Process Improvement & Accreditation Specialist

Sioux Center Health; Sioux Falls (SD); On-site; USD 70,000 - 100,000; Full time

Job summary

Avera Heart Hospital in Sioux Falls, SD is seeking a Process Improvement & Accreditation Specialist to oversee regulatory compliance, conduct tracers, and ensure adherence to TJC and CMS standards.

You will support organization-wide performance improvement, medical staff peer review activities, and data analysis in accordance with the PI Plan, Medical Staff Bylaws, Rules and Regulations and OPPE/FPPE policies.

Qualifications

• Associate’s degree in health information administration, healthcare administration, business, nursing or respiratory required.
• Bachelor’s degree preferred.

Responsibilities

• The Process Improvement & Accreditation Specialist drives continuous survey readiness by managing regulatory compliance, conducting tracers, and ensuring adherence to TJC and CMS standards.
• Supports organization-wide performance improvement, medical staff peer review activities, and data analysis in accordance with the PI Plan, Medical Staff Bylaws, Rules and Regulations and OPPE/FPPE policies.

Education

Associate’s degree in health information administration, healthcare administration, business, nursing or respiratory

Bachelor’s degree (preferred)

Job description

Location:

Sioux Falls, SD

Worker Type:

Regular

Work Shift:

Day Shift (United States of America)

At Avera Heart Hospital, you’re not just joining a workplace – you’re becoming part of a family. With more than 700 dedicated employee, we deliver care that truly makes a difference. Our commitment to excellence has earned us the distinction of being one of only a handful of hospitals nationwide – out of more than 4,000 – to achieve a double 5-star rating from the Centers for Medicare and Medicaid Services.

Position Highlights

Position Summary:

The Process Improvement & Accreditation Specialist drives continuous survey readiness by managing regulatory compliance, conducting tracers, and ensuring adherence to TJC and CMS standards. This position is responsible for supporting systematic organization-wide performance improvement, the medical staff peer review activities on quality of care and comparative data and focus studies in accordance with the PI Plan, Medical Staff Bylaws, Rules and Regulations and the OPPE/FPPE policy and procedure.

Work Schedule:

Monday through Friday and occasional weekends depending on the needs of the hospital

Education/Experience:

Associate’s degree in health information administration, healthcare administration, business, nursing or respiratory required, bachelor’s degree preferred.

Licensure/Certification:

Licensed as a registered nurse or healthcare professional required,