Accreditation & ISO Coordinator

• Department: Quality, Accreditation & Rep1019

• Entity: Champaign-Urbana Service Area

• Job Category: Professional

• Employment Type: Full - Time

• Job ID: 45457

• Experience Required: 1 - 3 Years

• Education Required: Bachelors Degree

• Shift: Day

• Location: Urbana, IL

• Usual Schedule: M-F 8a-5p

• On Call Requirements: None

• Work Location: Carle on Fieldstone

• Weekend Requirements: None

• Holiday Requirements: None

  Email a Friend Save Save Apply Now

  Position Summary:

  The Accreditation/ISO Coordinator is a key participant in the hospital's continuous accreditation and regulatory readiness program. Responsible for providing direction and oversight for regulatory and accreditation compliance including DNV, ISO 9001 Quality Mgmt System Requirements, and State and Federal agencies. This individual assists in maintaining preparedness for accreditation and licensure surveys.

  Qualifications:

  EDUCATIONAL REQUIREMENTBachelor's Degree in Nursing or Healthcare Related Field CERTIFICATION & LICENSURE REQUIREMENTS Basic Certificate in Quality & Safety (IHI) within 1 year. EXPERIENCE REQUIREMENTSThree years of experience in the healthcare industry required with significant experience in clinical operations and/or process improvement. Previous accreditation/regulatory readiness experience preferred.

  Essential Functions:

• Conduct gap analyses and develop evidence-based corrective action plans to assure compliance with regulatory standards.

• Participate in the monthly accreditation education session to include agenda planning, minutes, and presentations as needed.

• Organize an interprofessional team to serve as chapter leads for accreditation standards.

• Executes survey readiness program, including mock surveys and tracer methodology preparations.

• Provides consultation to organization leaders on survey readiness and NIAHO standards.

• Updates leaders on new standards and assures effective communication of expectations.

• Assist in assuring accuracy and timeliness in submission of corrective action plans to external agencies and internal stakeholders.

• Responsible for developing ISO internal audit strategy and oversight, and implementation of ISO strategic plan.

  We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.

Effective September 20, 2021, the COVID 19 vaccine is required for all new Carle Health team members. Requests for medical or religious exemption will be permitted.