Job opening: QM Accreditation Specialist
Salary: $80 456 - 141 393 per year
Published at: Oct 26 2023
Employment Type: Full-time
The Atlanta VA Healthcare System is seeking a Registered Nurse for the position of Accreditation Specialist for our Quality Management (QM) service line.
Duties
VA offers a comprehensive total rewards package: VA Nurse Total Rewards
The Atlanta VA Healthcare System is seeking a Registered Nurse to be responsible for the following roles:
Provide consultation/collaboration and guidance in accreditation standards and quality management (QM), principles, systems, and processes for the improvement of patient care.
Assists hospital staff to identify accreditation QM issues and promote systematic processes for problem analysis and resolution.
Initiates/coordinates interdisciplinary projects/teams to improv patient care delivery and organizational systems. Plans and directs timely follow up of review findings.
Shares expertise with hospital employees using a variety of educational, collaborative, and collegial formats.
Collects and analyzes data and develops reports to appropriately disseminate programmatic findings and recommendations.
Demonstrates effective communication skills, and interpersonal relationships in working with both committees and individuals.
Collaborates with medical center leadership in making decisions and developing/implementing action plans throughout the medical center and Community Based Outpatient Clinics (CBOC); including planning, organizing, directing and overseeing accreditation and other external surveys and follow-up reports.
Interprets rules and regulations and have a broad knowledge of VHA regulations, Joint Commission, and other applicable Federal and State requirements in order to provide accurate information for management and clinicians regarding accreditation standards and quality management related issues.
Chairs or serves as a member of committees and task forces related to the performance improvement functions. Provides leadership and expertise to committees, task forces, as well as project assignments, developing data, forming plans and preparing position papers that impact on planning for quality and performance management as a whole.
Serves as a liaison to the Joint Commission and other external review groups and provides direct staff support to service chiefs, and others in planning, designing, integrating, implementing, modifying, and evaluation the effectiveness of program components and/or services to improve the quality of patient care and the appropriateness and timeliness of services provided.
Demonstrates the knowledge and skills necessary to manage the program requirements including sound managerial skills to establish priorities and accomplish the tasks. Functions as a consultant/resource in center wide committees and activities that relate to program issues.
Collects and analyzes data and develop reports to appropriately disseminate programmatic findings and recommendations to leadership and services.
Acts as the primary resources for assigned departments/sites for services related to the relevant regulatory program.
Conducts and coordinates accreditation/regulatory standards-based audits
Applies accreditation standards and survey methodology to complex issues and problems; escalates more complex issues to department leadership.
Supports implementation of system accreditation programs, in collaboration with stakeholders; documents and prepares reports for distribution to stakeholders.
Preferred Experience:
3-5 yrs experience providing consultation/collaboration and guidance in accreditation standards and quality management (QM), principles, systems, and processes for the improvement of patient care; assisting hospital staff to identify accreditation QM issues and promote systematic processes for problem analysis and resolution; initiating/coordinating interdisciplinary projects/teams to improve patient care delivery and organizational systems; planning and directing timely follow up of review findings.
Work Schedule: 0800-1630
Compressed/Flexible: Not Authorized
Telework: Not Authorized
Virtual: This is not a virtual position.
EDRP : Not Authorized
Permanent Change of Station (PCS): Not Authorized
PCS Appraised Value Offer (AVO): Not Authorized
Financial Disclosure Report: Not required
Qualifications
Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.
Basic Requirements:
United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
Graduate of a school of professional nursing approved by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). The approving official may authorize a waiver of the requirement for ACEN or CCNE accreditation of any degree in nursing provided the college or university has regional accreditation from an accrediting body recognized by the Department of Education at the time of the candidate's graduation and the composite qualifications of the applicant warrant such consideration. In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (Reference VA Handbook 5005, Appendix G6) OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing.
Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia.
Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required.
Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience.
Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience.
Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required.
Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience.
Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required.
Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office.
Physical Requirements: Heavy Lifting (45 lbs and over); Heavy Carrying (45 lbs and over); Straight Pulling (2-6 hours); Pushing (2-6 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (5-9 hours); Standing (4-8 hours); Kneeling (1-2 hours) Repeated bending (2-4 hours); Climbing, legs only (1-2 hours), Twisting (2-4 hours), Working closely with others.
Education
IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here:
http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit:
http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
Contacts
- Address Atlanta VA Medical Center
1670 Clairmont Road
Decatur, GA 30033
US
- Name: Staci Benson
- Phone: 4782721210
- Email: [email protected]
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