Employment Type:Full timeShift:Day ShiftDescription:Employment Type:Full-timeShift:DaysPosition PurposeThe purpose of the Accreditation and Risk Management Specialist is to facilitate regulatory and risk management activities, in collaboration with the health care team members at MercyOne Sioux City that ensures compliance, enhances patient safety, and minimizes liability exposure.The specialist role is a lead resource in the Centers for Medicare and Medicaid Services (CMS) regulatory requirements as well as The Joint Commission (TJC) standards. In addition, the specialist assists with planning, coordinating, and implementing systems and processes to mitigate risk, and prevent harm to customers as well as protect ministry assets.To ensure an effective implementation and support of the accreditation and risk management plan/program, the specialist works in collaboration with local leadership (President, Chief Operating Officer (COO), Chief Nursing Officer (CNO), and Chief Medical Officer (CMO)).What you will Do
Coordinates and administers ministry-wide standard assessments using tracer methodology to identify opportunities for improvement with standards and Conditions of Participation (CoPs).
Performs audits and inspects patient care areas and works collaboratively with the health care team to ensure compliance with regulatory and accrediting bodies.
Proactively engages in survey readiness activities and facilitates TJC on-site survey activities.
Serves as a resource in the areas of Centers for Medicare and Medicaid Services (CMS) and The Joint Commission (TJC), and participates in unannounced surveys.
Coordinates and administers ministry-wide systems for risk identification, investigation, and reduction.
Maintains a network of informational sources and experts.
Performs risk assessment surveys in collaboration with the health care team addressing findings with actions that are monitored and sustained.
Proactively engages in risk reduction activities.
Maintains the risk management plan/program in order to efficiently provide services across the ministry and minimize exposure to general and professional liability events.
Minimum Qualifications
Bachelor’s degree in nursing, health administration or related field required. Iowa licensure as a Registered Nurse.
Minimum three (3) to five (5) years experience in a health care setting. Risk management, CPHRM and/or performance improvement experience desired. Regulatory, TJC, CPHQ and/or performance improvement experience desired. Leadership experience in clinical and professional practice is preferred.
Excellent written and verbal communication skills. Must be effective in presenting information to different audiences including senior management, governance, medical staff and associates.
Must be proficient in use of Microsoft Excel, Word, PowerPoint, and the Internet.Special Skills, Competencies, and Aptitudes:
Demonstrated expertise in the use of performance improvement methodology/tools.
Must be able to use computers for documentation and other relevant activities. Demonstrates specific knowledge related to software programs such as event reporting systems, government reporting systems, and other appropriate software programs. Experience with computer applications such as Microsoft Office Suite (Word, Excel, PowerPoint, Outlook), HealthStream, Intranet, and use of reporting tools. Helpful to have experience with PowerChart/EPIC or similar tool.
Position Highlights and Benefits
The tri-state region, referred to as Western Iowa or Siouxland, is highlighted by safe and friendly communities, excellent schools and a mix of peaceful rural areas and vibrant city atmosphere where Iowa, Nebraska and South Dakota meet at the Missouri River
Situated in the heart of downtown Sioux City, MercyOne Siouxland Medical Center is also well positioned for urban living in any of the newly renovated apartments, downtown lofts, or townhome living options. The downtown also features a historic district with excellent restaurants and social spots, and you'll just be steps away from the beautifully renovated Warrior Hotel for dinner and the gorgeous Orpheum Theatre for entertainment.
We care about your well-being, both physical and mental, which is why our benefit package includes:
Wellness programs
Education reimbursement
Personalized health insurance plans including dental and vision
Paid time off
Long- and short-term leave
Retirement planning
Life insurance coverage
MercyOne Western Iowa serves the needs of individuals in a 33-county area including western Iowa, eastern Nebraska and southeastern South Dakota. MercyOne Siouxland Medical Center (https://www.mercyone.org/siouxland/location/mercyone-siouxland-medical-center) , a 238-bed regional facility, is home to the only Level II trauma center in the area – one of only four trauma care facilities in the state to receive verification from the American College of Surgeons – and MercyOne Air Med, a regional helicopter ambulance service. Along with owned and managed hospitals in Primghar (https://www.mercyone.org/location/mercyone-primghar-family-medicine) and Hawarden, Iowa, and a partnership with Dunes Surgical Hospital (https://www.mercyone.org/location/dunes-surgical-hospital) in South Dakota, the region also operates a primary care network, specialty care clinics and home health care, providing an entire continuum of preventative, primary, acute and tertiary health care services to provide personalized, compassionate care for the communities we serve and beyond.MercyOne Siouxland Medical Center and all its affiliates are proud to be equal opportunity employers. We 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.Our Commitment to Diversity and InclusionTrinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.Our Commitment to Diversity and InclusionTrinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.EOE including disability/veteran
