Standards Interpretation Specialist (Acute Care Hospital/Critical Access Hospital)

About the job

Location: Remote – Can be located anywhere nationwide, but willingness to travel anywhere in the US is required

ACHC is currently recruiting a personable and detail-oriented Standards Interpretation Specialist to perform the associated duties which support and accomplish the accreditation process for the Acute Care Hospital (ACH), Critical Access Hospital (CAH), and associated Certification programs which are part of our Acute Care Services division.

This person will be responsible for providing interpretation of ACHC standards with special emphasis on standards issued related to specific settings, professional disciplines, or accreditation and certification programs. This person will also be educating surveyors and customers alike on the accreditation services and associated standards of ACHC, as well as participating in the development and revision of standards and survey processes.

The ideal candidate will possess a passion for quality and promoting improvement, along with the ability to think outside the box to do so. S/he should also exhibit exceptional communication skills with a positive demeanor that contributes to favorable and meaningful interactions with a variety of key stakeholders.

Responsibilities:

• Review Summary of Findings (SOF) documentation submitted by Surveyors, ensuring accuracy.
• Complete the review of the survey findings and deficiency report.
• Participate as an active member of the Accreditation Review Committee.
• Review Plans of Correction (POCs) submitted by providers for accuracy and completeness.
• Complete and submit post-accreditation paperwork.
• Review Evidence as submitted by providers for accuracy and completeness.
• Document all reviews per ACHC protocols.
• Educate providers as needed to ensure POCs and Evidence comprehensively addresses deficiencies.
• Provide ACH and CAH standards interpretation for customers and accreditation department staff.
• Conduct ACH and CAH surveys, including complaint and focus surveys ensuring compliance with ACHC Standards for Accreditation if needed.
• Provide support to the ACH, CAH, and Certification programs for daily operational processes.
• Review and recommend changes to department policies and work instructions to maintain the Quality Management System (QMS) and the integrity of departmental processes.
• Participates in the development and revision of standards and survey processes to ensure continuous compliance with applicable regulations and other national standards.
• Prepares materials and delivers presentations for training and educational programs.
• Participates in the development and review of articles for various publications.
• Participates in the development and revision of standards and survey processes to ensure continuous compliance with CMS regulations and other national standards.
• Maintains customer relationships for assisting accredited organizations in achieving and maintaining compliance with ACHC standards.
  
  

Job Requirements:

• Registered Nurse and BSN required; MSN or Master’s degree in Health Care or related field strongly preferred.
• Minimum 5 years’ experience working in a clinical role in a Hospital, preferably with progressive supervisory or leadership experience.
• Working knowledge of regulatory guidelines, including Medicare and State licensing requirements.
• Critical thinking skills required to analyze and interpret data and report findings.
• Excellent Customer Service skills a must, inside and outside the company, with proven ability to effectively interact with individuals at all levels in the health care hierarchy.
• Ability to successfully function in a fast-paced environment, both independently and on a team.
• Must be willing/able to travel up to 25%.
  
  

Compensation includes base salary + quarterly bonus eligibility.

Qualified candidates who meet the above requirements should send a resume and salary expectations to [email protected].

You will have access to competitive benefits including a fresh perspective on workplace flexibility. Our visionary market sensibility is coupled with a workplace that has been recognized both nationally and locally as a Best Places to Work award recipient. ACHC provides a competitive salary along with a comprehensive benefits package featuring 100% paid Medical, Dental, and Vision benefits for individuals. Come join our fun-loving, committed team of professionals who each play a vital role in providing our customers with the industry’s best possible service experience.

Accreditation Commission for Health Care is an Equal Opportunity Employer.