation for various committee presentations
  • Participate in regulatory/accreditation/certification surveys, i.e., TJC, State Licensing Review, HCFA (CMS) Validation surveys as assigned
  • Develop and analyze data to identify trends, develop action plans, and implement program modification to improve performance
  • Coordinate the quality improvement and patient safety programs at DHR 
  • Travel to other hospital locations as needed according to assignments
  • Other duties as assigned

 

LINES OF REPSONSIBILITES:

(Chain-of-command)

  1. Accreditation Readiness Supervisor →        Director of Accreditation and Patient Safety   →       
  2. VP of Quality, Safety & Accreditations → 4. Physician Executive