Credentialing Specialist

Type of position: Compliance

Date Posted: Monday, May 21, 2012

Hospice Program: Chapters Health System

Location: Hillsborough County

Description:

Chapters Health System, Inc.
Performs and maintains credentialing duties for the Medical Services Department corporate wide. Facilitate, coordinate and follow through contracted and employed medical staff credentialing from initial contact to termination, including re-credentialing, to ensure HIPAA, NCQA, and Joint Commission compliance with regard to credentialing standards.

Apply:

Apply HERE

Regulatory and Accreditation Coordinator

Type of position: Compliance

Date Posted: Friday, March 30, 2012

Hospice Program: Tidewell Hospice

Description:

Provides guidance and oversight of activities aimed at achieving a continuous state of survey readiness surrounding licensure, accreditation, certification, and overall compliance with local, state, and federal regulations.

 

Primary tasks, duties, and responsibilities:

1. Promotes and practices the Hospice mission and core values, and follows all policies and procedures of Tidewell.
2. Serves as an expert resource for regulatory requirements for hospice.
3. Plans, designs, integrates, implements, modifies and evaluates an effective survey readiness program
4. Assesses ability for the organization to meet or exceed licensure and accreditation standards on an ongoing basis
5. Facilitates the coordination of regulatory compliance activities
6. Implements individual and system wide tracers to ensure standard compliance is integrated into daily work processes, policies match practice, and quality patient care and services are evident.
7. Designs processes and tools in order to perform and direct abstraction of pertinent information from patient records for assessment of regulatory compliance.
8. Tracks and trends compliance with high risk, high volume, problem prone areas that have been identified through past experiences and current observations which can negatively affect the survey readiness program.
9. Evaluates the success of the program through the execution and evaluation of mock surveys, and develops plans of action for identified weaknesses.
10. Communicates and educates effectively to all levels of staff regarding findings and responsibilities in survey readiness.
11. Keeps abreast and knowledgeable of survey trends, regulations, and accrediting requirements throughout the hospice industry and affiliated partners in care.
12. Assists the Administrative Director of Quality and survey team during all aspects of an active survey including surveyor management, follow up after a survey, corrective action planning, and evaluation of the plan of correction.
13. Keeps The Administrative Director of QAPI apprised of the effectiveness of the ongoing monitoring and evaluation of the survey readiness program.
14. Maintains and assures confidentiality and validity of all data and databases used for the program
15. Performs other duties within the scope of practice as assigned by the Administrative Director of Quality Assessment Performance Improvement.

 

Educational/Professional:

1. Full, current, active and unrestricted Florida RN License
2. Bachelor’s degree in management or healthcare related field required
3. Comprehensive knowledge of Hospice or other Healthcare regulations preferred
4. Prior regulatory and accreditation experience preferred
5. 3-5 years in Healthcare Quality, Peer Review, or Risk Management required

 

Knowledge, Skills, and Abilities Required:

1. Ability to manage and prioritize multiple projects
2. Ability to analyze data, draw conclusions, and make recommendations
3. Strong group dynamics and intervention skills
4. Ability to work with diverse individuals and groups in a positive, productive manner
5. Ability to resolve conflict and promote consensus
6. Knowledge to teach adult learners with varying educational levels
7. Effective presentation, oral, and written skills
8. Application of problem solving processes
9. Must be detail-oriented and outcome driven
10. Must be committed to maintaining timeline objectives.
11. Ability to work under stressful situations
12. Demonstrate commitment to professional growth and competency.

 

Tidewell Hospice is an EOE/ M/F/D/V/ Affirmative Action/ Drug-free Workplace Employer

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Please visit the Career Page of our website at www.tidewell.org to review specifics for these and other positions, as well as to submit an application online.