Accreditation and Licensure Coordinator - Quality & Safety

Job Summary

The Quality & Safety team at Cobb Hospital has an exciting opportunity for a Accreditation and Licensure Coordinator. This role promotes compliance of licensure, certification, and accreditation standards among WellStar facility team members, leaders, and physicians.

Core Responsibilities And Essential Functions

• Maintains the Joint Commission extranet site including, but not limited to, the hospital application with each HOD or new hospital program addition, required document submission and official TJC communications.

• Collaborates with and supports hospital specific certification programs with all functions of survey preparation, implementation, and post survey requirements.

• Edicates and executes the hospitals Survey Implementation Plan.

• Serves as the hospitals representative for all surveys.

• Communicates survey progress and potential problems with the Quality and Patient Safety leader.

• Responsible for all post survey requirements including the timely submission of corrective action plans.

• Consults on policies at the hospital and system levels.

• Supports patient safety activities by conducting policy and procedure reviews to support Root Cause Analysis.

• Communicates new or revised policy and procedures to the members of the hospital teams.

• Performs other duties as assigned.

Required Minimum Education

Bachelors Nursing or Bachelors Other

Required Minimum Experience

• Minimum 2 years of experience in a healthcare setting.

• Minimum 1 year with hospital accreditation and licensure programs (e.g. The Joint Commission, CMS) is preferred.

Required Minimum Skills

• Strong attention to detail; meticulous accuracy and thoroughness

• Superior organizational and interpersonal skills with ability to work independently as well as with a team

• Demonstrated excellence in interpersonal and written communication skills required

• High degree of professionalism, discretion, and confidentiality

• Strong computer skills, including but not limited to Microsoft Office and accreditation software

• Proficiency in problem solving and negotiating teams to reach consensus

• Ability to build relationships and foster communication among stakeholders in clinical and non-clinical settings

Benefits

Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.

Pay

N/A

Schedule

TBD