Combines systems analysis skills with in-depth general and program-specific standards knowledge of Joint Commission and Medicare requirements, professional standards or practice and federal and state law and regulation to evaluate health care organizations' compliance and ability to provide high quality, safe patient care. Through the conduct of surveys, the analysis of organization specific data and other types of information and the provision of education, interpretation, mentoring and coaching, works closely with accredited/certified organizations to identify vulnerabilities and improve their performance. Provides leadership and guidance within the team in all aspects of the accreditation process through clinical expertise and customer relationship management. Supports the field representative cadre and other customers through the provision of expert interpretation, guidance, and collaboration. Serves as faculty for internal and external educational offerings and speaking engagements.
RN with Master's degree. A minimum of five years of progressive leadership or supervisory experience, current clinical knowledge and recent ambulatory and /or hospital experience. A background in performance improvement and/or Joint Commission coordination helpful. Experience in ambulatory required. Demonstrated communication and customer service skills, demonstrated presentation, analytical, interpersonal skills and the ability to work within a team environment. Strong computer skills required, including familiarity with spreadsheets, graphics and word processing. This position includes traveling up to 20% of the time including conducting surveys a minimum of four times a year.
Must be able to lift 25 pounds
Must be able to climb stairs and ladders and work in settings with infectious diseases