To see if this position qualifies for a sign-on bonus, click here: Valley Health Sign-On Bonuses

Description

• Entity: Valley Health Corporate
• Shift: Day

Who We Are

Valley Health System is a not-for-profit network of hospitals, urgent cares, physician practices, and services. Expanding across Virginia, West Virginia, and Maryland, we are devoted to the health of all who call our 18-county area home.

A vital resource for healthcare, we are the region’s largest employer, a dependable community partner, and are at the leading edge of clinical innovations.

We are looking for passionate, innovative, and caring people who will each bring their unique skills and perspectives to our workplace.

What You Will Do:

The Quality and Accreditation Coordinator is responsible for quality, accreditation and regulatory compliance readiness at Valley Health (VH) including the development, coordination and monitoring of effectiveness of all programs related to standards of Joint Commission and CMS. The Coordinator provides support for Quality, Patient Safety, Process Improvement, Leadership, Accreditation and Regulatory Compliance with Joint Commission, CMS, State and other regulatory agencies.
Responsibilities and Duties
Guides, supports and coordinates continual accreditation readiness using an integrated system approach. Develops and facilitates education opportunities such as tracer activities, mock exercises, tools and policies to sustain quality and accreditation initiatives that will ensure accreditation readiness and compliance with Joint Commission, CMS, state and other regulatory bodies. Guides, supports and coordinates, with appropriate operational leaders, to submit all documents for respective quality and patient safety programs/surveys, accreditations, certifications and designations, such as Leapfrog, Blue Distinction, and Anthem Quality Insights. Collaborates with leaders across VH to identify improvement opportunities. Reviews and analyzes sentinel events, serious safety events, and near misses for the system with operational and senior leaders. Assists and leads quality review initiatives toward the journey of high reliability. Presents, facilitates and leads assigned tasks by gathering data, problem solving and project management. Provides follow-up to monitor the progress of planned improvement implementation to assure timely action, appropriate support, and achievement of expected measures. Works with staff, physician champions, and executive sponsors to create improvement plans/recommendations to mitigate future harm, including a review of evidence-based and best practices. Develops and presents improvement work and materials including presentations, lectures, on-demand content, and/or ad hoc educational forums to assist leaders and front-line team members with continuous improvement. Guides, supports and coordinates within the system to assure appropriate information flow and overall process improvement is spread up, down and across the organization. Serves as a subject matter expert and internal consultant in quality, accreditation and regulatory compliance readiness. Engage all members of the Valley Health team in the application of improvement methodologies and cross-functional teamwork. Serves in a highly visible leadership role, working collaboratively across the enterprise and externally to provide a state, and national presence for the program, and be seen as a leader in quality and safety.

What You Will Bring:

Education
Bachelor in Nursing, Healthcare, Business or related field required
Masters in Nursing, Healthcare, Business or related field preferred

Experience
Minimum (3) years of experience working with healthcare quality and accreditation required.
Experience working in a healthcare organization required.
Experience with Joint Commission standards and survey process required.
Nursing, clinical, healthcare consulting or project management experience preferred.

Certification & Licensures
Licensed or eligible for licensure in Commonwealth of Virginia preferred
CPHQ, Lean, Six Sigma, or Project Management preferred

Qualifications
Demonstrated experience with accreditation standards, regulations and Virginia/West Virginia state regulations as well as Joint Commission and CMS regulatory compliance standards.
Ability to work with a wide range of partners, from front-line staff to executives, both independently as well as in leading teams. Ability to work with people in a tactful, diplomatic manner and possess good judgment and discretion in dealing with both internal and external customers and regulatory agencies.
Data driven with the ability to interpret and analyze complex data to drive improvement efforts. Expertise in data mining, report writing and/or data presentations required.
Excellent verbal and written communication skills; adept at adult education principles.
Must be a system thinker and able to connect improvement efforts across entities within the System, as appropriate.
Demonstrated knowledge of quality/performance improvement initiatives with a focus on High Reliability.
Excellent attention to detail and ability to work quickly and accurately.
Ability to coordinate multiple projects at one time and prioritize work demands.
Exceptional skills in developing relationships, mediating conflicts, building teams, communicating, and planning.
Ability to maintain disposition and productivity under stress.
Ability to lead and foster shared accountability for change and outcomes and lead high-performing teams.

What You Will Get:

At Valley Health, we believe everyone is a caregiver, and our goal is to create an environment where our caregivers thrive physically, financially, and emotionally. In addition to a competitive salary, our most popular benefits for full-time employees include:
• A Zero-Deductible Health Plan
• Dental and vision insurance
• Generous Paid Time Off
• Tuition Assistance
• Retirement Savings Match
• A Robust Employee Assistance Program to help with many aspects of emotional wellbeing
• Membership to Healthy U: An Incentive-Based Wellness Program

Valley Health also offers a health savings account & flexible spending account for childcare, life insurance, short-term and long-term disability, and professional development. In addition, several perks come with working for the largest employer in the region, such as discounts to on-campus dining, and more.

To see the full scale of what we offer, visit valleyhealthbenefits.com.

Exclusions apply

We celebrate, support, and thrive on our differences for the benefit of our employees, our patients, and the communities we serve.
We are neighbors caring for neighbors, and our goal is always to help those we serve get well, feel well, and stay well.

EOE

Criminal Background Checks
VA State Police
3rd party Background Check

FLSA Classification
Exempt

Grade
121

Physical Demands
6 A Customer Service