Accreditation and Regulatory Associate

The University of Kansas Health System; Great Bend (KS); On-site; USD 28,000 - 41,000; Full time

Job summary

The University of Kansas Health System in Great Bend invites an Accreditation and Regulatory Associate to support compliance with accreditation and regulatory requirements. The role performs data management, real-time observations, data entry, chart reviews, and analysis to maintain survey readiness and improve performance.

Under supervision of the Accreditation and Regulatory Compliance manager, you will participate in educational offerings, train staff, and help monitor action plans.

Qualifications

• Requires an Associate Degree or LPN licensure.
• Minimum 1 year of healthcare experience.
• Proficient in MS Office and data handling.

Responsibilities

• Supports accreditation and regulatory activities.
• Interacts professionally with staff and demonstrates conflict-resolution skills.
• Participates in hospital survey readiness activities.
• Enters data into systems for analysis and trending.
• Shares and presents data to internal audiences.
• Provides real-time coaching on observed compliance opportunities.
• Under supervision of the Accreditation and Regulatory Compliance manager/director.

Skills

Healthcare experience

Data analysis

Attention to detail

Collaboration

Education

Associate Degree

Licensed Practical Nurse

Tools

MS Office

Job description

Position Title

Accreditation and Regulatory Associate

Days - Full Time

Great Bend Hospital

Position Summary / Career Interest:

Accreditation and Regulatory Associate supports various activities that support compliance with accreditation and regulatory requirements. The Associate performs various data management functions necessary for continuous survey readiness including, but not limited to, providing real-time observations in clinical settings, providing real-time feedback to front line staff, data collection, chart reviews, data entry, maintaining data integrity, performing data validation, and conducting basic data analysis. The Accreditation and Regulatory Associate assists other members of the Accreditation and Regulatory Department to respond to data requests, data dissemination, implementation, and evaluation of performance improvement projects intended to meet the organization’s vision to lead the nation in caring, healing, teaching, and discovering.

Responsibilities and Essential Job Functions

• Supports various initiatives to maintain accreditation and regulatory compliance
• Interacts in a courteous, professional manner with evidence of conflict resolution skills
• Takes an active role in hospital survey readiness activities
• Validates and monitors post-survey action plans
• Enters data into systems for analysis and trending
• Shares and presents data to internal audiences
• Provides real-time coaching on observed compliance opportunities
• Demonstrates collaborative working relationships and works under the direction of the Accreditation and Regulatory Compliance manager and/ or director.
• Participates in accreditation and regulatory related educational offerings
• Ability to speak and train groups of employees
• Provides technical policy support
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
• These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience

• Associates Degree OR
• Licensed Practical Nurse
• 1 or more years of healthcare experience

Required Licensure and Certification

• Valid driver’s license.

Knowledge Requirements

• Proficient in MS Office.

Time Type:

Part time

Important information for you to know as you apply:

• The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status. See also Diversity, Equity & Inclusion.
• The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link [e-mail].
• Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.