Accreditation Coordinator

Accreditation Coordinator

Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer. Lexington Health also includes an accredited Cancer Center of Excellence, the state's first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer's care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship.

Job Summary

The Accreditation Coordinator performs a variety of complex administrative and professional assistance work in planning, coordinating and managing the implementation, maintenance and adherence to the department's accreditation through CALEA (Commission on Accreditation for Law Enforcement Agencies) and SCLEA (South Carolina Law Enforcement Accreditation). At times, this position will be responsible for other tasks and special projects including statistical analysis, strategic planning, policy development, and other administrative tasks. The Accreditation Coordinator manages the entire CALEA/SCLEA accreditation process for the agency. This will include collecting proofs of compliance, documenting adherence to established standards, assisting with staff inspections, advising on updated standards and all other duties as assigned. Work requires a high degree of independence and decision making on the part of the employee.

Minimum Qualifications

Minimum Education: High School Diploma or Equivalent

Minimum Years of Experience: Two (2) years of law enforcement/public safety or law enforcement/public safety support operations

Required Certifications/Licensure: Possess an approve Accreditation Manager certification or obtain the certification within two (2) years of hire

Required Training: Experience with Windows Operating Systems (MS Word, MS Excel, MS PowerPoint Ability to read and write English fluently and follow both written and oral instructions

Essential Functions

Manages and coordinates departmental activities related to the accreditation process. Develops proofs of compliance for accreditation standards, prepares policy drafts, prepares written documentation and reports, maintains computer databases, develops and revises agency forms, coordinates on-site assessments and inspections, tracks the submission of required administrative reports and works closely with staff on policy development and review. Participates in regular meetings with the department leadership on planning, data analysis, accreditation and other related matters. Recommends changes in policies and procedures when indicated by accreditation updates, changes or modifications. Composes and edits a variety of correspondences, reports, memorandums and other materials requiring independent judgment as to content, accuracy and completeness.

Duties & Responsibilities

Develops and conducts accreditation trainings. Participates in periodic inspections to establish and monitor compliance as it relates to departmental policies and procedures. Maintains continuing and substantial interaction with a professional groups related to accreditation. Assists in identification and development of new programs, systems, procedures or equipment to improve performance of the agency in compliance with standards. Performs other duties as required. Ensures operation compliance with Federal, State, County, Organization and Department standards. Ensures accurate and timely dissemination of information to supervision. Ensures timely resolution to requests. Any other request assigned by management. The above is not intended to be an all-inclusive list. Performs all other duties as assigned.

We are committed to offering quality, cost-effective benefits choices for our benefit eligible employees and their families: Day ONE medical, dental and life insurance benefits Health care and dependent care flexible spending accounts (FSAs) Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%. Employer paid life insurance – equal to 1x salary Employee may elect supplemental life insurance with low cost premiums up to 3x salary Adoption assistance LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment Tuition reimbursement Student loan forgiveness Equal Opportunity Employer It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee's desires and abilities and the hospital's needs.