Position Title

Accreditation and Regulatory Associate

Days - Full Time

Great Bend Hospital

Position Summary / Career Interest:

Accreditation and Regulatory Associate supports various activities that support compliance with accreditation and regulatory requirements. The Associate performs various data management functions necessary for continuous survey readiness including, but not limited to, providing real-time observations in clinical settings, providing real-time feedback to front line staff, data collection, chart reviews, data entry, maintaining data integrity, performing data validation, and conducting basic data analysis. The Accreditation and Regulatory Associate assists other members of the Accreditation and Regulatory Department to respond to data requests, data dissemination, implementation, and evaluation of performance improvement projects intended to meet the organization's vision to lead the nation in caring, healing, teaching, and discovering.

Responsibilities and Essential Job Functions

Supports various initiatives to maintain accreditation and regulatory compliance
Interacts in a courteous, professional manner with evidence of conflict resolution skills
Takes an active role in hospital survey readiness activities
Validates and monitors post-survey action plans
Enters data into systems for analysis and trending
Shares and presents data to internal audiences
Provides real-time coaching on observed compliance opportunities
Demonstrates collaborative working relationships and works under the direction of the Accreditation and Regulatory Compliance manager and/ or director.
Participates in accreditation and regulatory related educational offerings
Ability to speak and train groups of employees
Provides technical policy support
Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience

Associates Degree OR
Licensed Practical Nurse
1 or more years of healthcare experience

Required Licensure and Certification

Valid driver's license.

Knowledge Requirements

Proficient in MS Office.

Time Type:

Part time

Job Requisition ID:

R-56493

Important information for you to know as you apply:

The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status. See also Diversity, Equity & Inclusion.
The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link asktalentacquisition@kumc.edu.
Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.

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