Job Description

Must have Bachelor's degree in health related field. Prior experience of at least 2 years with survey readiness and accreditation related activities is required.  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.        
Reporting to the Administrative Director of Quality and Care, 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.  Is responsible for communicating, maintaining and processing defined or designated confidential Performance Improvement information. Will assist the Admin Director with educational opportunities related to survey readiness. 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 to include Holidays, call-backs, weeknights, weekends, and on-call. 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 shall work well under pressure, meet multiple and sometimes competing deadlines; and the incumbent shall at all times demonstrate cooperative behavior with colleagues and supervisors.

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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