... and Joint Commission Survey Readiness - Full Time Education / Experience: * 4 year / Bachelor ... Coordination of Medical Staff case review and other Medical Staff quality committees in ...
... and Joint Commission Survey Readiness - Full Time Education / Experience: * 4 year / Bachelor ... Coordination of Medical Staff case review and other Medical Staff quality committees in ...
Home Health Administrator
Indianapolis, IN · On-site
$80K - $85K/yr
Conduct employee evaluations and performance reviews. Clinical & Administrative Oversight * Ensure ... CHAP, ACHC, or Joint Commission survey experience. * Indiana Home Health regulatory knowledge.
Quick apply
Home Health Administrator
Indianapolis, IN · On-site
$80K - $85K/yr
Conduct employee evaluations and performance reviews. Clinical & Administrative Oversight * Ensure ... CHAP, ACHC, or Joint Commission survey experience. * Indiana Home Health regulatory knowledge.
Home Health Administrator
Indianapolis, IN · On-site
$80K - $85K/yr
Conduct employee evaluations and performance reviews. Clinical & Administrative Oversight * Ensure ... CHAP, ACHC, or Joint Commission survey experience. * Indiana Home Health regulatory knowledge.
Quick apply
Home Health Administrator
Indianapolis, IN · On-site
$80K - $85K/yr
Conduct employee evaluations and performance reviews. Clinical & Administrative Oversight * Ensure ... CHAP, ACHC, or Joint Commission survey experience. * Indiana Home Health regulatory knowledge.
Home Health Administrator
Indianapolis, IN · On-site
$80K - $85K/yr
Conduct employee evaluations and performance reviews. Clinical & Administrative Oversight * Ensure ... CHAP, ACHC, or Joint Commission survey experience. * Indiana Home Health regulatory knowledge.
Quick apply
Home Health Administrator
Indianapolis, IN · On-site
$80K - $85K/yr
Conduct employee evaluations and performance reviews. Clinical & Administrative Oversight * Ensure ... CHAP, ACHC, or Joint Commission survey experience. * Indiana Home Health regulatory knowledge.
... Joint Commission accreditation, CDPH licensure, federal and state regulatory surveys, and ... administrative reviews. Investigate situations, processes, and policies, collaborate with SVH ...
... Joint Commission accreditation, CDPH licensure, federal and state regulatory surveys, and ... administrative reviews. Investigate situations, processes, and policies, collaborate with SVH ...
General Legal Counsel
Lincolnwood, IL · On-site
$135K - $150K/yr
Review statements of Deficiencies, plans of corrections, informal dispute resolution submissions ... IDPH and Joint Commission survey issues * Ensure proper waiver of hearing and payment in ...
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General Legal Counsel
Lincolnwood, IL · On-site
$135K - $150K/yr
Review statements of Deficiencies, plans of corrections, informal dispute resolution submissions ... IDPH and Joint Commission survey issues * Ensure proper waiver of hearing and payment in ...
... Joint Commission Survey Ready Team, unit-based audits, record reviews, and tracers in the coordination of and participation in mock surveys. Qualifications Education Required: Bachelor's degree ...
... Joint Commission Survey Ready Team, unit-based audits, record reviews, and tracers in the coordination of and participation in mock surveys. Qualifications Education Required: Bachelor's degree ...
General Legal Counsel
$135K - $150K/yr
Review statements of Deficiencies, plans of corrections, informal dispute resolution submissions ... IDPH and Joint Commission survey issues * Ensure proper waiver of hearing and payment in ...
General Legal Counsel
$135K - $150K/yr
Review statements of Deficiencies, plans of corrections, informal dispute resolution submissions ... IDPH and Joint Commission survey issues * Ensure proper waiver of hearing and payment in ...
County Surveyor
Jackson, CA · On-site
$145K/yr
Reviews and exercises responsibility for the certification of survey and subdivision maps ... and commissions, and other government agencies. Supervision of all staff in County Surveyor ...
County Surveyor
Jackson, CA · On-site
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Reviews and exercises responsibility for the certification of survey and subdivision maps ... and commissions, and other government agencies. Supervision of all staff in County Surveyor ...
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Jackson, CA · On-site
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Reviews and exercises responsibility for the certification of survey and subdivision maps ... and commissions, and other government agencies. * Supervision of all staff in County Surveyor ...
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Reviews and exercises responsibility for the certification of survey and subdivision maps ... and commissions, and other government agencies. * Supervision of all staff in County Surveyor ...
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$74K - $92K/yr
Maintaining the hospitals database in an accurate and timely manner by reviewing hospital ... Special projects (Joint commission survey, credentialing, AA reports etc.). * Assisting with ...
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Maintaining the hospitals database in an accurate and timely manner by reviewing hospital ... Special projects (Joint commission survey, credentialing, AA reports etc.). * Assisting with ...
Survey Project Manager
Kansas City, KS · On-site
Perform quality control reviews of drawings, legal descriptions, and other deliverables prepared by ... Must have experience with and been through a Planning Commission process for projects. * Must be ...
Quick apply
Survey Project Manager
Kansas City, KS · On-site
Perform quality control reviews of drawings, legal descriptions, and other deliverables prepared by ... Must have experience with and been through a Planning Commission process for projects. * Must be ...
Survey Project Manager
Kansas City, KS · On-site
Perform quality control reviews of drawings, legal descriptions, and other deliverables prepared by ... Must have experience with and been through a Planning Commission process for projects. * Must be ...
Survey Project Manager
Kansas City, KS · On-site
Perform quality control reviews of drawings, legal descriptions, and other deliverables prepared by ... Must have experience with and been through a Planning Commission process for projects. * Must be ...
County Surveyor
$101K - $123K/yr
Reviews all survey and subdivision maps for accuracy, content, and validity before recording ... support to commissions, committees, and task forces, as necessary; negotiates and resolves ...
County Surveyor
$101K - $123K/yr
Reviews all survey and subdivision maps for accuracy, content, and validity before recording ... support to commissions, committees, and task forces, as necessary; negotiates and resolves ...
Survey Project Manager
Wichita, KS · On-site
Perform quality control reviews of drawings, legal descriptions, and other deliverables prepared by ... Must have experience with and been through a Planning Commission process for projects. * Must be ...
Quick apply
Survey Project Manager
Wichita, KS · On-site
Perform quality control reviews of drawings, legal descriptions, and other deliverables prepared by ... Must have experience with and been through a Planning Commission process for projects. * Must be ...
Survey Project Manager
Kansas City, KS · On-site
Perform quality control reviews of drawings, legal descriptions, and other deliverables prepared by ... Must have experience with and been through a Planning Commission process for projects. * Must be ...
Survey Project Manager
Kansas City, KS · On-site
Perform quality control reviews of drawings, legal descriptions, and other deliverables prepared by ... Must have experience with and been through a Planning Commission process for projects. * Must be ...
Survey Project Manager
Wichita, KS · On-site
Perform quality control reviews of drawings, legal descriptions, and other deliverables prepared by ... Must have experience with and been through a Planning Commission process for projects. * Must be ...
Survey Project Manager
Wichita, KS · On-site
Perform quality control reviews of drawings, legal descriptions, and other deliverables prepared by ... Must have experience with and been through a Planning Commission process for projects. * Must be ...
Survey Project Manager
Wichita, KS · On-site
Perform quality control reviews of drawings, legal descriptions, and other deliverables prepared by ... Must have experience with and been through a Planning Commission process for projects. * Must be ...
Survey Project Manager
Wichita, KS · On-site
Perform quality control reviews of drawings, legal descriptions, and other deliverables prepared by ... Must have experience with and been through a Planning Commission process for projects. * Must be ...
Plan Reviewer
Jefferson City, MO · On-site
$60K - $90K/yr
Serves as Public Works representative to the Cole County Planning Commission for review of ... Supplemental Information Must have knowledge of engineering, drafting, and surveying practices and ...
Plan Reviewer
Jefferson City, MO · On-site
$60K - $90K/yr
Serves as Public Works representative to the Cole County Planning Commission for review of ... Supplemental Information Must have knowledge of engineering, drafting, and surveying practices and ...
Plan Reviewer
Jefferson City, MO · On-site
$60K - $90K/yr
Serves as Public Works representative to the Cole County Planning Commission for review of ... Supplemental Information Must have knowledge of engineering, drafting, and surveying practices and ...
Plan Reviewer
Jefferson City, MO · On-site
$60K - $90K/yr
Serves as Public Works representative to the Cole County Planning Commission for review of ... Supplemental Information Must have knowledge of engineering, drafting, and surveying practices and ...
Commission Survey Reviewer information
RN - Director of Quality Improvement and Joint Commission Survey Readiness
Toccoa, GA • On-site
Full-time
Posted 19 days ago
Stephens County Hospital rating
4.8
Based on 7 frontline employees who took The Breakroom Quiz
962nd of 1,020 rated hospitals
Job description
Stephens County Hospital is a 96-bed acute care hospital located in Toccoa, Georgia. We are nestled in the beautiful foothills of Northeast Georgia where our family-oriented community offers many cultural and civic opportunities as well as numerous outdoor activities.
Stephens County Hospital is a member of the Georgia Hospital Association, American Hospital Association and Georgia Alliance of Community Hospitals. Stephens County Hospital is fully accredited by the Joint Commission, the nation's premier healthcare monitoring agency.
RN - Director of Quality Improvment and Joint Commission Survey Readiness - Full Time
Education / Experience:
- 4 year / Bachelor's Degree in in relevant field (Required)
- Master's Degree in in relevant field (Preferred)
- Preferred Certifications/Licensures: Certified Professionals in Healthcare Quality (CPHQ)
- Lean Six Sigma knowledge/training (preferred)
- RN with with 5 year's experience and an active GA license or compact license
Duties and Responsibilities:
- Coordination of prioritization, integration, implementation and evaluation of annual quality plan for the organization.
- Responsible for coordinating all regulatory and accreditation standards compliance.
- Coordinate all purchases of related databases for QI in collaboration with IS.
- Oversight of clinical database systems management.
- Participates in the annual budgeting process and provides feedback around quality tools, books, etc., necessary for the job.
Professional Requirements
- Adhere to dress code, appearance is neat and clean.
- Complete annual education requirements.
- Maintain patient confidentiality at all times.
- Report to work on time and as scheduled.
- Wear identification while on duty.
- Maintain regulatory requirements, including all state, federal and local regulations.
- Represent the organization in a positive and professional manner at all times.
- Comply with all organizational policies and standards regarding ethical business practices.
- Participate in performance improvement and continuous quality improvement activities.
- Attend regular staff meetings and in-services as needed.
Non-Essential Functions
Perform other duties as assigned or requested.
Knowledge, Skills, and Abilities
- Strong organizational and interpersonal skills
- Ability to determine appropriate course of action in more complex situation
- Ability to work independently, exercise creativity, and maintain a positive attitude
- Ability to manage multiple and simultaneous responsibilities and to prioritize scheduling of work
- Ability to maintain confidentiality of all medical, financial, and legal information
- Ability to complete work assignments accurately and in a timely manner
- Ability to communicate effectively, with excellent verbal and written communication skills
- Knowledgeable and skilled with Microsoft Office to include Word, Excel, Power Point, etc.
- Knowledgeable of CQI tools and techniques and able to impart that knowledge to others in a manner to obtain compliance.
- Responsible for organization wide QI reporting to Medical Executive Committee and Department Heads.
- Coordination of Medical Staff case review and other Medical Staff quality committees in collaboration with Medical Staff Coordinator and Medical Staff.
- Oversight of the mandatory reporting of clinical outcomes and process measures to CMS, State QIOs, and accrediting body.
- Assists with formation/direction of teams. Knowledgeable of state and federal regulations.
- Designs system to facilitate collection, trending and analysis of data.
- Serves as internal consultant for those needing assistance with QI initiatives.
- Assists depts. /service lines in developing key quality indicators and assists in identifying QI opportunities.
- Coordination of QI education.
- Provides educational programs to hospital employees, medical staff, and the community regarding topics of QI.
- Actively seeks opportunities to expand knowledge base through professional development.
- Knowledgeable of Medical Staff bylaws, rules, and regulations.
- Assists with Peer Review procedures in conjunction with medical staff.
- Compiles accurate, timely, and meaningful reports of quality activities. Maintains agendas for assigned committees.
- Keeps accurate statistical information.
- Assists chiefs of service with correspondence. Maintains files of credentialing information in an organized manner.
- Performs selected studies/reviews according to pre-established criteria.
- Compiles statistical information.
- Interfaces and collaborates with the Compliance Officer for the purpose of assisting with investigation of potential compliance issues/concerns, record keeping, regulatory readiness and staff education/updates.
- Types necessary reports and enters solicited information into database files.
- Knowledgeable of TJC standards.
- Able to interpret standards into policies, procedures, or formation of processes to comply with stated standards.
- Assists as needed for continuous TJC compliance.
Physical Requirements and Environmental Conditions:
- Sitting for extended periods of time (up to 4 hour intervals)
- Must be able to walk, bend, stoop and reach/lift above your head, without any assistive devices.
- Must be able to read documentation in a variety of formats such as in print and electronically.
- Must be able to hear adequately enough in order to clearly communicate with others and use communication devices such as telephones must be able to hear patients, alarms, call bells, etc.
- Maintains mental and emotional stability, using a courteous and calm approach in all contacts with patients, visitors and healthcare team members.
- Must be able to lift 10 pounds or more.
- Have near normal hearing - able to hear alarms/telephone/normal speaking voice/ webinars
- Have near normal vision - clarity of vision (both near and far) either corrected on non-corrected, ability to distinguish colors
- Have good manual dexterity and eye-hand-foot coordination
- Standing - continuously within the shift (67-100%)
- Walking - continuously within the shift (67-100%)
- Climbing - occasionally within the shift (1-33%)
- Bending/stooping - frequently within the shift (34-66%)
- Twist at the waist - occasionally with the shift (1-33%)
- Pushing/pulling - frequently within the shift (34-66%)
- Lift/carry - 20lbs with assistance - occasionally within the shift (1-33%)
- Reaching above the shoulders - frequently within the shift (34-67%)
- Lift/carry - 50lbs with assistance - occasionally within the shift (1-33%).
Stephens County Hospital is an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition, carrier status or any other legally protected status.
What Stephens County Hospital employees say
Pay
Hours and flexibility
Workplace
Get the full story on Breakroom
About Stephens County Hospital
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Toccoa, GA, US
Year founded
1967