ACCREDITATION COORDINATOR -RN*

I. POSITION SUMMARY: The Accreditation Coordinator provides administrative leadership on Joint Commission (TJC) accreditation to CHRISTUS Santa Rosa Health System (CSRHS). Implements and coordinates a continuous Joint Commission accreditation readiness program for the system.Whether your skills lie in patient care or administration and you prefer to work in not-for-profit health care, CHRISTUS Health facilities may have a career opportunity for you. CHRISTUS Health and our facilities are committed to being an equal opportunity employer as part of our on-going mission. It is the policy of CHRISTUS Health not to discriminate on the basis of race, color, creed, religion, gender, orientation, disability, age or national origin.

CHRISTUS Health is committed to providing meaningful benefits for you and your family and to sharing with you the prosperity you help create. We support our health care teams with competitive compensation and an outstanding benefits package.

Medical Health Coverage

Prescription Drug Plan

Dental Coverage

Vision Coverage

Long-Term Disability

Group Term Life

Accidental Death & Dismemberment

II. CORE VALUES: A. Dignity: respect for the worth of every person, recognition and commitment to the value of diverse individuals and perspectives, and special concern for the poor and underserved. B. Integrity: demonstrates honesty, justice and consistency in all relationships. C. Excellence: demonstrates high standards of service and performance. D. Compassion: demonstrates service in a spirit of empathy, love and concern. E. Stewardship: demonstrates wise and just use of talents and resources in a collaborative manner. III.

QUALIFICATIONS: A. EDUCATION: 1. Bachelor’s Degree in Nursing, Healthcare Administration or related field required.

B. EXPERIENCE: 1. Minimum 3 years in Quality Management or TJC survey readiness. 2. Knowledgeable regarding standards and regulations pertaining to all regulatory bodies, including but not limited to The Joint Commission (TJC), Texas Department of Health (TDH), Centers for Medicare and Medicaid Services (CMS), and unit specific regulatory bodies such as Commission of Accreditation of Rehabilitation Facilities (CARF) and specialty accreditation or certification.

C. LICENSURE/CERTIFICATION: 1. CPHQ Certification preferred. 2. AHAP Certification preferred.

D. EQUIPMENT/SKILLS: 1. Experience with computer based tools such as E-mail (Outlook), Excel, Word, Access. 2. Demonstrated ability to plan, schedule, develop task/time lines. 3. Demonstrated ability to read and comprehend complex standards and regulations. 4. Demonstrated ability to lead work groups, communicate orally in small and large groups and in written formats. 5. Demonstrated ability to manage and define processes and projects to achieve identified goals within specified timelines. 6. Demonstrated ability to manage records, files, documentation both hard and electronic. 7. Strong problem solving skills. 8. Demonstrated ability to understand hospital and health system organizations and operations. 9. Demonstrated ability to achieve continuous survey readiness. 10. Demonstrated ability to integrate and interpret data from diverse sources addressing issues of high complexity. 11. Demonstrated ability to develop working relationships with customers (i.e. associates, directors, vice presidents, physicians).

E. WORKING CONDITIONS/PHYSICAL REQUIREMENTS: 1. Works in a clean well-lighted environment. 2. Will be called in or scheduled for weekend or evening activities as needed. 3. Regular local travel to appointments and frequent trips throughout hospital are required. 4. Must also successfully complete the pre-employment/post job offer health screening examination, and the annual screening each year thereafter as an employee.

F. OTHER: 1. Must also successfully complete the pre-employment/post job offer health screening examination, and the annual screening each year thereafter as an employee.