Accreditation Coordinator, Treatment & Recovery Center, PT Days

Professional Lawrence, Kansas


Take Your Career to the Next Level with LMH Health!

As the Accreditation Coordinator 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.

Top Reasons to work at LMH Health

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

- 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).

- 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.

Our Values

Patient 1st – We consider the patient first in everything we do.

Better Together – We are part of the LMH team that works together to achieve excellence.

Speak Up – We embrace a transparent culture of open, respectful communication where ideas are valued and solutions are created.

Innovate! – We actively explore new ideas and approach change with agility and an open mind.

Own It/Solve It – We hold ourselves accountable for our actions and we collaborate for solutions.

In Joy – We 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.