What are the responsibilities and job description for the Accreditation Specialist & Program Coordinator position at St. Luke's Duluth?
Summary
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JOB SUMMARY
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Provides leadership, guidance and acts as a resource in the research, design, implementation, education, communication and evaluation of continuous performance/quality improvement activities for the Aspirus St. Luke’s Cancer Program. The Accreditation Specialist and Program Coordinator (ASPC) ensures organizational compliance with the Commission on Cancer (COC), American College of Surgeons (ACoS) and other regulatory requirements for the Aspirus St. Luke’s Cancer Program.
The ASPC must have knowledge and training in the ACos and COC requirements/standards. The ASPC assumes the responsibility and accountability for assisting administration, providers and staff in the processing and interpretation of documentation submitted during the accreditation cycle. The ASPC will complete the Survey Application Records (SAR) and the Pre-Application Record (PAR) for all ACoS and COC accreditations.
The AS provides strategic oversight for all accreditation services. This includes participation in monitoring, evaluating, suggesting and implementing needed changes, new programs and continuous quality improvement to ensure accreditation.
The ASPC as a nurse, under the medical direction of the clinic physicians and the administrative direction of the Oncology Operations Leader, provides professional nursing care to medical and radiation oncology patients in the Clinic setting; coordinates patient care with members of the health care team; educates patients and loved ones on the care plan; manages patient phone calls; oversees the flow of care and assists in continuous quality improvement efforts; supervises clinical tasks of clinical assistant staff; assists with development, implementation and evaluation of practice standards, policies and procedures; participates and assists in planning and implementing community events for cancer prevention and education.
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MINIMUM QUALIFICATIONS
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Education: Graduate of a nursing program.
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Experience: Three (3) years experience in a clinical setting.
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Licensure/Certification/Registration: MN RN License.
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PREFERRED QUALIFICATIONS
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Education: N/A
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Experience: Experience working in Oncology Field, Experience in data collection methodologies, data analysis and display, and demonstrated ability to plan, organize, set and accomplish objectives necessary to enhance and develop skills. Experience with interpretation of COC standards and requirements. Experience with coordinating COC surveys.
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Licensure/Certification/Registration: Oncology Certified Nurse or other related certification.
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KNOWLEDGE, SKILLS AND ABILITIES
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Knowledge of medical and hospital terminology; anatomy and physiology; pathophysiology; coding according to the International Classification of Diseases, statistical calculations; information display techniques, and basic management and supervisory principles. Skills in organizing work responsibilities efficiently; multitasking, communicating orally and in writing; working constructively with other persons. Ability to act independently; to interact with automated information systems; accept responsibilities; maintain confidentiality of information; demonstrate attention to detail and aptitude for accuracy; establish and maintain good working relationships with supervisors, subordinates, medical staff and hospital employees.
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READING - Intermediate: Ability to read and interpret documents such as operating and maintenance instructions and procedure manuals.
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WRITING - Intermediate: Ability to write routine reports, correspondence, or procedures.
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SPEAKING - Intermediate: Ability to effectively present information in one-on-one, small group situations or before groups of customers, clients, and other employees of the organization.
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MATHEMATICAL SKILLS - Basic Skills: Ability to add and subtract two-digit numbers and to multiply and divide with 10's and 100's. Ability to perform these operations using units of American money and weight measurement, volume, and distance.
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REASONING ABILITY - Intermediate Skills: Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
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PHYSICAL DEMANDS AND ENVIRONMENT
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PHYSICAL DEMANDS
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Ability to see, hear and speak in English, and lift up to twenty-five (50) pounds.
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Stand - Occasionally Under 1/3 (1-2.5 hours)
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Walk - Occasionally Under 1/3 (1-2.5 hours)
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Sit - Continuously Over 2/3 (5.5 – 8 hours)
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Use hands to finger, handle, or feel - Continuously Over 2/3 (5.5 – 8 hours)
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Reach with hands and arms - Continuously Over 2/3 (5.5 – 8 hours)
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Stoop, squat, kneel, or crouch - Occasionally Under 1/3 (1-2.5 hours)
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Bending-repetitive forward - Occasionally Under 1/3 (1-2.5 hours)
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Talk or hear - Continuously Over 2/3 (5.5 – 8 hours)
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LIFTING REQUIREMENTS-
Up to 10 pounds - Frequently 1/3 to 2/3 (2.5 – 5.5 hours)
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Up to 25 pounds - Occasionally Under 1/3 (1-2.5 hours)
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WORK ENVIRONMENT-
Typical Noise Level - Moderate noise (examples: business office with computers and printers, light traffic)
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WORKING CONDITIONS
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Environmental background noise from office machines, overhead page system, etc. Dust generated in handling of paper files. Employees are also exposed to dust when accessing paper MRs in the primary file room. Office temperature variations of ten (10) degrees.
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