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Open nowPosted 3 days ago

Quality and Accreditation Coordinator

Tenet Healthcare Corporation2,826 open roles

Where
Rock Hill, SC, United States
Work mode
On site
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Your applicationOpen nowQuality and Accreditation CoordinatorTenet Healthcare Corporation · Rock Hill, SC, United States

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The clock on this job

Early applications get read.

8.5% of postings close within 7 days. Measured by our own scanner across the market. Tenet Healthcare Corporation postings stay open a median of 4 days.

Share of postings closed within
  1. 1.8%1 day
  2. 4.0%3 days
  3. 8.5%7 days
  4. 15.4%14 days
  5. 34.1%30 days
This job: posted 3 days ago

Tenet Healthcare Corporation median: 4 days open

The posting

Job Description

This employee is an expert on The Joint Commission regulatory standards. Responsible for Continuous Readiness Program including hospital wide processes, active audit and inspection program for survey preparedness and compliance with TJC, CMS and other pertinent regulatory standards. Provides house wide support for education regarding regulatory standards. Serves as TJC coordinator for the hospital in conjunction with DCQI. Provides supervision, guidance and assistance with overall implementation, integration and coordination of hospital Performance Improvement program. Is able to independently lead PI processes house wide. Coordinates evidenced based medicine and performance improvement activities of the clinical staff. Assist with development and implementation of strategies aimed at improving performance. Participates in committees associated with Core measures and quality initiatives as needed. Serves as consultant to the Medical Staff Committees and Department Managers. Coordinates with physicians in real time and retrospectively on evidence based medicine and regulatory standards compliance. Participates in the hospital policies and procedures committee and any other committee as assigned. Assists DCQI in the day-to-day operations of the hospital.

Responsibilities

  • Compliance with regulatory and accrediting agencies - Monitors pertinent state and federal regulations, standards, and guidelines, as well private initiatives in quality management and improvement analyze implications and inform medical staff, administration and governing board leadership of evolving trends and requirements for compliance.
  • Communication and reporting - Assists in dissemination of PI findings and reports as needed for Department Director meetings or through other forms of communication such as house-wide script.
  • Data collection and analysis - Provides support for data collection and analysis, including the ongoing systematic screening of data sources and special studies to evaluate patient care quality and impact of corrective actions taken.
  • Education and support - Develops and coordinates education of staff and physicians on PI initiatives and Programs.
  • Policy and procedure management - Facilitates department directors’ education on Policy and procedure data base, use and requirements of system.
  • Performs related duties as required.

Qualifications

  • Required:Experience: Experience in The Joint Commission program, Core Measures and Performance Improvement. Proficient with using the computer Expert with word, excel and PowerPoint. Licensure/Certification: RN License or equivalent combination of advanced education and related work experience Any RN license must be valid Permanent Multi-State RN License from the state in which you reside Should you hold a RN license from another Compact state, you are required to apply for and obtain a Multi-State RN License from the state in which you reside within 30 days.
  • Preferred:Education: College Graduate, Bachelor’s Degree

#LI-TL1

About Us



Embark on a rewarding career with Piedmont Medical Network - Rock Hill Hospital. If you are a compassionate healthcare professional eager to contribute to patient care, this is your opportunity where your skills make a difference every day. Join us in delivering exceptional healthcare with a personal touch.

At Piedmont Medical Network - Rock Hill Hospital, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

  • Medical, dental, vision, and life insurance
  • 401(k) retirement savings plan with employer match
  • Generous paid time off
  • Career development and continuing education opportunities
  • Health savings accounts, healthcare & dependent flexible spending accounts
  • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status



Piedmont Medical Network has served the community of York County and beyond for more than 30 years. Piedmont Medical Network - Rock Hill Hospital is a 288-bed facility that has advanced equipment and experienced healthcare staff catering to the diverse needs of the community it serves. Services include preventive care, advanced heart and stroke care, maternity care and a Level III NICU. Piedmont Medical Network - Fort Mill Hospital opened in 2022 with 100-beds, advanced technology and a compassionate care team. The new hospital features a 24/7 Emergency Department, Intensive Care Unit, Medical/Surgical Unit, and a wide array of Surgical Services and Women's Services.

Piedmont Medical Network has been recognized for its elite level of safety by being awarded the Leapfrog Groups Hospital Safety Score and the Certified Zero Harm Award by SCHA (South Carolina Hospital Association) in collaboration with South Carolinas DHEC. The Cardiac Care program at PMC provides quality care and was designated as a Blue Distinction Center for Cardiac Care by BlueCross BlueShield and a Nationally Certified Cardiac Rehabilitation Program by the American Association of Cardiovascular and Pulmonary Rehabilitation. At Piedmont Medical Network, you can grow your career skills and be a vital member of our team dedicated to improving the health of the community. Join our team!

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