Clinical Accreditation Coordinator

• Assist in assuring accuracy and timeliness in submission to reporting centers ( i.e. Sterling Readiness Rounds)
• Collects, analyzes and reports data in support of continuous readiness activities
• Conducts patient and system tracers in patient care areas through observation of practice
• Disseminates the results of audits and surveillance as needed and as data is available
• Interpretation of relevance of standards in relation to hospital and clinic policies and practice
• Maintain databases and sources of information for quality initiatives, accreditation efforts, and regulatory mandates
• Performs concurrent and closed medical record review audits to assist in determining compliance with accreditation and regulatory requirements
• Provide practitioner data for Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) to Medical Staff Service as requested
• Serve as a resource for interpretation of regulatory, accreditation and disease-specific care certification standards (as applicable)
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.

• Bachelors Degree in Health Information Management from an accredited College or University
• Bachelors in Nursing, Respiratory Care or Clinical Laboratory Science
• High School Graduate
• Excellent communication, writing, organizational and presentation skills
• demonstrates superior oral and written communication and time management skills
• Advanced working knowledge of computer spreadsheets and databases.
• Must have strong knowledge base of Microsoft Excel, Word, and prefer experience with data management, ie Microsoft Access.
• Must be willing to drive to off-site hospital locations.

Master's Degree from an accredited College or University