Accreditation Specialist

StarCare Specialty Health System (StarCare) is seeking a full time Accreditation Specialist / Executive Assistant to join a strong multi-disciplinary team to provide mental health assessment, diagnosis, and intervention at Sunrise Canyon Hospital, a 30-bed Inpatient Psychiatric Hospital.

Responsibilities:

• Provide overall guidance and support to ensure that clinical services are provided in accordance with standards established through state and federal regulations and the Joint Commission accreditation standards.
• Serve as the organizations liaison for Joint Commission and other regulatory agencies focused on clinical care and patient safety.
• Provide support through collaboration with organizational leadership and staff for activities related to accreditation and regulatory affairs, patient safety, and performance improvement.
• Communicate requirements and standards in a timely manner to Hospital Leadership Team.
• Translate standards, requirements and policies into terms or processes meaningful to the hospital.
• Provide consultation to relevant task forces and quality action committees to ensure ongoing compliance with standards.
• Provide a variety of administrative support to hospital leadership.
• Coordinate, attend, and provide follow up hospital committee meetings.
• Develop and maintain and electronic record keeping/filing system for department records.
• Provide overall guidance for staff physician privileging process.
• Serve as the organizations liaison/coordinator for Texas Tech University (TTU) residents and medical student rotations.
• Prepare complex and concise reports.
• Communicate effectively, both orally and in writing.
• Organize and prioritize a variety of assignments and manage time effectively.
• Follow brief oral and written instructions.

Essential Duties:

• Develop, initiate, maintain, revise, and distribute hospital policies and procedures and its related activities to prevent illegal, unethical, or improper conduct. Responsible for ensuring the most current information is available for accreditation and licensing.
• Maintains all licenses (TDH, CLIA, DEA, pharmacy, etc.) following appropriate licensing criteria, to ensure licenses are valid and up to date.
• Serve as the hospital liaison for compliance with applicable Joint Commission, state, and federal standards to ensure compliance standards are correctly interpreted and are being met.
• Communicates requirements and standards to the hospital leadership, following appropriate standards and/or guidelines to ensure compliance with required standards.
• Provide privileging oversight for granting, revising, and privileging of hospital practitioners/extenders, TTU residents, tele-medicine providers in conjunction with the Credentialing Department to ensure qualified personnel are staffing the hospital inpatient unit.
• Provide Notary Public Service, following appropriate notary laws and guidelines, to ensure efficient hospital operations.
• Communicates information verbally or in writing to supervisor and other organization employees to ensure the exchange of information and provide for the success of the hospital.
• Assists hospital administration with special assignments and projects to ensure the success of the organization.
• Works closely with SRCH leadership to provide information and guidance on our current and future practice.
• Develops online information tracking systems to ensure auditing compliance.
• Works effectively in a team-oriented environment.

Schedule: This is a full-time/non-exempt position scheduled Monday - Friday, 8am - 5pm, with flexibility to meet the needs of the department.

Benefit Package: StarCare offers an expansive benefit package including, but not limited to: Company-paid medical coverage, fully funded employer contribution to HSA, company-paid life insurance, company paid hospital indemnity plan, 401k with up to 12% employer match, front loaded paid time off (PTO), thirteen (13) paid holidays, sabbatical leave, longevity augmentations, and employee referral augmentations.

Qualifications:

• Bachelors degree in health administration or related field with 2 years hospital administrative work preferred.

Skills & Abilities:

• Knowledge of accreditation standards and policy formulation.
• Knowledge and skills in operating standard office equipment.
• Must possess excellent knowledge of Microsoft Office products (Microsoft Windows, Excel, Smartsheets, PowerPoint).

Additional Requirements:

• Must pass a pre-hire drug screen, criminal background check, and MVR.
• Must have a Texas driver's license and be insurable under the Agency's insurance.

WHY CHOOSE STARCARE?

Welcome to StarCare Specialty Health System, where your passion for making a difference thrives! At StarCare, we imagine a community where all people have hope and the opportunity to achieve their full potential for health and wellbeing. Here's why you should choose StarCare:

• Impactful Purpose: Contribute to meaningful change as the state-designated Local Authority for mental health, intellectual disabilities, and substance use disorders. Be a catalyst for positive empowerment.
• Comprehensive Care: StarCare offers a diverse array of specialty healthcare services that support and empower people as valued members of the community.
• Collaborative Environment: StarCare is proud to work with a network of community stakeholders to ensure all people have access to the healthcare they need.
• Professional Growth: StarCare offers many different opportunities for growth in the fields of mental health, substance use disorders, aging, intellectual & developmental disabilities, veterans, and healthcare administration. Come grow your career with us!
• Legacy of Service: Since 1967, StarCare has provided hope and health to Lubbock, Hockley, Lynn, Crosby, and Cochran counties.

At StarCare Specialty Health System, your work is not a job. It's a fulfilling journey of providing hope and supporting and empowering people as valued members of the community. Ready to get started? Weve been waiting for you!

EEO Statement: StarCare Specialty Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.