Clinical Accreditation Specialist

1 month ago

Elmira, United States Arnot Health Full time

MAIN FUNCTION:


The Clinical Accreditation Specialist acts as a consultant on interpretation of regulatory standards, including The Joint Commission and Centers for Medicare and Medicaid Services (CMS); ensures a constant state of readiness; advises on policy development, educates health care providers on the relevance of standards supporting a culture of safe, high-quality patient care, and contributes leadership and assistance to enterprise-wide initiatives.

Performance Improvement and Compliance:

Duties and Responsibilities:


** 1. Assumes the daily organizational responsibility for quality improvement and compliance for the Arnot Health System.

** 2. Directs all organizational continuous accreditation readiness activities.

** 3. Provides consultative services to all levels of the organization on accreditation/regulatory issues, interpretation of standards and policies, and linkage to clinical and operational processes.

** 4. Develops and implements a continuous readiness plan with scheduled activities designed to educate and engage all levels of staff and providers to sustain high performance per internal and external standards.

** 5. Coordinates formal on-site surveys for The Joint Commission and CMS, acting as primary liaison with the surveyor team, including overseeing and coordinating schedule, activities, and remediation of open issues.

** 6. Manages operational aspects of accreditation applications, ongoing standard’s assessments, development of corrective action plans for prioritized risks, and design of audits to evaluate effectiveness of improvements.

** 7. Organizes and delivers education and communication on continuous accreditation standards and readiness at all levels of the organization, including senior leaders, middle managers, physicians, and staff.

** 8. Partners with Safety & Risk Management and Infection Control on sustained compliance with the National Patient Safety Goals and other patient safety standards.

** 9. Partners with Quality Management and Performance Improvement to leverage opportunities to sustain compliance with best practices as part of existing improvement teams within operations.

** 10. Ensures documents required by accreditors/regulators are produced and updated and that those responsible for those documents are fulfilling their responsibilities.

** 11. Provides support and expertise to hospital administration’s policy and procedure committee with scheduled review and update to appropriate policies and access to all relevant parties.

** 12. Performs other related duties and participates in special projects as assigned.

Other:

** 1. Is responsible for attending all annual mandatory educational programs as required by position.

** 2. Understands and demonstrates the importance of satisfying the needs of the customer/patient by interacting with him/her in a friendly and caring way, being attentive to the customer’s needs, both psychologically and physically, and by taking the initiative to maintain communication with the customer to provide a secure and pleasant experience with the Arnot Health.

** 3. It is understood that this lists typical duties for the classification and is not to be considered inclusive of all duties, which may be assigned.

EDUCATION:

RN license required. Bachelor’s degree in healthcare related field required; Master’s degree preferred.

Certification is preferred – may include CPHA (Certified Specialist in Healthcare Accreditation), CPHQ (Certified Professional in Healthcare Quality), or other certifications relevant to this field.

EXPERIENCE:

** 1. Five (5) years of clinical and/or administrative experience in a healthcare setting, including specific experience related to accreditation and regulatory bodies, such as Joint Commission, CMS, and state licensing agencies required.

** 2. Must have a working knowledge of quality improvement methodologies, tools, and data management skills.

** 3. Leadership and change management skills required. Demonstrated analytical problem-solving skills.

** 4. Effective verbal and written communication skills, including presentation and training capabilities required.

** 5. General understanding of medical terminology and the Electronic Medical Record for the institution is required.

** 6. Ability to perform assignments independently with minimal supervision is required.

** 7. PC-based computer skills, including Microsoft Office required. Needs to be well versed with software for flow diagrams and mapping lean processes.

CARDIOPULMONARY RESUSCITATION (CPR) REQUIREMENTS:

No CPR required.

PHYSICAL DEMANDS:

Routine office job

EXPOSURE CATEGORY:

Category III. Tasks that involve no exposure to blood, body fluids, or tissues. And Category I tasks are not a condition of employment.

** A.D.A Essential Functions

  • Clinical Specialist

    1 month ago

    Elmira, United States Visionworks of America Full time

    Store 1054, Elmira, New York, United States of America Job Description About Us: Want to bring the “care” back to the vision care industry? We're looking for charismatic types who are ready to be the heart of our brand. Whether it's a friendly voice over the phone, or a welcoming smile when a patient walks into your store, we need individuals who are...

  • Clinical Nurse Specialist

    1 week ago

    Elmira, New York, United States Arnot Health Full time

    PRIMARY ROLE: The Clinical Nurse Specialist is a dedicated healthcare professional who takes on the responsibility and accountability for a designated group of patients over a specific period. This role involves delivering care through the therapeutic use of self, the nursing process, the environment, and collaboration with other healthcare team members. The...

  • Practical Nursing Specialist

    1 week ago

    Elmira, New York, United States Arnot Health Full time

    Become a Valued Member of Our Healthcare CommunityAttractive Salary and Benefits Package PRIMARY RESPONSIBILITIES: As a Practical Nursing Specialist, you will oversee a designated group of patients under the guidance of a registered nurse or physician. You will collaborate within a patient-focused care team dedicated to delivering comprehensive care tailored...

  • Clinical Pharmacist

    2 weeks ago

    Elmira, United States Arnot Health Full time

    MAIN FUNCTION:Under the direction of the Director of Pharmacy, collaborates with interdisciplinary healthcare teams to provide specialized therapeutic knowledge, experience, and judgment to provide optimal patient outcomes. Reports to the Director of Pharmacy.DUTIES AND RESPONSIBILITIES:1. Participates in interdisciplinary inpatient rounds, collaborates with...

  • Pediatric Rehabilitation Specialist

    5 days ago

    Elmira, New York, United States Food Management Search Full time

    Pediatric Rehabilitation Specialist: ~ Join a fulfilling career in Pediatric Rehabilitation. ~ Eligible for a $5000 Sign-On Bonus. ~ Full-time position with Day Shift availability. We are looking for skilled Pediatric Rehabilitation Specialists for our outpatient clinic. Become part of a dedicated team committed to enhancing the lives of children through...

  • Gastroenterology Specialist

    1 week ago

    Elmira, New York, United States Accountable Healthcare Staffing Full time

    Position Overview We are seeking a dedicated Gastroenterology Specialist to provide essential locum tenens coverage in a prominent healthcare facility. This role involves working in a dynamic environment, ensuring high-quality patient care and support. Key Responsibilities Clinical Duties: Engage in procedures, patient rounding, and call coverage. Facility...

  • Mobile Vascular Ultrasound Specialist

    3 days ago

    Elmira, New York, United States PDI Health Full time

    PDI Health (Preventative Diagnostics) is in search of a proficient Mobile Vascular Ultrasound Specialist to enhance our team. We deliver mobile ultrasound and x-ray services to various healthcare facilities and patient residences across multiple regions. Our goal is to ensure that healthcare is accessible to patients with mobility challenges.Key...

  • Pediatric Rehabilitation Specialist

    1 week ago

    Elmira, New York, United States Food Management Search Full time

    Pediatric Rehabilitation Specialist: Join a fulfilling career in Pediatric Rehabilitation. Attractive Compensation based on qualifications. Comprehensive Benefits Package included. Eligible for a $5000 Signing Bonus. Direct Employment Opportunity. Full-time Position Available. Daytime Work Schedule. Looking for skilled Pediatric Rehabilitation Specialists...

  • OB/GYN Hospitalist Specialist

    5 days ago

    Elmira, New York, United States Arnot Health Full time

    Join a welcoming and skilled OB/Gyn team seeking to expand their practice with an OB/GYN Hospitalist Specialist. This opportunity is situated in a picturesque region known for its natural beauty and community spirit. Arnot Health is dedicated to offering cutting-edge practice environments complemented by a comprehensive support team. We serve as a clinical...

  • Clinical Nurse Specialist

    1 week ago

    Elmira, New York, United States Arnot Health Full time

    Position OverviewOffering a competitive sign-on bonus of up to $25,000 for qualified Registered Nurses.Compensation terms may vary based on individual experience.At Arnot Health, we are dedicated to providing exceptional, patient-focused care grounded in compassion, teamwork, and integrity. Our organization prioritizes high-quality, safe, and socially...

  • Clinical Nurse Specialist

    1 week ago

    Elmira, New York, United States Arnot Health Full time

    Position OverviewUp to a $25,000 Sign-on Bonus for qualified Registered NursesTerms of payment may vary based on experienceAre you prepared to be part of an organization that prioritizes high-quality, patient-centered care, compassion, teamwork, and integrity? At Arnot Health, we are dedicated to providing exceptional, safe, and cost-effective healthcare...

  • Clinical Nurse Specialist

    1 week ago

    Elmira, New York, United States Arnot Health Full time

    Position OverviewOffering up to a $25,000 Sign-on Bonus for qualified Registered Nurses.Compensation may vary based on experience.Are you prepared to be part of an organization where delivering exceptional, patient-focused care, compassion, teamwork, and integrity are the foundation of our operations? At Arnot Health, we are dedicated to providing...

  • Clinical Nurse Specialist

    1 week ago

    Elmira, New York, United States Arnot Health Full time

    Job OverviewAre you prepared to become part of a team that prioritizes high-quality, patient-focused care, compassion, collaboration, and integrity? At Arnot Health, we are dedicated to providing exceptional, safe, and economically responsible healthcare services.About UsArnot Health is an integrated healthcare system situated in a picturesque region known...

  • Clinical Nurse Specialist

    1 week ago

    Elmira, New York, United States Arnot Health Full time

    Job Overview:We are offering a competitive sign-on bonus of up to $35,000 for qualified nursing professionals.At Arnot Health, we prioritize high-quality, patient-centered care, emphasizing compassion, teamwork, and integrity in our operations. Our organization is dedicated to providing safe, effective, and socially responsible healthcare services.Located in...

  • Clinical Nurse Specialist

    1 week ago

    Elmira, New York, United States Arnot Health Full time

    Attractive Sign-On Bonus Available for Eligible Registered Nurses *Compensation terms may differ based on experience* Are you prepared to be part of an organization that prioritizes exceptional patient-centered care, empathy, collaboration, and integrity? At Arnot Health, we are dedicated to providing high-quality, secure, cost-effective, and socially...

  • Clinical Nurse Specialist

    1 week ago

    Elmira, New York, United States Arnot Health Full time

    Position Overview:We are offering an attractive sign-on bonus of up to $35,000 for qualified Registered Nurses.At Arnot Health, we are dedicated to providing exceptional patient-centered care, emphasizing compassion, teamwork, and integrity in our operations. Our organization is committed to delivering high-quality, safe, and socially responsible healthcare...

  • Rehabilitation Specialist

    1 week ago

    Elmira, New York, United States Arnot Health Full time

    Sign-On Bonuses up to $15,000*Terms of payment vary based on experience.Certified Hand Therapists will also receive up to an additional $6,240 per year added to their annual salary for as long as they maintain their certification.PRIMARY ROLE:Designs and executes tailored rehabilitation programs for individual patients in accordance with the principles and...

  • Pediatric Echocardiography Specialist

    1 week ago

    Elmira, New York, United States Arnot Health Full time

    About Arnot Health System:Arnot Health is a comprehensive healthcare organization dedicated to providing exceptional services in the Southern Tier and Finger Lakes region. We pride ourselves on fostering a work-life balance, offering competitive compensation, a robust benefits package, paid time off, educational reimbursement, and opportunities for career...

  • Mobile MRI Imaging Specialist

    1 week ago

    Elmira, New York, United States Triage Staffing Full time

    Triage Staffing is in search of a mobile MRI Imaging Specialist for a travel position. Position Overview & Requirements Specialty: MRI Imaging Specialist Discipline: Allied Health Professional Duration: 13 weeks 40 hours per week Shift: 10 hours, evenings Employment Type: Travel Travel Radiology: Imaging Location: Various Locations Shift...

  • Mental Health Therapist

    24 hours ago

    Elmira, California, United States Kaiser Full time

    Job Summary:Kaiser Permanente is seeking a skilled Clinical Psychologist to join our team in Fairfield, California. As a Crisis Intervention Specialist, you will play a critical role in providing mental health assessment, diagnosis, and treatment services to adult and child members who present with a range of mental health needs.Key Responsibilities:Mental...