Coordinator-Quality and Accreditation

Responsibilities

• Captures and distributes data in support of accreditation, certification, regulatory, federal, and state requirements.
• Conducts portions of the medical staff performance improvement process, including profiling to maintain and improve quality of care and service.
• Provides consultation to physicians, staff, PI teams, and departments regarding improvement methodologies and processes.
• Coordinates, implements, and evaluates hospital and medical staff performance improvement activities.
• Coordinates, implements, and evaluates clinical quality initiatives for external comparative benchmarking.
• Coordinates and facilitates the accreditation and regulatory compliance processes.
• Communicates effectively with physicians, staff, external entities.
• Educates hospital staff and physicians regarding Performance Improvement tools and techniques.
• Contributes to preparation for accreditation, certification, and surveys.
• Completes assigned goals.

Specifications

• Experience: Minimum required 5 years of experience in a clinical setting. Prefer previous experience in quality and performance improvement.

• Education: Preferred/Desired minimum required training.

• Special Skills: Preferred/Desired.

• Licensure: Minimum required Registered Nurse.