Rehabilitation Accreditation Coordinator

About The Job

MedStar Health is looking for a Rehabilitation Accreditation Coordinator to join their team at MedStar Good Samaritan Hospital!

Primary Duties

• Contributes to the effective management of the department.
• Establishes and meets annual goals developed to help the department achieve its vision and mission.
• Attends and actively participates in appropriate and/or assigned department and/or hospitals committees as evidenced by meeting minutes.
• Interacts effectively with leaders, subordinates, and peers to accomplish the goals of the department.
• Maintains quality assurance policies and procedures in compliance with all regulatory agencies.
• Affirms that the department plan aligns with the hospital plan.
• Maintains and monitors operating statistics.
• Manages quality assurance activities.
• Collaborates with physicians, nurses, and other members of the health care team to review, collect, analyze, and use data that reflects the performance of the organization and its services.
• Provides direction, support, and education in performance assessment, maintenance, and improvement.
• Coordinates development, education, and monitoring of quality assurance protocols related to department procedures.
• Collaborates with Q.A. audits and reports for department, hospital, and corporate Q.A. committees.
• Instructs and educates department staff on the necessity of properly completing incident reports on a timely basis.
• Directs the department's quality assurance activities.
• Audits/monitors all systems which impact the quality of department outcomes or service.
• Develops new processes to improve system performance within allotted resources.
• Assists in training and implementing performance improvement initiatives.
• Collaborates in an effective communication system for system improvement notices or reminders.
• Collects and provides statistical data for hospital related projects.
• Conducts and documents medical record reviews.
• Assists in performance assessments and improvement activities on a departmental and/or hospital-wide basis.
• Collects data and provides reports to medical staff departments according to established timeframes.
• Collects, aggregates, displays, and conducts first level analysis of data obtained from monitoring and assessing the quality of patient care.
• Edits and educates the medical staff and other health care providers on proper documentation of rendered services.
• Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops.
• Assists in performance assessments and improvement activities on a departmental and/or hospital-wide basis.
• Evaluates progress on effectiveness of performance assessment, maintenance, and improvement.
• Facilitates and supports performance improvement teams to improve processes and outcomes.
• Gathers and analyzes data.
• Makes recommendations in collaboration with other health care professionals.
• Integrates the patient care delivery system including medical, nursing and support services.
• Interacts with medical support staff and/or hospital quality review committees to facilitate the recognition, research, isolation, and resolution of potential problems for assigned case load.
• Participates in meetings and on committees and represents the department and hospital in community outreach efforts as required.
• Provides staff support to medical staff departmental meetings as assigned.
• Participates in meetings and on committees and represents the department and business unit in community outreach efforts.

Qualifications

• Bachelor's degree and/or licensing in a Rehabilitation specialty; knowledge of program development, program evaluation, and accreditation procedures.
• 3 years administrative or supervisory experience in a rehabilitation or healthcare setting.
• Clinical license and/or registration as required by discipline.
• Master’s degree preferred.

Pay

This position has a hiring range of USD $74,214.00 - USD $134,596.00 /Yr.