Accreditation and Regulatory Associate

Kansas Health System; Liberty (MO); On-site; USD 36,000 - 48,000; Part time

Job summary

Liberty Hospital is seeking an Accreditation and Regulatory Associate on a part-time basis. The role supports compliance with accreditation and regulatory requirements through data management, chart reviews, data entry and basic analysis.

The position involves real-time observations in clinical settings, coaching staff on compliance opportunities, and contributing to performance improvement initiatives to support the hospital’s survey readiness.

Qualifications

• Requires an Associate's Degree or LPN licensure.
• 1+ years healthcare experience.
• Proficient in MS Office.

Responsibilities

• Supports accreditation and regulatory initiatives.
• Enters data into systems for analysis and trending.
• Prepares and presents data to stakeholders.
• Provides real-time coaching on observed compliance opportunities.
• Works under the direction of the Accreditation and Regulatory Compliance manager/director.

Skills

Data management

Data analysis

Real-time coaching

Communication skills

Collaboration

Education

Associates Degree

Licensed Practical Nurse

Tools

MS Office

Job description

Accreditation and Regulatory Associate

Part time

Liberty 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

Job Requisition ID: R-57282

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.