Accreditation Specialist III

Job Summary
Responsible for the coordination of all organization wide mock tracer and other process improvement activities including facilitating, initiating, providing support, and education. Ensures that the organization is in compliance with standards of regulatory and accreditation agencies (i.e. TJC, DNV, CMS, TDSHS, and other hospital licensing) at all times. Prepares, analyzes, and compiles statistics for reports. Assists to facilitate committee meeting as needed; assists with ethics and compliance issues as needed, assists in the workup and investigation of patient's complaints, and performs other duties as assigned.

Minimum Qualifications

Degree: Bachelors Degree required (Nursing or other Allied Health preferred).

Licenses & Certification: Certified Professional for Healthcare Quality or Quality Audits required or within one (1) year of employment

Work Experience: Five (5) years of experience in Quality Management or Accreditation