Accreditation Regulatory Coordinator FT Days **MercyOne** 1 Positions ID: TRHEUS00551874MERCYO Posted On 01/27/2025 **Job Overview** **Employment Type:** Full time **Shift:** **Description:** 50% time in Dubuque and 50% time in Clinton **POSITION PURPOSE** The purpose of the Coordinator of Accreditation is to coordinate in collaboration with the manager or the RHM director (in the absence of the manager) in leading, implementing and managing systems and processes related to accreditation at the ministry level that ensures regulatory compliance and enhances patient safety. The coordinator partners with the health care team across the continuum of care in coordinating regulatory compliance and activities and serves as a resource in the area of Centers for Medicare and Medicaid Services (CMS), The Joint Commission (TJC) and other regulatory agencies. The coordinator collaborates with local leadership (President, Chief Operating Officer (COO), Chief Nursing Officer (CNO), and Chief Medical Officer (CMO)) in ensuring effective implementation and support of the accreditation program and compliance. **SCOPE OF SERVICE** Customers include, but not limited to, patients and families/significant others; medical staff; hospital and clinic colleagues; Executive Team; Board of Trustees/Directors; Trinity Health (TH) Director of Accreditation and Regulatory; TH and MercyOne Integrity, Compliance, and Privacy Services; visitors; attorneys; and government entities. The coordinator reports directly to the ministry’s Manager of Accreditation; or the RHM Director of Accreditation and Risk Management (in the absence of the Manager) with an indirect reporting relationship to the local CMO. **MINIMUM QUALIFICATIONS** 1. Education: + A. Bachelor’s degree in nursing, health administration or related field required. + B. Iowa licensure as Registered Nurse preferred. 2. Experience: + A. More than 3 years’ experience in a health care setting. + B. Regulatory, CPHQ and/or performance improvement experience desired. + C. Leadership experience in clinical and professional practice is preferred. + D. Excellent written and verbal communication skills. Must be effective in presenting information to different audiences including senior management, governance, medical staff and associates. + E. Must be proficient in use of Microsoft Excel, Word, PowerPoint, and the Internet.. 3. Special Skills, Competencies, and Aptitudes: + A. Demonstrated expertise in the use of performance improvement methodology/tools. + B. Must be able to use computers for documentation and other relevant activities. Demonstrates specific knowledge related to software programs such as event reporting systems, electronic medical record and other appropriate software programs. Experience with computer applications such as Microsoft Office Suite (Word, Excel, PowerPoint, Outlook), HealthStream, Intranet, and use of reporting tools. Helpful to have experience with PowerChart or similar tool. **Our Commitment to Diversity and Inclusion** Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law. Primary Contact 1682448195899 Jessica Schleuning Talent Acquisition Partners, Human Resources 563-589-9671 Phone Phone Phone 563-589-9673 Fax jessica.schleuning@mercyhealth.com Email True True True **Job Details** Categories Health Care Location Dubuque, IA Job Type Employee Full/Part Full Time Company ID 1154 Job REQ # TRHEUS00551874MERCYONEENUS \# Positions 1 Start Date 20250127 End Date 20250302 Featured Job TH Ad TH Comments **Similar Jobs** Licensed Mental Health Therapist (LMHC, LISW, LMFT Medical Associates Mentor Coordinator Hillcrest Family Services OR Surg Tech FT Days MercyOne Housekeeper - EVS - FT - Days MercyOne Tenant Associate PT Days MercyOne Housekeeper - EVS - FT - Evenings - SHIFT DIFFEREN MercyOne Radiation Therapist - Radiation Oncology - Part Ti MercyOne Ultrasound Tech - FT - Nights - JumpStart PROGRAMS MercyOne Ultrasound Tech - FT - Days/Nights - Jumpstart PRO MercyOne 2nd Shift Direct Support Professional Dubuque or D Area Residential Care **Share this Job** MercyOne **About the Company** MercyOne Dubuque/Dyersville Medical Center is a not-for-profit Catholic hospital serving the tri-state area of Iowa, Illinois and Wisconsin since 1879. MercyOne – Dubuque has 263 beds while MercyOne – Dyersville is a critical access hospital with 25 beds and a 40-bed nursing home. MercyOne offers a full range of acute care services, including invasive cardiology and open-heart surgery, Level II trauma center, Level II regional neonatal intensive care unit, general and orthopedic surgery, psychiatric services and inpatient physical rehabilitation. MercyOne also operates two hospital-based skilled nursing units, extensive outpatient rehabilitation services, home health care, retail pharmacy and a wide range of outpatient, community and business services. MercyOne’s 1,500 full- and part-time employees and medical staff of 230 care for more than 56,000 inpatients and outpatients each year. The hospital is accredited by The Joint Commission and achieved Magnet designation, the gold standard of patient care, in 2004 and was redesignated a Magnet hospital for the fourth time in 2019. MercyOne Dubuque/Dyersville Medical Center is a ministry organization of Trinity Health based in Novi, Michigan. MercyOne is an organization that values and encourages diversity. To learn more about MercyOne and opportunities for employment, please see the postings listed on this site or visit our website mercyone.org.