Accreditation Specialist

Texas Children's Medical Center

Job Location:

Houston, MS - USA

Monthly Salary: Not Disclosed

Posted on: 10 hours ago

Vacancies: 1 Vacancy

Job Summary

Description

Were looking for an Accreditation Specialist to work as part of the Quality & Outcomes Management Team to achieve cost effective health care throughout Texas Childrens IDS and maintain necessary accreditation status for the organization.

Think youve got what it takes

Key Responsibilities

Supports the Continuous Service Readiness program
Participates in the internal mock survey program which includes planning development of tools training conducting mock surveys reporting findings and follow-up as needed
Works with leadership to plan facilitate participate and follow-up on findings of consultative surveys.
Participates in actual unannounced JC/CMS/TxHHS surveys. Role includes preplanning education active participation in survey and required follow-up.
Participates in conducting annual ICM. Report findings and develop action plans. Monitor metrics on a monthly basis as required.
Coordinates regulatory educational offerings including internal and external presentations
Oversee JC Accreditation website and communicate to appropriate audiences. Maintains documents necessary for the system.
Oversees and coordinates with IS the installation of Accreditation Manager Plus (AMP) site licenses. Provides education and training to the AMP end users. Represents Accreditation in formal and informal settings at TCH and in the healthcare community.
Represents Accreditation at TCH committee meetings and programs as assigned.
Prepares agendas reports and minutes as assigned on time and error-free
Provide regulatory consulting and analysis services to TCH IDS staff and physicians.
Serves as TCH liaison to JCR for coordination scheduling contracting and billing of mock survey visits.
Serves as JCR Advisory Panel representative.
Communicates with Joint Commission SIG group for questions regarding interpretation of accreditation issues. Inform appropriate parties of SIG ruling.
Actively commits to the on-going development of self and maintain current knowledge of accreditation and regulatory standards.
Develops regulatory articles and newsletters for the organization error free and on time
Develops presentations with style accuracy and professionalism as evidenced by error free presentation. Includes not only power point but written material as well.
Maintains up to date knowledge of JC/CMS/TxHHS regulations for all applicable programs as evidenced by direct observation by leadership.
Conducts consultative mock surveys independently throughout the IDS. Evidenced by direct observation of leadership and customer feedback.
Participation in other departmental operations.
Provide input related to the development of the operating budget.
Acts as a Facilitator or Team Leader on projects as assigned.
Conducts special projects as assigned at the direction of leadership

Knowledge & Skills

Strong knowledge of JC standards CMS requirements TxHHS regulations medical staff rules utilization and case management principles and organizational practices.
Excellent verbal and written communication skills with the ability to convey complex regulatory and quality concepts.
Ability to identify and solve problems independently collaborate effectively across departments and thrive in a team environment.
Strong analytical organizational and project management skills.

Qualifications

Required Education: Bachelors degree in Nursing Pharmacy Social Sciences Respiratory Therapy Health Information Management or Business Administration.
Licenses/Certifications: CPHQ; RN or other clinical discipline.
Experience: Minimum 2 years of clinical quality and/or accreditation experience.
Skills: Strong communication analytical skills regulatory knowledge and ability to collaborate across departments.

Required Experience:

DescriptionWere looking for an Accreditation Specialist to work as part of the Quality & Outcomes Management Team to achieve cost effective health care throughout Texas Childrens IDS and maintain necessary accreditation status for the organization.Think youve got what it takesKey ResponsibilitiesSup...

Description

Think youve got what it takes

Key Responsibilities

Supports the Continuous Service Readiness program
Participates in the internal mock survey program which includes planning development of tools training conducting mock surveys reporting findings and follow-up as needed
Works with leadership to plan facilitate participate and follow-up on findings of consultative surveys.
Participates in actual unannounced JC/CMS/TxHHS surveys. Role includes preplanning education active participation in survey and required follow-up.
Participates in conducting annual ICM. Report findings and develop action plans. Monitor metrics on a monthly basis as required.
Coordinates regulatory educational offerings including internal and external presentations
Oversee JC Accreditation website and communicate to appropriate audiences. Maintains documents necessary for the system.
Oversees and coordinates with IS the installation of Accreditation Manager Plus (AMP) site licenses. Provides education and training to the AMP end users. Represents Accreditation in formal and informal settings at TCH and in the healthcare community.
Represents Accreditation at TCH committee meetings and programs as assigned.
Prepares agendas reports and minutes as assigned on time and error-free
Provide regulatory consulting and analysis services to TCH IDS staff and physicians.
Serves as TCH liaison to JCR for coordination scheduling contracting and billing of mock survey visits.
Serves as JCR Advisory Panel representative.
Communicates with Joint Commission SIG group for questions regarding interpretation of accreditation issues. Inform appropriate parties of SIG ruling.
Actively commits to the on-going development of self and maintain current knowledge of accreditation and regulatory standards.
Develops regulatory articles and newsletters for the organization error free and on time
Develops presentations with style accuracy and professionalism as evidenced by error free presentation. Includes not only power point but written material as well.
Maintains up to date knowledge of JC/CMS/TxHHS regulations for all applicable programs as evidenced by direct observation by leadership.
Conducts consultative mock surveys independently throughout the IDS. Evidenced by direct observation of leadership and customer feedback.
Participation in other departmental operations.
Provide input related to the development of the operating budget.
Acts as a Facilitator or Team Leader on projects as assigned.
Conducts special projects as assigned at the direction of leadership

Knowledge & Skills

Strong knowledge of JC standards CMS requirements TxHHS regulations medical staff rules utilization and case management principles and organizational practices.
Excellent verbal and written communication skills with the ability to convey complex regulatory and quality concepts.
Ability to identify and solve problems independently collaborate effectively across departments and thrive in a team environment.
Strong analytical organizational and project management skills.

Qualifications

Required Education: Bachelors degree in Nursing Pharmacy Social Sciences Respiratory Therapy Health Information Management or Business Administration.
Licenses/Certifications: CPHQ; RN or other clinical discipline.
Experience: Minimum 2 years of clinical quality and/or accreditation experience.
Skills: Strong communication analytical skills regulatory knowledge and ability to collaborate across departments.

Required Experience:

Key Skills

Sales Experience
Crane
Customer Service
Communication skills
Heavy Equipment Operation
Microsoft Word
Case Management
OSHA
Team Management
Catheterization
Microsoft Outlook Calendar
EHS

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About Company

Texas Children's Medical Center

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades suc ... View more

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