Patient Safety and Accreditation Specialist positio

Education

• Bachelor’s degree in Nursing, Public Health, or related field required or equivalent experience.

Experience

• At least 3 years’ experience in a clinical position in a Joint Commission accredited hospital or other similar healthcare environment.
• At least 3 years’ experience in accreditation/regulatory/certification coordination and preparedness and/or risk management, performance improvement or patient safety.
• Experience with healthcare regulatory compliance, action planning, mock surveys and readiness planning.

Knowledge, Skills and Abilities

• Excellent interpersonal communication skills necessary to interact effectively with a wide variety of constituents.
• Excellent organization, verbal and written communication, problem solving and team facilitation skills.
• Ability to exercise judgment in interpreting and applying standards, regulations, policies and procedures.
• Skill in providing consultation and coaching to hospital staff to ensure regulatory compliance.
• Skill in conducting investigations, including chart reviews, timelines, in order to address patient safety issues, grievances and civil rights complaints.
• Ability to facilitate improvement, specifically RCA’s, ACA’s and FMEA’s. Familiar with the Model for Improvement – PDSA.
• Skills in risk mitigation to lessen untoward financial impact to the hospital.
• Knowledge of medical terminology and navigation of electronic medical record.
• Ability to gather, create reports, interpret and analyze data.
• Skill in using a computer and a variety of personal productivity applications (Excel, PowerPoint, Outlook, etc.)
• Demonstrated skill in delivering educational and training materials to clinical and support staff teams.
• Knowledge of process improvement principles and ability to lead teams toward fixing reoccurring issues.
• Excellent organizational agility.

Licensures, Certifications

• Certification in Patient Safety (CPPS) within 1 year; Certification in Healthcare Risk Management within 2 years (CPHRM)

Physical Requirements

• Able to perform audits in clinical setting which includes long periods of standing, walking and bending. Ability to accompany surveyors throughout the campus.

Working Conditions

• A combination of office environment and patient care areas.

Conditions of Employment

• Reliable transportation.