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The Registered Nurse serving as Accreditation Coordinator in the Quality Management Service acts as a technical advisor on accreditation and continuous readiness and coordinates accreditation activities with affected individuals and services, including presurvey and post-survey requirements, issue briefs, and action items. The coordinator implements and maintains accreditation activities across the Southeast Louisiana Veterans Health Care System and plans and coordinates continuing regulatory-compliance readiness throughout the medical center and Community Based Outpatient Clinics. The role provides expertise and leadership concerning facility healthcare inspections and inquiries, including OIG, The Joint Commission (TJC), the Office of Accountability and Whistleblower Protection (OAWP), the Office of the Medical Investigator (OMI), CARF, LTC, Ascellon, and other internal and external survey programs. The coordinator follows established policies, standards of care, and regulations; participates in Quality Improvement projects; and works with multidisciplinary teams and affiliates. The position provides consultation and in-service training related to OIG and regulatory activities. The coordinator serves on or leads assigned committees, workgroups, and teams and maintains responsibility for compliance-program projects and issues across the medical center. The position supports internal review systems—including tracers, audits, and mock surveys—to help ensure clinical and administrative programs comply with agency, accrediting, and regulatory requirements. The coordinator collaborates with leaders, managers, and frontline employees to identify accreditation-related training needs and provides assistance and training to clinical and nonclinical staff. The role attends interdisciplinary meetings daily and other assigned staff, national, or VISN meetings. The stated work schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m., subject to change based on facility needs. Telework is ad hoc only; this is not a virtual position. Relocation and recruitment incentives and permanent change of station are not authorized.
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Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree

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