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Job Seekers, Welcome to NQF Quality CareersAccreditation Performance Improvment Specialist - Full TIme - Days - SebringAdventHealthSAVE savedJobsSAVE savedJobsAccreditation Performance Improvment Specialist - Full TIme - Days - Sebring
AdventHealth
DescriptionAccreditation Performance Improvement Specialist
AdventHealth Sebring
Location Address: 4200 Sun 'n Lake Boulevard Sebring, FL 33872
Top Reasons to Work at AdventHealth Sebring
· Faith Based & Mission driven Facility
· Largest Employer in the County
· Surrounded by beautiful Lakes, Golf Courses and Floridaâ™s oldest State Park
· Close knit community with a home town family feel
· 2 hours to just about any beach on either Coast
Work Hours/Shift:
Full Time/ Days
You Will Be Responsible For:
Provides direction to department and facility leadership in planning of a systematic, organization- wide approach to continuous regulatory readiness
Chairs the Continuous Survey Readiness Committee
Communicates relevant changes to standards
Prepares reports and/or presentations
Coordinates educational materials/ presentations for committee members
Coordinates the planning and execution of the TJC intra-cycle monitoring (ICM)
Conducts tracer activity within the hospital and the clinic setting
Performs chart abstractions, audits, and documentation reviews to identify compliance with regulatory bodies.
Interviews staff through the tracer methodology process
Prepares summaries of gathered information
Participates in EOC rounds
QualificationsWhat You Will Need:
- Strong organization skills, including completing work by established deadlines.
- Ability to evaluate and correlate clinical information with appropriate criteria and is able to utilize available computer hardware and software.
- Skills to develop and engage in educational activities to facilitate learnersâ™ achievement of specific objectives.
- Associates Degree in Nursing or healthcare-related field.
- Minimum 3 years as acute care nurse
- Registered Nurse with current licensure to practice in the State of Florida required.
Job Summary:
- The Accreditation/ Performance Improvement Specialist serves as a member of the Quality Department. This position leads regulatory survey readiness program planning for AdventHealth Lake Placid, Sebring, and AdventHealth Wauchula. This position coordinates survey activities, i.e. The Joint Commission (TJC), Agency for Health Care Administration (AHCA), and CMS Validation Surveys. This position is also responsible for managing selected Performance Improvement Initiatives within the facility. This individual proceeds on their own initiative in compliance with policies and procedures prescribed by the Quality Department leadership.
Internal Number: 20010936About AdventHealthAdventHealth Greater Orlando (formerly Florida Hospital) is one of the largest faith-based health care providers in the United States. For 150 years, we have carried on a tradition of providing whole-person care that not only addresses patients' physical ailments, but also supports their emotional and spiritual well-being. We demonstrate the same level of compassion and care for our employees as well, doing all that we can to help them realize their full potential – both personally and professionally.
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