Joint Commission Coordinator

Summary About the Position: This position is located within the Quality Services Division at Tripler Army Medical Center, which is on the Island of Oahu, Hawaii. Tripler Army Medical Center is a tobacco-free workplace. Tobacco products include, but are not limited to, smoking, smokeless tobacco, and electronic nicotine delivery devices. This is a Direct Hire Solicitation Learn more about this agency Duties Analyze and interpret accreditation standards to determine applicability to local clinical and administrative processes. Advise service chiefs, managers, and executives on compliance expectations and accreditation risks. Collaborate with performance improvement, patient safety, utilization management, and risk management personnel to integrate accreditation findings into ongoing quality initiatives. Provide accreditation education and consultative guidance to clinical and administrative staff regarding Joint Commission standards, tracer methodology, and documentation expectations. Support Quality Services leadership in preparing the organization for Joint Commission and other external regulatory surveys. Serve as a professional resource to medical staff, nursing leadership, and administrators by researching accreditation-related questions and preparing written guidance, reference materials, and briefing content. Requirements Conditions of employment Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation. This position requires the completion of a pre-employment Physical Examination and an annual examination thereafter to ensure the continued, required level of physical health and ability or fitness to perform the duties of the position. Appointment to this position is subject to a one year probationary period unless the appointee has previously met the requirements as described in 5 CFR Part 315. While probationary the incumbent can be terminated with limited appeal rights. Employees assigned to a medical treatment facility are required to be screened for applicable immunizations or pre-existing immunity based on occupational risk, regardless of job series. This position has a mandatory seasonal influenza vaccination requirement and is subject to annual vaccination. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and/or experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Basic Requirement for Accreditation Coordinator: Degree: Bachelor's or graduate (or higher level) degree with major study in an academic field related to the medical field, health sciences or allied sciences appropriate to the work of the position. This degree must be from an educational program accredited by an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. In addition to meeting the Basic Qualification requirement above, applicants must also meet the Minimum Qualifications defined below for the GS-0601, General Health Science series. Specialized Experience: One year of specialized experience which includes 1) experience in a hospital setting analyzing healthcare accreditation standards to assess compliance and identify gaps, 2) providing guidance to clinical and administrative staff on accreditation and documentation requirements, 3) coordinating readiness activities, conducting assessments and checking for quality, and 4) supporting or responding to external inspections or audits and ensuring that standards are met in accordance with regulatory guidance. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-09). OR Education: Three (3) years of progressively higher graduate level education leading to a Ph.D. degree or a Ph.D. or an equivalent doctoral degree in an academic field related to the health sciences or allied sciences. (NOTE: You must attach a copy of your transcripts) OR Combination of Education and Experience: Specialized experience as described above, but less than one year; and more than two years but less than 3 years of graduate education as described above. I have computed the percentage of the requirements that I meet, and the total is at least 100%. (To compute the percentage, divide your total months of qualifying experience by 12. Then divide your semester hours of graduate education above the second year by 36. Add the two percentages. The total percentage must equal at least 100 percent to qualify. (NOTE: you must attach a copy of your transcripts.) Education FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional information Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration. You will be required to provide proof of U.S. Citizenship. This position requires a 1 year probationary period during which the agency evaluates your fitness and whether your continued employment advances the public interest. In making this determination, the agency may consider your performance and conduct; agency needs and interests; whether your continued employment supports organizational or Government goals; and whether it promotes the efficiency of the Federal service. Continued employment requires written certification that it advances the public interest. Direct Deposit of Pay is required. Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees. Recruitment or relocation incentives MAY be authorized for highly qualified candidates. Multiple positions may be filled from this announcement. Salary includes applicable locality pay or Local Market Supplement. If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the Reemployed Annuitant information sheet. Payment of Permanent Change of Station (PCS) costs is not authorized, based on a determination that a PCS move is not in the Government interest. Advance-In-Hire MAY be authorized for highly qualified candidates, if eligible Expand Hide  additional information Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution. Benefits A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.