Accreditation Coordinator, Oncology

Professional Lawrence, Kansas


Description

Schedule: 8:00 am-1:00 pm

Take Your Career to the Next Level with LMH Health!

As the Accreditation Specialist you will plan, coordinate and monitor compliance with national standards.  LMH Health has multiple accreditations through The Joint Commission and the American College of Surgeons. You will partner with leaders throughout the system to manage accreditation activities necessary for maintaining accreditations.  You will assist with ensuring full compliance with accreditation/regulatory policies and standards, develop continuous process improvement strategies to address any performance gaps, and streamline workflows across respective accreditation/regulatory program activities.

ESSENTIAL JOB RESPONSIBILITIES

  1. Reviews and understands all standards relevant for accreditation programs
  1. Coordinates accreditation/regulatory meeting schedules, agendas, preparation of materials, and meeting minute documentation
  1. Coordinates other accreditation committee activities including coordinating speakers, documenting compliance, and required applications and reports
  2. Tracks adherence to and progress against established standards.
  3. Assists with completing the survey administration records.
  4. Prepares for and facilitates on-site surveys.
  1. Identifies opportunities to utilize Operational Excellence in processes relating to TJC standards and CMS CoP.
  1. Work with organizational stakeholders to provide required data and related analysis for standards compliance, planning, and quality initiatives.
  2. Works collectively with team leadership to follow up on any findings or post-survey activities to address items.
  3. Formulate and convene work teams to address accreditation standard or quality improvement project needs.
  4. Participates with the accreditation team to support other projects as assigned

 

  1. JOB QUALIFICATIONS

Required:

  • Bachelor’s degree in a healthcare-related field (e.g. nursing, healthcare administration, public health, etc)
  • 2 years of experience in accreditation, process improvement, quality management and/or project management in a clinical environment.
  • Strong computer skills (Excel and Word)

Preferred:

  • Experience in clinical environment, preferably oncology
  • Master’s degree
  • Yellow Belt, Lean Six Sigma or advanced
  • 5+ years of experience in project management and/or accreditation

Successful Candidate will have:

  • Advanced knowledge of computer spreadsheets and databases
  • Basic knowledge of statistics and statistical methods of analysis.
  • Good organizational skills; ability to prioritize, use good time management and adhere to deadlines as directed.
  • Strong and collaborative team player; works well in a continuous learning environment. 
  • Advanced interpersonal skills including clear and effective communication (both written and verbal) with diverse audiences
  • Strong listening skills and the ability to problem solve and make informed decisions.
  1. BEHAVIORAL EXPECTATIONS (common to all positions)
  • Patient 1st – I consider the patient 1st in everything we do
  • Better Together – I am part of the LMH team that works together to achieve excellence
  • Speak Up – I communicate openly and welcome feedback to make us better
  • Be Bold – I boldly take risks to creatively explore, innovate, and learn from our experiences
  • Own It – I take accountability for my actions and hold others accountable for theirs
  • In Joy – I create a workplace that is both fun and meaningful

 

At LMH Health we value inclusion and diversity. We are an equal opportunity employer and encourage all to apply.  Employment is decided on the basis of experience and qualifications that meet the business need.