Accreditation and Clinical Quality Manager Almoosa Specialist Hospital

Duties and Responsibilities:
• Performs a variety of complex administrative and professional assistance work in planning, coordinating and managing the maintenance and adherence to the Hospital s accreditation.
• Organize, prioritize, and assign tasks to other Department members.
• Enforce work deadlines as they apply to accreditation requirements.
• Responsible for maintaining all files and data entry for compliance with the accreditation process.
• Provides advice, support and assistance by interpreting policies and procedures.
• Assists Command Staff with writes and/or reviews on all new and revised policies to ensure compliance with Accreditation standards and best practices.
• Keeps informed about changes in Accreditation bodies standards and current laws. Recommends policy adjustments as needed.
• Directs on-site inspection of compliance with Standards.
• Ensures all annual and/or time sensitive reviews, reports, audits and inventories are completed as required by Accreditation Bodies.
• Prepares and submits Quarterly reports to Chief of Quality and Patient Safety
• Performs other applicable tasks and duties assigned within the realm of his/ her knowledge, skills and abilities.
• Enhance the concept of patient centered care among healthcare givers in the hospital.
• Assists in Mortality and Morbidity review and makes recommendation as required.
• Provide personalized coordinated care, and support for patients and families.
• Treat people with dignity, compassion and respect.
QUALIFICATIONS:
• Master s Degree in healthcare management or a related field of study Fluency in English is essential.
PROFESSIONAL EXPERIENCE:
• Ability to work independently and facilitate team work within the department and with others in the hospital.
SPECIALIZED SKILLS:
• Ability to establish positive working relationships at all levels within the department and the organization.
• Excellent verbal and written communication skills.
• Ability to interact with patients, physicians and with other healthcare professionals.
• Excellent verbal and written communication skills.
• Ability to interact with patients, physicians and other health professionals.
• Knowledge of Joint Commission on Accreditation of Health Care Organization (JCIA) CBAHI standards, Planetree standards.
COMPETENCE:
• Conflict Resolution
• Facilitation in problem solving
• REQUIRED ATTITUDE TO PERFORM THE JOB:
• People management and problem solving skills.
• Positive attitude and ability to work under pressure and time constraints.
• Proper, effective and compassionate communication.