Job Description

About this Job:

MedStar Health is looking for a Quality Accreditation Specialist to join our team at MedStar Good Samaritan Hospital! The ideal candidate will have knowledge of accreditation, safety, and regulatory requirements, and the ability to utilize technical and support operations.



As a Quality Accreditation Specialist, you will manage quality assessment and improvement activities, regulatory compliance, staff education and competency for assigned clinical area. Collaborates with physicians, nurses, and other members of the health care team to review, collect, analyze, and use data that reflects the performance of the organization and its services. Provides direction, support and education in performance assessment, maintenance, and improvement.


Join one of the largest healthcare systems in the Baltimore-Washington metro region, also recognized as one of the "Healthiest Maryland Businesses". Apply today and learn how MedStar Health can be your next great career move!

Primary Duties:

Contributes to the effective management of the department. Establishes and meets annual goals developed to help the department achieve its vision and mission. Attends and actively participates in appropriate and/or assigned department and/or hospitals committees as evidence by meeting minutes. Interacts effectively with leaders, subordinates, and peers to accomplish the goals of the department. Maintains quality assurance policies and procedures in compliance with all regulatory agencies. Assures that the department plan aligns with the hospital plan. Maintains and monitors operating statistics. Manages quality assurance activities. Coordinates development, education and monitoring of quality assurance protocols related to department procedures. Coordinates Q.A. audits and reports for department, hospital, and corporate Q.A. committees. Continuously instructs and educates department staff on the necessity of properly completing incident reports on a timely basis. Directs the department's quality assurance activities. Audits/monitors all systems which impact the quality of department outcomes or service. Develops new processes to improve system performance within allotted resources. Assists in training and implementing performance improvement initiatives. Coordinates an effective communication system for system improvement notices or reminders. Collects and provides statistical data for hospital related projects. Conducts and documents medical record reviews. Assists in performance assessments and improvement activities on a departmental and/or hospital-wide basis. Collects data and provides reports to medical staff departments according to established timeframes. Collects, aggregates, displays, and conducts first level analysis of data obtained from monitoring and assessing the quality of patient care. Educates the medical staff and other health care providers on proper documentation of rendered services. Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops. Assists in performance assessments and improvement activities on a departmental and/or hospital-wide basis. Evaluates progress on effectiveness of performance assessment, maintenance, and improvement. Facilitates and supports performance improvement teams to improve processes and outcomes. Gathers and analyzes data. Makes recommendations in collaboration with other health care professionals. Integrates the patient care delivery system including medical, nursing and support services. Interacts with medical support staff and/or hospital quality review committees to facilitate the recognition, research, isolation, and resolution of potential problems for assigned case load. Participates in meetings and on committees and represents the department and hospital in community outreach efforts as required. Provides staff support to medical staff departmental meetings as assigned. Participates in meetings and on committees and represents the department and business unit in community outreach efforts.

Qualifications:

Bachelor's degree and/or licensing in a Rehabilitation specialty; knowledge of program development, program evaluation, and accreditation procedures. 3 years administrative or supervisory experience in a rehabilitation or healthcare setting. Clinical license and/or registration as required by discipline. Master's degree preferred.
This position has a hiring range of : USD $74,214.00 - USD $134,596.00 /Yr.