Joint Commission Tracer
Axelon
Job Description
Job Description
Summary:
- Location: New York, New York
- Work Mode: Local
- Duration: 17 weeks, through 12/31/26
- Full Time; 5X8 M-F 9AM-5PM. Must be able to work at any of the 8 main campuses.
- Participate in hospital-wide continuous readiness activities to ensure compliance with Joint Commission, CMS, and DOH requirements.
- Serve as a subject matter expert for hospital teams assessing compliance with regulatory standards.
- Collaborate with departments on the implementation of standardized processes for accreditation and regulatory activities.
- Facilitate the development and monitor completion of corrective action plans and related data analysis.
- Lead tracing activities, internal mock surveys, and focused standards assessments.
- Guide operational leaders in responding to surveyor requests and ensure documentation meets survey team requirements.
- Synthesize complex information for operational and senior leaders.
- Identify areas of risk and collaborate on corrective action plans.
- Maintain current knowledge of external standards and regulations.
- Design and deliver educational trainings to enhance organizational knowledge of accreditation and regulatory requirements.
- Serve as a liaison between hospital leadership and surveyors.
- Participate in various hospital and quality committees, work groups, or task forces as assigned.
- Bachelor's Degree
- Minimum 5 years of experience, primarily in healthcare-related roles
- Quality Assurance experience is crucial
- Hospital healthcare experience is a must
- Knowledge of Joint Commission, CMS, and DOH requirements or experience with regulatory survey activity
- Experience with desktop computer applications and advanced skills with Microsoft applications
- Excellent communication skills, both oral and written
- Experience with managing and interpreting data
- Ability to manage multiple activities and meet timelines and deadlines
- Ability to work with a variety of departments and levels of personnel
- Master's degree
- 3 years of Project Management experience
Vacancy posted 14 days ago
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