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Job Overview

Bring your analytical, interpersonal, and detailed oriented skills to Joint Commission International, the nation’s premier health care performance improvement organization, and make a difference in health care quality and safety. Joint Commission International seeks highly qualified candidates for the position of Clinical International Accreditation Analyst with experience Joint Commission or Joint Commission International policies, standards, survey, and accreditation processes.

Responsible for reviewing, analyzing and writing outcome evaluations for client accreditation/certification survey reports and post-survey follow-up reports based on correct application of the decision rules, e.g. survey findings reports, strategic improvement plans (SIP), self-assessments of standards compliance, and intra-cycle reviews. Responsible for editing, proofreading and formatting the accreditation survey reports, accreditation, and other client documents. Maintains selected databases and provides statistics, trends and reports. Prepares memos and other documents for the JCI Accreditation Committee.

 

  • Analyzes survey reports to assure appropriate scoring, correct application of the JCI accreditation/certification decision rules and recommended follow-up activities. Communicates with the survey team to clarify the report findings to enhance clarity, consistent scoring and appropriate standards interpretation.
  • Prepares survey findings reports and accreditation letters for surveyed organizations in conjunction with the assigned Client Services Representative (CSR).  
  • Analyzes completed post-survey follow-up activities, including submitted strategic improvement plans (SIP), self-assessments of standards compliance, and intra-cycle reviews to demonstrate evidence of standards compliance. Develops written response to the progress reports and other submitted documents.
  • Works in conjunction with the Executive Director, Associate Director(s) and surveyor cadre to produce final reports that support the survey process findings, ensuring content and presentation are consistent with Joint Commission editorial style and branding guidelines.
  • Analyzes evidence submitted to demonstrate a thorough and credible root cause analyses for sentinel events for sentinel events discovered by surveyors during the survey, based on established criteria 
  • Conducts video or telephone conferences or video survey activities with client organization and JCI accreditation program staff and surveyor(s) to evaluate compliance with standards, implementation of the strategic improvement plan (SIP), intra-cycle compliance monitoring of performance measures and quality improvement data, and provide feedback and education in conducting effective RCAs and action plans.
  • Collaborates with the JCIA staff to facilitate timely post-survey process activities; meets the specified report turn-around time targets; and provides accurate data for preparing the monthly metric statistics.   
  • Acquires a thorough understanding of all JCI accreditation/certification program standards, decision rules, scoring guidelines and accreditation policies and procedures; keeps abreast of changes that affect report content and production.

  Qualifications:

  • A health care professional with a minimum of a bachelor’s degree in nursing; Master’s Degree preferred in a clinical or administrative healthcare management preferred; current Illinois license required.
  •  At least five years of clinical experience in an accredited hospital or healthcare organization.
  •  Strong knowledge of Joint Commission or Joint Commission International policies, standards, survey, and accreditation processes.
  •  Knowledge of patient safety and quality principles and practices.  
  •  Excellent analytical skills, with the ability to communicate outcomes in an effective, clear, and efficient manner both verbally and in writing.
  •  Interpersonal skills to interact effectively with individuals at various levels both inside and outside of the organization, sometimes in sensitive situations.
  • Organized, detailed-oriented, with good decision-making skills; capable of handling multiple priorities efficiently, and working both independently and in groups.
  • Excellent computer skills in word processing, spreadsheets, database, and presentation software. Familiarity with web based and video communication capability preferred.
  • International travel may be required up to 5%, including assisting with on-site surveys or making effective presentations to stakeholder groups.
  • Foreign language skills are an asset for example languages such as spoken in Asia, Middle East, Europe or Latin America

    Excellent benefits include: 3 weeks vacation, generous holiday and personal day schedule, flextime, 401K with company match, company paid retirement plan.

     

    The Joint Commission is an equal opportunity employer.