Your job is more than a job. This position is responsible for the coordination of a department or facility--wide program to obtain and maintain accreditation/credentialing through a state or national governing body. Your Everyday Collaborates with leadership in assessing, planning, implementing, coordinating and evaluating the designated Program. Assists in program, center, and/or service line development, managing the accreditation process and ensuring continuous compliance with state and national standards. Maintains relevant policies and procedures, patient education, outcomes data collection, quality improvement efforts, and education of relevant staff and patients in the various aspects of the specific patient population with a focus on patient safety. Administers appropriate required Committee(s) and must attend required meetings for program compliance. The Program Specialist supports the development of written protocols and education of nursing staff detailing the rapid communication and basic response to critiical patient findings that are specifically required to minimize delays in the diagnosis of treatment of serious adverse events. Coordinates and maintains ongoing patient tracking, abstracting, and data entry into necessary Registries. Works closely with team members to ensure timely submission of outcomes data to the Registries. Responsible for quality and performance improvement activities that comply with state and national guidelines to include the American College of Surgeons, the Joint Commission, and CMS criteria. Supports the operational needs of the Program. Oversees the monitoring of the effectiveness of existing processes toward improving quality outcomes. Anticipates future requirements for maintaining expertise in area. Responsible for the Program assessment and collaboration of business the development. Stays current with industry trends and innovations. Ensures all staff are in compliance with mandatory training and credentials.
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Job Type
Full-time
Career Level
Mid Level
Number of Employees
5,001-10,000 employees