Quality/Accreditation Specialist II - Performance Excellence & Quality Department - 40 hours per week - Day shift
: Job Details :

Under limited direction, plans, organizes and maintains a process to ensure organizational compliance with regulatory standards and continuous survey readiness. Serves as an internal consultant for the interpretation of standards and functional measurement of compliance. Develops performance improvement plans with management/staff on an as needed basis. Interprets new regulations for education purposes and implementation efforts. EDUCATION AND EXPERIENCE: Bachelors degree in Nursing or healthcare related field required , Masters degree in health care field preferred; RN preferred. Minimum 5 years hospital experience required; clinical/operational experience preferred. Demonstrated knowledge of TJC, DNV, CMS Conditions of Participation required and familiarity with other accrediting, licensing and regulatory standards desirable. Evidence of continuing education in standards/regulations/training QI/ PI Team member, lead or facilitator 1 - 3 years required Scope: Broad Business unit/multi...Performance, Quality, Specialist, Excel, Department, Credit, Technology