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    Accreditation Specialist - St Paul, United States - Sanford Bemidji

    Sanford Bemidji
    Sanford Bemidji St Paul, United States

    3 weeks ago

    Default job background
    Description
    Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States.

    We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.


    Work Shift:
    Day (United States of America)

    Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States.

    We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.


    Work Shift:

    Day (United States of America) Scheduled Weekly Hours:
    40

    Salary Range:

    Union Position:
    No

    Department Details
    Remote position with some travel required. LTC, Accreditation, or Quality experience preferred.

    Summary

    Collaborates with operational and executive leadership ensuring compliance with regulatory bodies to include, but not limited to: Department of Health (DOH), Center for Medicare and Medicaid (CMS) Conditions of Participation, and standards of The Joint Commission (TJC).

    Job Description
    The Accreditation Specialist works with staff, evaluating care, to ensure regulatory compliance. Evaluates patient safety systems ensuring safe reliable care. Promotes systems designed to reduce the opportunity for human failure in order to achieve a goal of zero harm. Understands and supports an organizational culture of safety.

    Participates in robust process improvement, utilizing a systematic approach to change management, focused on reducing patient safety and regulatory risk.

    Supports process change from education through sustainability. Collaborates with all levels of leadership to communicate needs and remove barriers for staff. Guides regulatory perspective to committees as applicable. Requires a self-motivated individual who values patient and staff safety as the top organizational priority. Knowledge and/or an interest in safe systems and High Reliability Organizations necessary.

    Qualifications
    Bachelor's degree required. In lieu of education, leadership may consider an Associate's degree and 5 years of applicable experience.

    If degree is in nursing, graduate from a nationally accredited nursing program, including but not limited to, Commission for Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA).

    Minimum of two years of experience in clinical, nursing, healthcare safety, accreditation or healthcare management setting required.

    Certification in regulatory accreditation, patient safety or quality specialty or equivalent required within three years of hire date. must obtain within three years of hire date.

    If a licensed registered nurse (RN), currently hold an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state.

    Obtains and subsequently maintains required department specific competencies and certifications. Quality

    improvement/assurance

    personnel with nursing backgrounds can maintain their license without seeking additional hours based on role's responsibilities.

    Sanford is an EEO/AA Employer

    M/F/Disability/Vet.

    If you are an individual with a disability and would like to request an accommodation for help with your online application, please call or send an email to

    About Us


    Sanford Health, one of the largest health systems in the United States, is dedicated to the integrated delivery of health care, genomic medicine, senior care and services, global clinics, research and affordable insurance.

    Headquartered in Sioux Falls, South Dakota, the organization includes 44 hospitals, 1,400 physicians and more than 200 Good Samaritan Society senior care locations in 26 states and nine countries.

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