Patient Safety/Accreditation/Regulatory Coordinator

Harrisonburg, VA
Jun 05, 2018
Aug 17, 2018
Full Time
Job Description: Sentara RMH Medical Center, located in Harrisonburg, Virginia, is hiring a full time Patient Safety / Accreditation / Regulatory Coordinator.

Position Overview
  • Responsible for developing and implementing processes to support ongoing compliance with Accreditation/regulatory agencies and standards.
  • Coordination of survey activities.
  • Lead Auditor and ISO oversight responsibilities for accreditation services.
  • Must be comfortable speaking in front of groups, be highly organized, and have strong Excel and Work skills.
Facility Highlights

Sentara RMH Medical Center, a Magnet® designated hospital located in Harrisonburg, Virginia, serves a seven-county area with a population of 218,000 residents. The 238-bed community hospital partnered with the Sentara Healthcare system in May of 2011. Sentara RMH features the RMH Hahn Cancer Center, a state of the art center equipped with the latest cancer fighting technologies available in the nation.

Sentara Benefits

As the third largest employer in Virginia, Sentara Healthcare was named by Forbes Magazine as one of America's best large employers. We offer a variety of amenities to our employees, including, but not limited to:
  • Medical, Dental, and Vision Insurance
  • Paid Annual Leave, Sick Leave
  • Flexible Spending Accounts
  • Retirement funds with matching contribution
  • Supplemental insurance policies, including legal, Life Insurance and AD&D among others
  • Work Perks program including discounted movie and theme park tickets among other great deals
  • Opportunities for further advancement within our organization

Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For information about our employee benefits, please visit:

The Patient Safety/Accreditation/Regulatory Coordinator is responsible for developing and implementing processes to support ongoing compliance with Accreditation/regulatory agencies and standards at the local hospital. Key responsibilities for local hospital Accreditation support include: Coordination of survey activities at the local hospital, sharing knowledge of processes to meet compliance with identified accreditation/regulatory standards, researching and obtaining interpretation of standards compliance requirements, and assisting with the development of processes to support ongoing survey readiness. Lead Auditor and ISO oversight responsibilities for accreditation services

Education Level
Bachelor's Level Degree - Experience in lieu of education: Yes

Required: Accreditation and Regulatory - 3 years

Preferred: Patient Safety - 3 years, Performance Improvement - 3 years, Risk Management - 3 years

None, unless noted in the “Other” section below

Required: Communication, Coordination, Critical Thinking, Judgment and Decision Making, Microsoft Office, Project Management, Social Perceptiveness, Speaking, Technology/Computer

Preferred: None, unless noted in the “Other” section below

Bachelor's degree with a minimum of 3 years experience in accreditation & regulatory required. 5 years of accreditation and regulatory affairs experience within Sentara and currently pursing bachelors degree may be substituted in lieu of Bachelor's degree. Ability to abstract and analyze clinical information from medical records. Ability to work effectively with senior leadership, physicians and other healthcare providers, as well as, with multidisciplinary teams across department lines. Must possess knowledge of health care issues and process improvement concepts. Knowledge and understanding of regulatory and accreditation agency standards preferred.

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