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Quality and Cancer Program Accreditation Coordinator

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Advocate Health Care

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Location:
United States , Milwaukee

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Category:
Health and Beauty

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Contract Type:
Not provided

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Salary:

35.50 - 53.25 USD / Hour
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Job Description:

Oversees the daily continuous accreditation readiness for assigned facility(s). Coordinates department and facility accreditation compliance meetings, analyzes trends of performance metrics, identifies opportunities for improvement, develops action plans, measures success of these action plans, creates the records and follow-up metrics for each meeting and activity.

Job Responsibility:

  • Oversees the daily continuous accreditation readiness for assigned facility(s)
  • Coordinates department and facility accreditation compliance meetings, analyzes trends of performance metrics, identifies opportunities for improvement, develops action plans, measures success of these action plans, creates the records and follow-up metrics for each meeting and activity
  • Leads continuous accreditation readiness efforts and coaches others in the development of accreditation improvement capabilities
  • Provides direction to department and facility leadership in the planning of a systematic, organization-wide approach to continuous accreditation readiness
  • Maintains expert competence in accreditation standards and communicates relevant changes to appropriate leaders and staff
  • Maintains a close working relationship with facility leadership to optimize the quality and patient safety culture and to support constant state of readiness for accreditation reviews
  • Facilitates assessments, develops, implements and evaluates corrective action plans based on past surveys and preparatory tracer activities
  • Compiles and distributes compliance reports including appropriate action plans to oversight councils
  • Supports and guides the facility in continuous survey readiness efforts
  • Participates in the review, analysis and development of plans
  • Prepares reports and presentations
  • Assists leadership in defining key performance indicators and developing measurement tools to evaluate quality improvements
  • Utilizes facilitation skills (both team and individual), data analysis and statistical process control to effect improvement in quality and clinical outcome
  • Consults with and trains staff to implement monitoring and measurement tools, and data analysis techniques
  • Provides education and training on accreditation compliance and accreditation matters
  • Collaborates with staff to facilitate improvement teams to achieve facility and System quality and patient safety goals
  • Assists with system and regional quality initiatives

Requirements:

  • Bachelor's Degree required
  • Master's Degree preferred
  • RN or other clinical licensure preferred
  • Certification in healthcare quality, patient safety or related accreditation entity preferred, required within 1 year of employment
  • Works in an office environment
  • Requires walking, standing, long periods of sitting and computer use
  • Intact sense of sight and hearing required
  • Travels to facilities as needed
  • Must have current state driver's license

Nice to have:

  • Master's Degree
  • RN or other clinical licensure
  • Certification in healthcare quality, patient safety or related accreditation entity
What we offer:
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program
  • Premium pay such as shift, on call, and more based on a teammate's job
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance

Additional Information:

Job Posted:
February 01, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
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