Quality Management. The RN Accreditation Specialist is responsible for the oversight, coordination, implementation, and evaluation of all facets of an effective accreditation readiness program across all William Jennings Bryan Dorn (Dorn) VA Medical Center (VAMC) programs. The Accreditation Specialist is organizationally responsible to the Chief, Quality Management. Please read announcement carefully. Failure to submit required documents and/or information may result in an ineligible rating. The RN Accreditation Specialist leads all accreditation readiness processes for Dorn VAMC programs including Joint Commission (Hospital, Long Term Care, Behavioral Health, and Home Care), Commission on the Accreditation of Rehabilitation Facilities, the Office of the Inspector General, and other internal and external reviews. The Accreditation Specialist performs duties that directly contribute to both the continual accreditation of Dorn VAMC programs and the quality and safety of patient care they provide. The RN must have an attitude focused on building of continuous readiness that supports a culture of safety within the facility and is the foundation upon safe operations and high reliability are based. Duties include, but are not limited: Facilitates the development, implementation, and sustainment or proactive and corrective improvements in order to meet accreditation standards and other regulatory and Veterans Affairs and Veterans Health Administration. Maintains current documentation and data as required for continual readiness, completes survey-related administrative processes and applications; and provides consultation and support to all levels of facility leadership, the Quality Management Chief, and others responsible for Dorn accreditation activities, including all accreditation related requirements, Dorn VAMC policy initiation/revision, readiness preparation, intra-survey facilitation, and development, implementation, and monitoring of post-survey corrective active. Participates on Dorn VAMC committees as an accreditation and quality content expert; educates staff about accreditation-related regulations, standards, and VA/VHA/VISN/Dorn VAMC guidance and processes and Office of Inspector General initiatives. Creates effective lines of communication and collegial, collaborative functional partnerships with senior leadership, internal and external customers, Veterans, caregivers, and other patient safety stakeholders. Work Schedule: 8:00 a.m. - 4:30 p.m., Monday through Friday. This position requires flexibility in schedule and assignments, as this is a 24/7 facility. Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.