Process Improvement & Accreditation Specialist

Posted 9 Days Ago
Be an Early Applicant
Sioux Falls, SD, USA
In-Office
Entry level
Healthtech • Professional Services
The Role
Drives hospital survey readiness and regulatory compliance by conducting tracers, ensuring adherence to TJC and CMS standards, and supporting organization-wide performance improvement. Manages medical staff peer review, quality-of-care activities, comparative data, and focus studies in accordance with institutional plans, bylaws, and OPPE/FPPE policies.
Summary Generated by Built In

Location:

Sioux Falls, SD

Worker Type:

Regular

Work Shift:

Day Shift (United States of America)

At Avera Heart Hospital, you’re not just joining a workplace – you’re becoming part of a family. With more than 700 dedicated employee, we deliver care that truly makes a difference. Our commitment to excellence has earned us the distinction of being one of only a handful of hospitals nationwide – out of more than 4,000 – to achieve a double 5-star rating from the Centers for Medicare and Medicaid Services.

Position Highlights

Position Summary:

The Process Improvement & Accreditation Specialist drives continuous survey readiness by managing regulatory compliance, conducting tracers, and ensuring adherence to TJC and CMS standards. This position is responsible for supporting systematic organization-wide performance improvement, the medical staff peer review activities on quality of care and comparative data and focus studies in accordance with the PI Plan, Medical Staff Bylaws, Rules and Regulations and the OPPE/FPPE policy and procedure.  

 

Work Schedule:

Monday through Friday and occasional weekends depending on the needs of the hospital


Education/Experience:

Associate’s degree in health information administration, healthcare administration, business, nursing or respiratory required, bachelor’s degree preferred.


Licensure/Certification:

Licensed as a registered nurse or healthcare professional required,

Skills Required

  • Associate's degree in health information administration, healthcare administration, business, nursing, or respiratory care
  • Bachelor's degree
  • Active license as a registered nurse or healthcare professional
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The Company
22,600 Employees
Year Founded: 2000

What We Do

Avera Health is a regional, non-profit health system based in Sioux Falls, South Dakota, providing integrated medical care through hospitals, clinics, and community support across a five-state region.

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