Provides information on the intent, applicability, and survey of standards in response to inquiries from internal and external customers within specified turnaround times to provide excellent accreditation/certification support. Provides support in the accreditation review process, as well as participates as a consultant in the development and revision of standards and survey process. Serves as faculty for surveyors and other education programs and represents Joint Commission as liaison to various professional organizations. Serves as a resource to the Life Safety Code Specialists and provides additional support to accredited organizations and consultants. Is an active member of the Healthcare Environment: Technical Advisory Council (HE: TAC).
Responsibilities Provides guidance on and expert interpretation of Joint Commission standards and Medicare requirements, professional standards of practice, and law and regulation to internal and external organizations and stakeholders, including but not limited to: field representatives, service teams, Office of Quality and Patient Safety (OQPS), other divisions, Joint Commission Resources (JCR) field staff, accredited organizations, those seeking accreditation or certification, professional associations, governmental agencies, consultants, educators and students.Supports the entire accreditation/certification process through the development, review and analysis of survey reports and outcomes, interactions with the field representatives and accredited organizations, serving as a resource to the account executives and making recommendations on accreditation/certification decisions to the Accreditation Committee including the appeal process.Works closely with OQPS to provide support to the complaint analysis process through the review of complaints as indicated providing information on potential standards non-compliance; the development of assessment maps to guide the surveyor(s) conducting for cause surveys and participates in preparatory conference calls as needed.Provides leadership and guidance to the Accreditation and Certification Operations (ACO) service teams in all aspects of the accreditation process through clinical expertise and customer relationship managementServes as a role model in the support of and implementation of enterprise, division and departmental mission and initiatives utilizing Robust Process Improvement (RPI) tools and strategies as indicated. Leads and/or participate in internal work groups to identify and implement improvements to our internal processes.Provides direction and guidance in the consistency of standards interpretation through inquiry and frequently asked questions (FAQ) management processes, educational offerings, publications and media and social networking opportunities. Serves as faculty for field representative training (both TJC and JCR), Speaker’s Bureau and JCR seminars and workshops. Participates in strategic business unit (SBU) teams or other program specific committees and work groups, as assigned.Effectively communicates with internal and external customers in a respectful, constructive and collegial style. Consistently provides excellent customer service to all internal and external customers.Embraces The Joint Commission culture of safety and serves as a role model in incorporating the SIG Department Guidelines into daily work and interactions.Serves as a resource for Media Relations in the development of responses to inquiries from external media representatives and /or requests for interviews.\Serves as Authority Having Jurisdiction (AHJ) conducting Life Safety Code building analysis regarding granting Traditional Equivalencies or Fire Safety Evaluation System (FSES) equivalencies. Reviews drawings and technical specifications information confirms mathematical calculations in submittals to determine adequate alternative Life Safety Code features exist.Serves as a resource to accredited organizations and consultants specific to the National Fire Protection Association (NFPA) body of codes, including but not limited to 101-2012, 99-2012 NFPA 70-2011 (NEC). Serves as a resource to surveyors, accredited organizations and consultants specific to OSHA, EPA, FDA, DOT, ANZI and other agency requirements reflected in the Environment of Care Chapter. Assists various advocacy groups and represents the Joint Commission to other agencies including CMS, ASHE, AAMI, NFPA, FGI, etc. providing standards knowledge and expertise. Provides support to the DC office. Qualifications Healthcare Facilities Management experience with three to five years of progressive, leadership or supervisory experience, including experience in managing diverse multi-disciplinary teams of specialists. Minimum bachelor’s degree (Master’s Degree or equivalent preferred) with recognized certification (i.e. CHFM, CFPS, CHSP). Demonstrated customer service skills, including interpersonal skills related to effectively interacting with internal and external customers, sometimes in sensitive situations.Demonstrated presentation and analytical skills. Ability to assess educational needs and develop strategies to resolve.Demonstrated ability to function well in a fast-paced, highly stressed and visible environment.Strong computer skills preferred, including familiarity with databases, graphics, and word processing.PHYSICAL ABILITIESMust be able to lift 35 poundsMust be able to climb stairs and ladders.Must be able to travel up to 25% of work time on short notice.
We offer a comprehensive benefit package. For a complete overview of our benefits package, please visit our Joint Commission Career Page
This job description is intended to describe the general nature and level of work performed by an employee assigned to this position. The description is not an exhaustive list of all duties, responsibilities, knowledge, skills, and abilities, and working conditions associated with this position. All requirements are subject to possible modification and reasonably accommodate individuals with disabilities.
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