The primary purpose of the Clinical Accreditation Specialist is to perform analytical and project management work that supports the accreditation process, assist in the assessment, measurement and reporting of ongoing compliance with Joint Commission standards and other regulatory requirements, and assist with data systems that support compliance.

　　The ideal candidate will have a Bachelor's Degree in Nursing with at least five years of healthcare experience to include knowledge of Accreditation, Joint Commission and CMS Survey process.

　　Accreditation Readiness Activities

　　Organize and lead mock tracer activities to include reporting as indicated

　　Collaborate with assigned Joint Commission chapter leaders to evaluate and maintain readiness

　　Ensure that the data for accreditation chapters is current and remains available for impending accreditation/regulatory site visits.

　　Prepare and support chapter leaders and the organization in accreditation readiness efforts.

　　Participate in Failure Mode and Effect Analysis (FMEA), when indicated

　　Education and Collaboration

　　Provide input into interpretation of operational and clinically related standards

　　Provide educational support when indicated

　　Maintain, support, and provide education for accreditation activities and databases/systems (e.g., Midas+ Comply).

　　Ensure reporting of compliance and/or address needs for readiness efforts.

　　Collaborate with all institutional disciplines to ensure preparedness and compliance with accreditation and regulatory surveys/activities.

　　Special Projects and Duties

　　Works closely and effectively with stakeholders from all disciplines, such as nursing, pharmacy, and medical staff.

　　Conducts and/or participates in special projects/audits as assigned or necessary.

　　Other duties as assigned.

　　Qualifications - External

　　QUALIFICATIONS

　　Education

　　Required: Bachelor's Degree in Nursing or healthcare related field.

　　Preferred: Master's Degree in Business Administration or healthcare related field.

　　Experience

　　Required: Five years of healthcare experience.

　　Preferred: Five years of healthcare experience, to include two years of accreditation (e.g., Joint Commission) and regulatory compliance (e.g., CMS and//or state) experience and/or ACOS' Commission on Cancer experience.

　　Licensure/Certifications

　　Required: Current State of Texas Professional Nursing license (RN). Basic Life Support (BLS) or Cardiopulmonary Resuscitation (CPR) certification.

　　Preferred: Certified Professional In Healthcare Quality (CPHQ), Certified Professional in Patient Safety (CPPS), Certified Joint Commission Professional (CJCP), Healthcare Accreditation Certified Professional (HACP), or equivalent certification

　　Bachelor's Degree in Nursing or healthcare related field. Five years of healthcare experience. Current State of Texas Professional Nursing license (RN). Basic Life Support (BLS) or Cardiopulmonary Resuscitation (CPR) certification. It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html

　　Additional Information

　　Requisition ID: 165033

　　Employment Status: Full-Time

　　Employee Status: Regular

　　Work Week: Days

　　Minimum Salary: US Dollar (USD) 75,000

　　Midpoint Salary: US Dollar (USD) 93,500

　　Maximum Salary : US Dollar (USD) 112,000

　　FLSA: exempt and not eligible for overtime pay

　　Fund Type: Hard

　　Work Location: Hybrid Onsite/Remote

　　Pivotal Position: Yes

　　Referral Bonus Available?: Yes

　　Relocation Assistance Available?: Yes

　　Science Jobs: No

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