Accreditation Specialist III

Harris Health System, Inc.; Bellaire (TX); Hybrid; USD 80,000 - 110,000; Full time

Job summary

Harris Health System, Inc. is seeking a qualified professional to coordinate organization-wide mock tracer activities and drive process improvement across the health system.

You will facilitate, initiate, provide support, and educate teams to maintain regulatory and accreditation standards. The role prepares, analyzes, and compiles statistics for reports, assists with ethics and compliance issues, and investigates patient complaints while handling other duties as assigned.

Qualifications

• Bachelor's degree required; Nursing or allied health preferred.
• Certified Professional for Healthcare Quality or Quality Audits required or within one year
• Five years in Quality Management or Accreditation
• Five years in Project Management preferred

Responsibilities

• Coordinate organization-wide mock tracer and other process improvement activities.
• Ensure organizational compliance with regulatory/accreditation standards.
• Prepare, analyze and compile statistics for reports.
• Assist with ethics/compliance issues and patient complaint investigations.
• Perform other duties as assigned.

Skills

Analytical Abilities

Design Knowledge

Mathematics

Medical Terminology

Transcription

Education

Bachelor's Degree

Tools

MS Excel

MS PowerPoint

MS Word

Job description

Harris Health is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Health's robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet® nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); and The University of Texas MD Anderson Cancer Center.

At Harris Health, we prioritize the well-being of our most valuable asset--our people--ensuring a culture of compassion, collaboration and excellence in serving Harris County's most in need. With integrity and accountability at our core, we commit to 'leading with love', embodying our dedication to quality care, education, and a steadfast respect for every individual's contribution to our mission.

Job Summary

Responsible for the coordination of all organization wide mock tracer and other process improvement activities including facilitating, initiating, providing support, and education. Ensures that the organization is in compliance with standards of regulatory and accreditation agencies (i.e. TJC, DNV, CMS, TDSHS, and other hospital licensing) at all times. Prepares, analyzes, and compiles statistics for reports. Assists to facilitate committee meeting as needed; assists with ethics and compliance issues as needed, assists in the workup and investigation of patient's complaints, and performs other duties as assigned.

Minimum Qualifications

Degree: Bachelors Degree required (Nursing or other Allied Health preferred).

Licenses & Certification: Certified Professional for Healthcare Quality or Quality Audits required or within one (1) year of employment

Work Experience: Five (5) years of experience in Quality Management or Accreditation

Management Experience: Five (5) years of Project Management preferred

Communication Skills:

Above Average Verbal (Heavy Public Contact)
Writing / Correspondence
Writing / Reports

Proficiencies:

MS Excel, MS Power Point, MS Word, Personal Computer

Job Attributes

Knowledge/Skills/Abilities: Analytical Abilities, Design Knowledge and Skills, Mathematics, Medical Terminology Knowledge, Transcription

Work Schedule: Weekends, Holidays, Flexible, Travel, Eligible for Telecommute

Other Requirements: May require extended hours in addition to weekends/holidays for special projects.

Equipment Operated: Personal Computers, printers, copiers, fax machines, window-based software programs (excel, power point, word etc.)