Nursing Jobs - Accreditation Management

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Accreditation Management

This is an archived job. Please click here to see a list of current jobs in this specialty.
Job Information
Company: Ruby Recruiting
Job Type Name: Nursing Jobs
Date Added: 2012-12-13
Date Updated: 2014-04-08
Job Title: Accreditation Management

Job Summary:

Responsible for the coordination of all organization wide accreditation activities including measuring, monitoring, trending, facilitating, initiating, providing support, and education of performance improvement activities practices and principles. Ensures that the organization is in compliance with standards of regulatory agencies (i.e. JCAHO, CMS, DHH, hospital licensing), at all times. Provides direct supervision, coaching and mentoring to professional personnel of the department. Designs, develops, analyzes, and modifies detailed reports through the use of queries to databases to support Accreditation readiness goals. Creates reports and analyzes hospital-wide data in support of performance improvement activities. Manages and maintains integrated Information Technology resources and systems for Quality Management division. Serves as a resource for other employees in facilitating quality improvement teams assuring the implementation of strong quality improvement strategies using proven quality methods, tools/techniques. Initiates, coordinates and supports hospital-wide and department-specific performance improvement projects to support regulatory agency standards. Works with different levels of the hospital to support overall business strategies. Assists with other Risk and Quality issues as assigned. Performs all other duties as assigned.


Current Louisiana Licensure as a Registered Nurse required.
Master's in Health Administration or other healthcare related discipline preferred. Bachelor's degree in healthcare related field preferred
Proficiency with performance improvement models, preferably FOCUS-PDCA. Knowledgeable of PI related JCAHO standards. Participation in previous JCAHO survey(s) required. PI related experience required.

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City: New Orleans
State: Louisiana
Job Details
Degree Required: RN
Position Type: Permanent
Experience Required: 3-5 Years
Specialty: Administrative-Medical Director/CEO Jobs
Accept Visa Candidates: No
Additional Information:
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Contact Details
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