Under the general direction of the Manager of Healthcare Accreditation & Regulatory Affairs, contributes to and supports the organization's regulatory and accreditation continuous readiness program. Actively assists in assessment of organizational accreditation/regulatory readiness, survey coordination/facilitation on behalf of the SCCA, as well as active involvement in survey follow-up, including auditing/monitoring and related organizational education efforts.
This position maintains indicated/assigned software applications related to various accreditation processes. This activity/responsibility involves coordination, collaboration, and education of indicated operational leaders.
This individual works in a collaborative fashion across the organization and with partner institutions to develop, review, coordinate, and analyze measurement information/data related to regulation and accreditation status of SCCA, including discreet components. This work includes the coordination and conducting of defined readiness and other quality related audits through the collection of information abstracted from patient care records (hard copy and/or electronic systems), as well as the preparation of results for review/reporting. This includes work with other SCCA inspection/survey coordinators, as indicated.
The incumbent works with minimal supervision, organizing, planning, coordinating, and implementing and managing tasks as delegated. This position operates in a matrix environment and works with large, complex work groups.
- Excellent communication skills are required for work with project team leads, members, staff, and managers; collaboration with SCCA partners; and coordination with other Pan Alliance work teams.
- Creativity and strong systems thinking skills are needed for problem solving as well as development of processes and materials within and in concert with diverse workgroups and teams.
- Contribution to the coordination of licensing, accreditation affairs, and related surveys
- Maintaining designated aspects of a continuous readiness program, including auditing/monitoring and maintenance of designated accreditation software applications
- Working as a liaison between technical and non-technical groups in coordinating the preparation and presentation of reports, etc., related to regulation and accreditation compliance
- Supporting, coaching and mentoring multi-disciplinary teams in the assessment, analysis documentation, and maintenance of regulatory and accreditation readiness
- Supporting the ongoing communication of regulatory standards to employees and medical staff
- Assisting in the preparing/presenting of information to a variety of audiences and committees
HIPAA - Patient Privacy:
Demonstrates knowledge and understanding of patient privacy rights. Maintains confidentiality of all medical, financial, or other sensitive materials and information in printed, electronic or verbal form, which may jeopardize the privacy of patients. Accesses and uses the minimum necessary patient identifiable information to perform job responsibilities and duties and only for authorized purposes.
HIPAA - Employee Privacy:
Demonstrates knowledge and understanding of, and maintains confidentiality of employee information and SCCA strategic plans and initiatives, financial information or other sensitive materials and information in printed, electronic or verbal form, which may jeopardize employee right or organization's operations. Accesses and uses the minimum necessary employee and organization information to perform job responsibilities an duties and only for authorized purposes.
Training, Education and Experience (Required):
- Current Washington State Registered Nursing license.
- BA/BS in related field of study.
- 5 years of relevant work experience in the healthcare environment.
- Current knowledge of healthcare regulatory & accreditation standards.
- 3 years of QI/QM experience.
- Experience with large scope quality/safety improvement efforts.
- Experience working in a matrix environment.
Education and Experience (Preferred)
- MA/MS in relevant discipline.
- Healthcare Professional Certification.
- 2 -3 years of clinical experience in an oncology setting.
- Experience with large scope process improvement efforts; building teams and alliances across functions within an organization.
Other Knowledge, Skills, And Abilities Required To Perform The Job Duties:
- Intermediate to advanced experience with Microsoft Office products: Outlook, Word, Excel, PowerPoint. Ability to learn other specialized programs/software packages as required.
- Excellent communication/presentation skills; expert listening, and interpersonal skills.
- Customer focused.
- Discerning assessment and appropriate decision making skills, including skills in priority setting and multi-tasking.
- Ability to excel in a team environment while operating with individual autonomy
If interested, please apply online at http://track.tmpservice.com/ApplyClick.aspx?id=2339663-2647-9921