Accreditation Coordinator - Quality Days 40hrs/wk
- Bachelor’s Degree in Nursing or related clinical field.
- Current Michigan Registered Professional Nurse licensure
- Master’s degree or a Degree in Nursing (BSN) preferred.
- Working knowledge of accreditation standards and regulations with the ability to interpret standards and translate them into organizational policy.
- Ability to analyze compliance/regulatory problems and develop effective solutions for correction.
- Ability to lead and maintain effective working relationships with all levels of employees, medical staff and external vendors.
- Advanced communication and interpersonal skills with all levels of internal and external customers.
- Ability to work independently, make decisions and take appropriate action when concerns arise. Self-motivated. Ability to work with sensitive and/or confidential information. Ability to prioritize multiple projects and manage time effectively.
- Collaborates to identify accreditation/regulatory compliance improvement opportunities/priorities, develop accreditation/regulatory readiness plans and follow through on implementation of plans to ensure accreditation and regulatory requirements are met.
- Responsibilities include regulatory preparedness, educational planning for survey readiness, technical support, innovative resource development and training for accreditation software.
- Collaborates with leadership to ensure audits and action plans, recommendations for improvement and updates are provided to regulatory governing bodies.
- Provides leadership and education and serves as a resource to departments regarding compliance with accreditation/regulatory standards/regulations, process/performance measurements, monitoring and evaluation.
- Actively leads during the survey process, including the preparation of corrective action plans as required by accrediting/regulatory agencies. Leads the organization accreditation/regulatory readiness committee.
- Schedules and performs focused, mock and unannounced surveys to assess the organization’s state of readiness for accreditation surveys and regulatory inspections.
- Assess survey results to identify potential risk. Develops and implements initiatives that improve the overall preparedness of the organization.
- Participates in policy development for both compliance and accreditation related issues and promotes quality and safety goals.
- Defines and tracks necessary reports and metrics reflecting stability as relates to accreditation and regulatory compliance readiness.
- Performs other duties as assigned. These may include but are not limited to: Maintaining a current knowledge base of department processes, protocols and procedures, pursuing self-directed learning and continuing education opportunities, and participating on committees, task forces, and work groups as determined by management.
Recommended Jobs
Sales Account Manager, Oncology (Sacramento)
Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo Pharma America, Inc.), focused on addressing patient needs in oncology, urology, wo…
Medical Receptionist, Laser Vision Correction
As Michigan's largest LASIK & SMILE center, the Laser Eye Institute is seeking a friendly individual to join our receptionist team. In this role, you will be the first point of contact for patients, …
Lead Teller
Location: 8031 Summerfield - Lambertville, Michigan 48144 Job Summary Be a problem solver, trusted advisor, and partner to the people and businesses in our KeyBank communities. As a Lead Te…
Order Fulfillment, Warehouse/Assembly Associate
Busy Highland Park distributor is seeking dependable ORDER FULFILLMENT, WAREHOUSE & ASSEMBLY ASSOCIATES. Position involves picking, packaging and processing of customer orders, in a warehouse/dist…
Production Assembly Technician
General Summary: Performs essential assembly operations for manufacturing hose assemblies, custom bent tube products, and a variety of assembled components. Responsibilities include assembly, fabr…
Field Marketing Manager - Southeast
About Team & About Role: Rubrik's Marketing Team is growing and we're looking for individuals to join us at one of the most pivotal moments in our journey. Our team breaks boundaries and challe…
Growth Market Account Executive
Paylocity is an award-winning provider of cloud-based HR and payroll software solutions, offering the most complete platform for the modern workforce. The company has become one of the fastest-growin…
General Manager
Clean Earth is a leading provider of environmental services in the United States providing remediation, disposal, recycling, and beneficial reuse solutions for hazardous and non-hazardous waste, cont…
Service Tech - ROS
Great company. Great people. Great opportunities. If you’d like the chance to make your mark with the world’s largest equipment rental provider, come build your future with United Rentals! …
Plasma Processor
table.MiTabla { max-width: 1020px;!important Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the lives of millions of people? Grifol…