Accreditation Risk Coordinator RN

Accreditation Risk Coordinator RN

Buhler, KS $67,009 - $83,099 a year

Full Time

The Accreditation Risk Coordinator RN plays a vital role in facilitating peer review activities across nursing and clinical departments. This position oversees the timely review, investigation, action planning, and closure of risk management events, ensuring clinical expertise and evidence-based practices are upheld. The coordinator is authorized to conduct reviews and investigations on behalf of risk and compliance management programs, maintaining strict confidentiality throughout.

Essential Functions

• Manage peer review processes within nursing and clinical departments.
• Conduct initial risk reviews, investigations, and event closures.
• Provide just-in-time education to staff when variances are identified.
• Perform tracers and rounding to ensure compliance with regulatory requirements.
• Engage in patient and unit rounds to assess risk proactively.
• Lead proactive risk assessments and comprehensive analyses, including root cause analysis (RCA).
• Apply High Reliability Organization (HRO) principles in daily activities.
• Prepare meeting materials such as agendas, packets, and minutes.
• Abstract data from medical records for risk, quality measures, and other quality management projects.
• Enter data accurately into relevant databases.
• Organize and facilitate multidisciplinary workgroups to improve quality outcomes.
• Verify appropriate documentation and communicate with medical and hospital staff as needed.
• Maintain a professional and confident presence with all customers served.
• Assist with certification and accreditation processes.
• Adhere to HIPAA privacy and security regulations regarding Protected Health Information (PHI).
• Support accreditation and regulatory survey activities.
• Perform other duties as assigned.

Minimum Knowledge and Skills

• Strong understanding of clinical processes and medical documentation in healthcare.
• Proficiency with Google Docs/Sheets or Microsoft Word and Excel.
• Effective communication skills and ability to multitask.
• Critical thinking skills to manage complex duties.
• Familiarity with Google Slides and/or PowerPoint.

Preferred Knowledge and Skills

• Knowledge of regulatory compliance and accreditation standards such as CMS and The Joint Commission.

Required Behavioral Skills

• Integrity: Demonstrates honesty and a commitment to doing the right thing, inspiring others to uphold organizational values.
• Compassion: Exhibits empathy and excellent customer service in all interactions.
• Conflict Management: Handles conflicts thoughtfully, considers alternative solutions, and manages customer expectations effectively.
• Accountability: Takes ownership of projects and issues, working independently with flexibility.
• Respect: Collaborates well with diverse populations and maintains a positive service orientation.
• Excellence: Strong communication and leadership skills, capable of strategic thinking and leading process improvements.

Education and Experience

• Graduate of an accredited Registered Nursing program or holds a Bachelor's degree.
• Preferred: Bachelor's or Master's degree in a related field.
• Minimum of five years clinical experience preferred.

Licenses and Certifications

• Current Registered Nurse license in good standing in a Compact License State or the state of employment.
• Preferred certifications include Healthcare Quality Professional (CPHQ), Healthcare Accreditation Certified Professional (HACP), or other recognized Patient Safety or Risk Management credentials.

This role offers competitive compensation and a comprehensive benefits package. The position is based in a regional healthcare setting serving communities in the Central United States.

MLee Healthcare Staffing and Recruiting, Inc