LVN Accreditation Readiness Coordinator Accreditation Readi

LVN Accreditation Readiness Coordinator - FT - Days

US:

TX:

Edinburg | Quality & Compliance | Full Time

Summary:

Position Summary:

Under the direct supervision of the Supervisor, is responsible for participating in the processes involved in the commitment and system development of accreditation and certification readiness across the continuum of care  Coordinator is responsible for participating in short term and long term strategies to ensure the organization's vision, mission and values are carried out through the delivery of high quality cost effective patient care for the accreditation service line with a high level of integrity.

Position Education/

Qualifications:

• Graduate of an accredited Vocational School of Nursing.
• Current license as an LVN in the State of Texas.
• Valid and current Driver's License Required
• Valid and current proof of Auto Insurance required.
• Computer skills required with knowledge of Microsoft Office suite.
• Good written and verbal communication skills required.
• Some evening or weekend may be required
• Bilingual – English/Spanish preferred
• Strong organizational, interpersonal, management and leadership skills.
• Proactive, self-confident and recognized as a credible resource in patient care and patient safety issues.
• Ability to work independently, have good judgment, and decision making ability.

Job Knowledge/

Experience:

• Minimum experience of three (3) years of accreditation/quality experience in a hospital setting preferred
• Experience with coordinating TJC preparation and participation in State and CMS surveys within the last three years preferred.

Responsibilities:

Position Responsibilities:

• Work collaboratively with patient care service staff and physicians to lead transformational change.
• Ability to bring together diverse entities and personalities for the purpose of creating a highly effective and productive team. Knowledge of statistics, data collection and survey design.
• Knowledge of State, Federal, and The Joint Commission regulations.
• Willingness to learn additional accreditation and/or certification designations
• Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices.
• Establishes and enforces policies, procedures, standards and objectives.
• Assist with planning and implementing the performance improvement program to meet the needs of the hospital and accreditation programs.
• Provides education to medical staff, hospital staff and Governing Body around accreditation initiatives.
• Assists with performance improvement activities and process improvement activities throughout the hospital.
• Acts as resource person to administrative team, department managers and medical staff.
• Assists department managers with preparation for various committee presentations.
• Assist team with all regulator body surveys, i.e., TJC, State Licensing Review, HCFA (CMS) Validation surveys.
• Ability to develop and analyze quality/performance data to identify trends, develop action plans, and implement program modification for change.
• Must have a good understanding of regulatory standards/requirements.
• Coordinate the quality improvement and patient safety programs at DHR.
• Must have a reliable method of transportation to travel to and from other units of the hospital as assigned.
• Other duties as assigned.

Other Information:

Lines of Responsibilities:

(Chain-of-command)

1. LVN Accreditation Readiness Coordinator → 2. Accreditation Readiness Supervisor → 3. Director of Accreditation Readiness and Patient Safety → 4. VP of Quality, Safety & Accreditation → 5. Physician Executive

Customer Service:

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including:
Commitment, Accountability, Respect, Excellence and Service.

Age Specific:

Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability…