JOB SUMMARY: Responsible for the coordination of all organization wide mock tracer and other process improvement activities including facilitating, initiating, providing support, and education. Ensures that the organization is in compliance with standards of regulatory and accreditation agencies (i.e. TJC, DNV, CMS, TDSHS, and other hospital licensing) at all times. Prepares, analyzes, and compiles statistics for reports. Assists to facilitate committee meeting as needed; assists with ethics and compliance issues as needed, assists in the workup and investigation of patient?s complaints, and performs other duties as assigned.
1.Education/Specialized Training/Licensure:Bachelors Degree, Nursing or other Allied Health preferred. Certified Specialist in Hospital Accreditation preferred. 2.Work Experience (Years and Area): 5 years of experience in Quality Management or Accreditation
3.Management Experience (Years and Area):5 years of project management preferred 4.Equipment Operated:Personal Computers, printers, copiers, fax machines, window-based software programs (excel, power point, word etc.)
SPECIAL REQUIREMENTS: 1.Communication Skills: Above Average Verbal (Heavy Public Contact) Writing /Composing (Correspondence/Reports)
2. Other Skills: Analytical, Design, Dictation/Transcription, Mathematics, Medical Terms, Word Processing, P.C., MS Excel, MS Power Point
3. Work Schedule: Weekends, Holidays, Flexible, Travel, Eligible for Telecommute
4.. Other Requirements:May require extended hours in addition to weekends/holidays for special projects.
Internal Number: 149620
About Harris Health System
The Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.