Quality & Accreditation Specialist

Location: Medical Center – Fort Worth
Department: Accred Compliance
Shift: First Shift (United States of America)
Standard Weekly Hours: 40

Summary

The Quality / Accreditation Specialist is responsible for providing concurrent and retrospective review of quality and regulatory issues related to patient care and other processes within Cook Health Care System. Under the Quality Management structure of CCHCS this position will work closely with medical staff, hospital staff and leaders throughout the system to identify opportunities, recommend actions for improvement, facilitate QI Teams, and educate regarding QI principles and regulatory requirements.

Qualifications

• Minimum Associate’s Degree with five years healthcare experience (BSN preferred).
• Understanding of Quality Improvement methodology and accreditation and licensing standards preferred.
• Ability to adapt to changing healthcare environment and requirements.
• Working knowledge of comprehensive health accreditation programs and their relationship with patient safety, risk management, and infection control.
• Analytical and problem‑solving skills.
• Self‑directed with good organizational and interpersonal skills.
• Demonstrates independent judgment, autonomy, and initiative in leadership, time management, and the ability to prioritize projects/functions in a busy work environment.
• Must maintain primary residence within the state of Texas and retain all required licenses and credentials throughout employment.

Certification / Licensure

Licensure required if a healthcare license is held.