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Registered Nurse

4 months ago

Columbia, South Carolina, United States Veterans Health Administration Full time

The Accreditation Specialist leads all accreditation readiness processes for Dorn VAMC Medical Center programs including Joint Commission (Hospital, Long Term Care, Behavioral Health, and Home Care), Commission on the Accreditation of Rehabilitation Facilities, the Office of the Inspector General, and other internal and external reviews.

Facilitates the development, implementation, and sustainment of proactive and corrective improvements in order to meet accreditation standards and other regulatory and Veterans Affairs (VA) and Veterans Health Administration (VHA) requirements.

Facilitates, supports, and assures completion of ongoing assessments and quality monitoring actions by service/subject matter experts to evaluate compliance with regulatory and accreditation standards.

Maintains current documentation and data as required for continual readiness; completes survey-related administrative processes and applications; and provides consultation and support to all levels of facility leadership, the Quality Management Chief, and others responsible for Dorn accreditation activities, including all accreditation related requirements, Dorn VAMC policy initiation/revision, readiness preparation, intra-survey facilitation, and development, implementation, and monitoring of post-survey corrective action plans.

Plans, facilitates, conducts and documents tracers, walkabouts, and quality monitoring audits, as scheduled and as needed, focusing on continual survey readiness and evaluation of specific corrective action plans; reports findings to process owners and tracks corrective action plans; and evaluates patient medical records for compliance with inpatient and outpatient services' policies and accreditation requirements.

Interviews staff to assess and improve compliance with regulations and guidance.
Evaluates accreditation and quality monitoring data and recommends improvement actions.

Preferred Experience:
Minumum 5 years experience in direct patient care. Preferred experience in Quality Management programs.

VA offers a comprehensive total rewards package:
VA Nurse Total Rewards

Pay:
Competitive salary, regular salary increases, potential for performance awards

Paid Time Off:
50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)

Retirement:
Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA

Insurance:
Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)

Licensure:
1 full and unrestricted license from any US State or territory

Work Schedule:
Mon-Fri 7:30a-4:00p. Subject to change based on agency needs.

Compressed/Flexible:
Not authorized.

Telework:
Not authorized.

Virtual:
This is not a virtual position.

Relocation/Recruitment Incentives:
Not authorized.

Permanent Change of Station (PCS)
:
Not authorized.

Financial Disclosure Report:
Not required