Job Description



To perform this job successfully, an individual must have and maintain current licensure as a Registered Nurse in the state of California.  Must have and maintain current BLS certification or obtain within orientation process, prior to hands-on patient care.
 
Must have Bachelor of Science Nursing (BSN) or agree to obtain BSN within 3 years of hire.  At least five (3-5) years clinical experience in acute care facility as a Registered Nurse is preferred.  Prior experience with survey readiness and accreditation related activities. Demonstrates independent judgment, autonomy and initiative in leadership skills, time management and organizational skills and the ability to prioritize projects/functions in a busy work environment. 
 
To perform this job successfully, the individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
              
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.  Ability to write routine reports and correspondence if required.  Effective and diplomatic oral and written communication skills and maintenance of confidential information.
                 
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages if required.
                  
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.  Ability to deal with problems involving several concrete variables in standardized situations.
            
To perform this job successfully, an individual should be computer literate in programs such as Microsoft Word, Excel and Power Point. Able to create statistical reports, using graphs and charts to present data.   
 
Under the supervision of the Director, the Accreditation Coordinator is responsible for duties related to Organizational Performance Improvement and Regulatory compliance. This includes, but is not limited to, coordinating regulatory surveys and ongoing survey preparedness. Supports high quality, safe care by ensuring organizational systems and processes comply with all regulatory requirements.  The RN is responsible for communicating, maintaining and processing defined or designated confidential Performance Improvement information, including Hospital-wide and Medical Staff Peer Review activities. Duties also include data collection via chart review, analysis, recommendation, implementation, trouble-shooting and support for any given department and facility need. Will assist the Director with educational opportunities. Must be professional and cooperative with patients, visitors, employees and members of the medical staff, in  support of the hospital's customer service goals.
 
Must be able to work normal/scheduled working hours which may include Holidays, call-backs, weeknights, weekends, and on-call in the Director's absence. Agrees to participate, as directed, in emergencies and community disasters during scheduled and unscheduled hours.
 
Needs to recognize that they have an affirmative duty and responsibility for reporting perceived misconduct, including actual or potential violations of laws, regulations, policies, procedures, or this organization’s standards/code of conduct.
 
The employee must work well under pressure, meet multiple and sometimes competing deadlines; and the incumbent shall at all times demonstrate a cooperative behavior with colleagues and supervisors from all departments of the Hospital and government agency employees.

 
The Hospital is an equal opportunity employer and makes employment decisions on the basis of merit, qualifications, potential and competency.   The Hospital policy prohibits unlawful discrimination based on race, color, creed, gender (including gender identity and gender expression), religion (all aspects of religious beliefs, observance or practice, including religious dress or grooming practices) marital status, registered domestic partner status, age, national origin or ancestry, physical or mental disability, medical condition (including cancer or a record or history of cancer, and genetic characteristics), sex (including pregnancy, childbirth, breastfeeding or related medical condition), genetic information, sexual orientation, veteran status or any other consideration made unlawful by federal, state, or local laws.  It also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics, or is associated with a person who has or is perceived as having any of those characteristics.  Discrimination can also include failing to reasonably accommodate religious practices or qualified individuals with disabilities where the accommodation does not pose an undue hardship.  All such discrimination is unlawful.
 
The Hospital is committed to complying with all applicable laws providing equal employment opportunities.  This commitment applies to all persons involved in the Hospital operations and prohibits unlawful discrimination by any employee of the Hospital, including supervisors and coworkers.


Application Instructions

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