The primary purpose of the position is serves as a Health System Specialist, Accreditation Specialist, provides program oversight and coordination of all VACCHCS external review programs including, but not limited to: The Joint Commission (TJC), Office of Inspector General (OIG), Government Accountability Office (GAO), and collaborates with the Mental Health Program Lead on Commission on Accreditation of Rehabilitation Facilities (CARF) . Major duties include: Provides oversight of the accreditation programs at the medical center and associated CBOCs, and coordinates facility-wide survey readiness programs including annual training of survey readiness consultants and oversight of any facility wide contracts for accreditation training and survey readiness programs. Responsible for planning, organizing, directing, and monitoring the VACCHS Accreditation Program and ensures the program is carried out consistent with VHA requirements as well as those of external review organizations and accrediting bodies. Accountable for participation in facility-wide program strategic planning, establishment and continuity of standards, and quality management and operational implementation. Coordinates the implementation of policies, programs and procedures with the VISN affecting the facility accreditation programs. Responsible for keeping VISN and facility accreditation stakeholders current with any updates from accreditation internal and external offices or agencies. Conducts routine, ongoing, and as-needed analysis of external review data to identify improvement opportunities and presents this information in effective methods across the network.
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Job Type
Full-time
Industry
Administration of Human Resource Programs
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees