Accreditations Coordinator

Focus on American College of Surgeons Oncology programs

Pay Range

Essential Functions

• Leads continuous accreditation readiness efforts and coaches others in the development of accreditation improvement capabilities. Provides direction to department and facility leadership in the planning of a systematic organization-wide approach to continuous accreditation readiness.
• Maintains expert competence in accreditation standards and communicates relevant changes to appropriate leaders and staff.
• Maintains a close working relationship with facility leadership to optimize the quality and patient safety culture and to support constant state of readiness for accreditation reviews.
• Facilitates assessments develops implements and evaluates corrective action plans based on past surveys and preparatory tracer activities. Compiles and distributes compliance reports including appropriate action plans to oversight councils. Supports and guides the facility in continuous survey readiness efforts.
• Participates in the review analysis and development of plans.
• Prepares reports and presentations.
• Coordinates department and facility accreditation compliance meetings analyzes trends of performance metrics identifies opportunities for improvement develops action plans measures success of these action plans creates the records and follow-up metrics for each meeting and activity. Re-assesses approach to maximize success.
• Assists leadership in defining key performance indicators and developing measurement tools to evaluate quality improvements.
• Utilizes facilitation skills (both team and individual) data analysis and statistical process control to effect improvement in quality and clinical outcome.
• Consults with and trains staff to implement monitoring and measurement tools and data analysis techniques. Provides education and training on accreditation compliance and accreditation matters.
• Collaborates with staff to facilitate improvement teams to achieve facility and System quality and patient safety goals.
• Assists with system and regional quality initiatives.

Education Experience and Certifications

Our CommitmenttoYou:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs competitive compensation generous retirement offerings programs that invest in your career development and so much more so you can live fully at and away from work including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications skills relevant experience and/or training
• Premium pay such as shift on call and more based on a teammates job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical dental vision life andShort- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program