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Posted: Monday, February 5, 2018 5:43 AM

Incumbent performs a variety of duties to include assessing, consulting, and strategy development to lead a health organization in accreditation; requires in-depth knowledge of The Joint Commission, Office of the Inspector General (OIG) and OIG Continuous Assessment Program (OIGCAP), Commission on the Accreditation of Rehabilitation Facilities (CARF), Long Term Care (LTC) and other accrediting/surveying bodies, as applicable. * Performs a variety of duties to include assessing, consulting, and strategy development to lead a health organization in accreditation; requires in-depth knowledge of The Joint Commission, Office of the Inspector General (OIG) and OIG Continuous Assessment Program (OIG-CAP), Commission on the Accreditation of Rehabilitation Facilities (CARF), Long Term Care (LTC) and other accrediting/surveying bodies, as applicable; * Develops and uses either an electronic or manual tracking system to ensure communication with respective owners, and that those individuals certify compliance with said documents; * Develops action plans, as necessary to address deficiencies to bring the organization into compliance; * Works with Service Chiefs/Program Managers to ensure local HVAMC Medical Center Memorandums (MCMs) and standard operating procedures (standard work) are aligned with accrediting and oversight body standards and on-site findings and/or accepted recommendations; * Prepares and/or coordinates statistical analysis, short- and long-range planning, work measurement techniques, qualitative analysis, program planning, and computer database management. Must have familiarity with the regulations and standards of regulatory and credentialing organizations that relate to hospital liability and standards of patient care; * Incorporates compliance and performance improvement activities within the overall program including controlling, directing, organizing, planning, and evaluating programs and outcomes; daily attention to the resolution of complex quality management problems; participation in executive-level decision-making deliberations, and performance in a full range of administrative duties. She/he maintains compliance with all patient privacy regulations; * Oversees the implementation of quality management functions and the interests of various employees and groups in the health care delivery system as the Accreditation and Compliance Specialist; * Conducts special assignments in relation to accreditation and policy compliance issues, the overall hospital mission, and/or items in VHA's best interest; * Compiles information and data, analyzes and summarizes findings, and develops and presents recommendations in report form; * Develops guidelines and new methods to address deficiencies and implement improvements. Work Schedule: Monday through Friday, 8:00 am to 4:30 pm

Source: http://www.juju.com/jad/00000000i5zv5g?partnerid=af0e5911314cbc501beebaca7889739d&exported=True&hosted_timestamp=0042a345f27ac5dcf75f90499fad8c3088e438ede98045f07e6928698f52f706


• Location: Hampton

• Post ID: 34082502 hampton
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