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SalaryLove + medicine is who we are, it's what we do, it's why people want to work here. If you’re looking for a job to love, apply today.
Schedule Weekly Hours:
40Gundersen Health System is looking to add an Accreditation Specialist to the Continuous Readiness Team!
What you will do:
- Salaried role- 40 hours every two weeks
- Primarily days, 8 or 9 hour shifts
- Located at our Front Street Office in La Crosse, WI
- Assist leaders and staff in assessing/evaluating patient care processes to ensure healthcare accreditation and regulatory standards are met
What you will get:
- Place to bring your ideas and try new things
- Variety in your work
- Supportive tight knit team
- Departmental leadership that supports you as you do your best work.
- Access to our Career Development Center
What you will need:
- Bachelor’s Degree in Business, Healthcare Administration, Information Management or health-related field
- Minimum 3 years working in the healthcare industry
- Experience with project management, healthcare compliance and or regulatory activities a plus
About Gundersen Health System:
Gundersen Health System is a physician-led, not-for-profit healthcare system that includes a teaching hospital; community clinics; affiliate hospitals, clinics, and nursing homes; behavioral health services; vision centers; pharmacies; and air and ground ambulance services. We serve more than 500,000 residents throughout 19 counties throughout western Wisconsin, northeastern Iowa, and southeastern Minnesota. Our La Crosse, WI main campus is a 325-bed teaching hospital, tertiary referral center, and a Level II Trauma Center. Our mission is to deliver Love + Medicine every day to change lives in our communities and enrich the lives of our employees.
Job Description:
The Accreditation Specialist, under the direction of department leadership, provides management and staff expert advice and tools to assess, meet and sustain requirements and process improvements for healthcare accreditations and certifications. Leads or manages projects to support accreditation, certification and state/federal regulatory surveys and activities for Gundersen Health System to include Joint Commission accredited locations, critical access hospitals, rural health clinics, medical clinics, and long-term care facilities.
Major Responsibilities:
1. Serves as an expert resource and provides interpretive guidance regarding application of hospital in/outpatient, behavioral health, hospice and homecare, disease-specific certification standards and regulatory processes.
2. Gathers information from regulatory and survey resources to communicate national trends and lessons learned for application at Gundersen Health System.
3. Utilizes project planning and management skills to develop, lead and monitor compliance processes, such as tracers, walkthroughs, and standards review.
4. Assists with finalization of formal corrective action responses to accrediting agencies.
5. Fosters positive relationships with organizational leaders while collaborating to identify and resolve areas of non-compliance.
6. Participates in analyzing patient incidents and unsafe practices/conditions and provides recommendations for proactive solutions based on regulatory guidance.
7. Analyzes data, previous survey findings and corrective action plans and utilizes key components in the development, implementation, monitoring and sustaining of regulatory compliance.
8. Develops and implements an organizational communication and education plan for Joint Commission accreditation to include tool kits, education, and reference/resource materials
9. Is proficient in use of Accreditation Manager Plus (AMP) software program to train and support internal application users.
10. Assists with development and maintenance of department website. .
11. Performs other job-related responsibilities as requested
Education and Learning:
REQUIRED
Bachelor's degree in Business or Healthcare Administration or Information Management or a health -related field
Work Experience:
REQUIRED
3 years minimum experience working in the healthcare industry.
DESIRED
2 years project management experience; experience with healthcare compliance and regulatory activities
project management experience
Age Specific Population Served :
Nonage Specific (N/A)
OSHA Category:
Category III - No employees in this job title have a reasonably anticipated risk of occupational exposure to blood and/or other potentially infectious materials.
Environmental Conditions:
Not substantially exposed to adverse environmental conditions (as in typical office or administrative work).
Physical Requirements/Demands Of The Position:
Sitting Continually (67-100% or 8 hours)
Static Standing Frequently (34-66% or 5.5 hours)
Lifting - Other Occasionally (6-33% or 3 hours) Number of lbs 0-25
I f you need assistance with any portion of the application or have questions about the position, please contact HR-Recruitment@gundersenhealth.org or call 608-775-0267
Equal Opportunity Employer
