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UC HEALTH LLC Registered Nurse (RN), Accreditation Coordinator in CINCINNATI, Ohio

At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is committed to providing an inclusive, equitable and diverse place of employment. The Accreditation Coordinator is responsible for the preparation and coordination of efforts related to The Joint Commission and other regulatory compliance; and maintaining a constant state of service readiness for The Daniel Drake Center. This includes maintaining knowledge of all standards, updates to standards and tracking compliance within accreditation database.Education: Minimum Required: Bachelor's Degree in Healthcare Related Field License/Certification: Registered Nurse in good standing in the state of Ohio Experience: Minimum Required: 3 - 5 Years equivalent experience Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today! About UC Health UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, Daniel Drake Center for Post-Acute Care, Bridgeway Pointe Assisted Living, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com. Same Posting Description for Internal and External CandidatesCompliance:

Coordinates interpretation and evaluation of compliance with The Joint Commission, ODH, ODMH, and CMS standards.

In collaboration with the Manager of Accreditation the coordinator chairs Regulatory Committees; provides direction for assigned TJC chapter and standard leads. Assists in performing gap analysis of current state of compliance and formulating action plans, responsibilities, and completion dates to bring organization into compliance.

Maintains a working knowledge and understanding of the intent of standards, regulations, and agency scoring.

Reviews official TJC publications and provides summary to department manager and director on a monthly basis.

Serves as an expert resource for the intent of the standards and communicates to appropriate personnel, organizational management and physicians.

Collaborates and serves as a resource for hospital departments for standards set forth by accrediting and regulatory agencies. Assists departments in assessing, planning, implementing and monitoring activities to assure compliance. Assures adequate and appropriate education and communication relative to standards set by accrediting and regulatory agencies.

Attends local and regional workshops to stay abreast of changes or revisions in standards and regulations.

Assists in review and evaluation of departmental and organizational programs and policies to ensure that they guide reimbursement, comply with the standards and regulations set forth by TJC and other regulatory agencies.

Conducts patient tracers to determine current state of

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