LVN Accreditation Readiness Coordinator - FT - Days
LVN Accreditation Readiness Coordinator
Reviewed by Senior Human Resources Business Partner:
Accreditation Readiness Supervisor
Approved by Director of Human Resources:
EMPLOYEE’S FULL NAME: ________________________
FLSA STATUS:☒ Exempt☐ Non-Exempt
Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.
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.
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:
- Licensed Vocational Nurse (LVN) required
- 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
- Three (3) years of accreditation experience in the acute healthcare setting preferred
- Strong organizational, interpersonal, management and leadership skills
- 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:
- Accreditation Readiness Supervisor→2. Director of Accreditation and Patient Safety→
3. VP of Quality, Safety & Accreditations→4. Physician Executive
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.
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.
Must be able to assist other employees with lifting more than 20 lbs.
Light/moderate carrying up to 20 lbs.
Pulling hand over hand
Reaching above shoulder
Dual simultaneous grasping
Depth Perceptions needed
Ability to see
Operating office equipment
Operating mechanical equipment
Ability to read and write
Ability to Count
Ability to hear verbal communication without aid
Operating Personal Vehicle
Ability to comprehend written/verbal communication
Other: Ability to deal with stress
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.
Intelligence: General learning ability: The ability to “catch on” or understand instructions and underlying principles. Ability to reason and make judgments. 2
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. 2
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.
Transfer/Hire Date Effective: ________________________.
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.