St Peter's Health Partners is looking for a health care professional who wants to make a difference.
The Accreditation & Regulatory Coordinator reports to the Director, Patient Safety Quality Improvement and Risk Services
POSITION SUMMARY: Provides leadership and expertise in the areas of accreditation and regulatory compliance, quality and patient safety standards as it relates to associates, staff, inpatient units and outpatient services of Acute Care Albany-St. Peters Health Partners. Collaborates with leadership to direct and coordinate the planning, implementation and evaluation of clinical process related to regulatory compliance. Leverages clinical information technology, process design, change management and evidence to ensure ongoing survey readiness and compliance with accreditation regulations and standards. In addition, works on specific initiatives related to external certification or recognition as reflected in the organization's strategic quality and safety priorities. Assures the organization's ongoing survey readiness.
Bachelor's degree in Nursing, Pharmacy or other clinical or health care systems background with a master's degree in a healthcare or healthcare-related field preferred. Lean training required. Six Sigma training at a green belt or higher preferred.
Minimum of two to three years progressively more responsible related work experience in accreditation and regulatory activities. Experience with, and understanding of key functions of hospital and medical staff departments or services. Previous Joint Commission and Centers for Medicaid and Medicare accreditation experience preferred, with a minimum of 5 years of leadership experience within a healthcare delivery system with an in depth understanding of regulatory requirements and healthcare operations. Certification as a Joint Commission Professional (CJCP) preferred.
Additional Salary Information: competitive total compensation
ST. PETER’S HEALTH PARTNERS
Albany, New York
(located in the Capital District region of upstate NY)
Several years ago, our boards imagined a better way to provide health services for the greater Capital Region and beyond. Today we have created St. Peter's Health Partners, a health system that will increase access to high-quality care and improve the well-being of our neigh...bors.
Our three organizations, St. Peter's Health Care Services, Northeast Health and Seton Health, have long legacies of providing high-quality, compassionate care while continuously adapting to changing community needs. This is a tribute to the dedicated physicians, associates, nurses, staff and volunteers who help us carry out our missions each and every day. We have combined our strengths to create an organization that continues these traditions with increased creativity and renewed commitment.