Accreditation Specialist III

Harris Health; Houston (TX); On-site; USD 90,000 - 120,000; Full time

Job summary

Harris Health is seeking a Quality Improvement professional to coordinate organization-wide mock tracer and process improvement activities. The role ensures compliance with regulatory standards and prepares statistics for reporting.

The candidate will assist ethics and compliance issues and participate in investigations of patient complaints while supporting committee activities. Minimum qualifications include a Bachelor's Degree, 5 years in Quality Management or Accreditation, and project

Qualifications

• Bachelor's Degree required; Nursing or other Allied Health preferred.
• CPHQ or Quality Audits certification required or within one year of employment.
• Five years of experience in Quality Management or Accreditation.
• Five years of Project Management experience preferred.

Responsibilities

• Coordinate organization-wide mock tracer and other process improvement activities.
• Facilitate, initiate, provide support and education for compliance initiatives.
• Ensure ongoing compliance with regulatory and accreditation standards (e.g., TJC, DNV, CMS, TDSHS).
• Prepare, analyze and compile statistics for reports.
• Assist with ethics and compliance issues and investigations of patient complaints.
• Support committee meetings and other duties as assigned.

Education

Bachelor's Degree

CPHQ or Quality Audits certification

Tools

MS Excel

MS PowerPoint

MS Word

Personal Computer

Job description

About Us

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.

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.)