Health System Specialist (Accreditation/Compliance)

Duties
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• Use analytical techniques such as research, interpretation, evaluation, application, and enforcement of federal and state laws, regulatory standards, rules, orders, and government agreements in a hospital and business occupancy healthcare settings.
• Distribute Joint Commission and other applicable accrediting organizations' standards and intents throughout the organization.
• Establish and maintain a repository of Joint Commission and other applicable accrediting bodies' reference materials.
• Serve as the technical and administrative authority on issues related to the planning, coordination and execution of the organization's accreditation and compliance programs.
• Consult and coordinate the assessment and evaluation of critical, programs and improvement initiatives; and identify and facilitate collaboration and communication between appropriate services.
• Conduct analysis of operations using surveys conducted by The Joint Commission and other accrediting organizations; clinical quality assessments and assurance, patient safety, risk management, credentialing/privileging adverse actions.
• Monitor, evaluate, and ensure assigned Medical Treatment Facilities (MTFs) compliance with applicable accreditation, regulatory standards, and guidelines.

Requirements
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Conditions of employment

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• This position requires the incumbent be able to obtain and maintain a determination of eligibility for a Secret security clearance or access for the duration of employment. A background investigation and credit check are required.
• Selectees will be required to sign a statement (Condition of Employment) consenting to seasonal influenza vaccinations or must provide a recognized exemption.
• Immunization screening is required. Hepatitis B immunization is required for all positions with direct patient contact. Applicants may be required to show proof of other immunizations depending on the type of position.

Qualifications

Who May Apply: US Citizens

In order to qualify, you must meet the 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 .

Specialized Experience: One year of specialized experience which includes: 1) serving as a senior expert for a healthcare facility providing technical guidance on issues related to the planning, coordination or execution of the facilities' accreditation and compliance programs; 2) developing measures to sustain a continuous readiness and preparation for accreditation; 3) analyzing various regulations, directives, or other accrediting reference materials/standards for a healthcare facility. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-12).

Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone -- no substitution of education for experience is permitted.

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.
• One year trial/probationary period may be required.
• Direct Deposit of Pay is required.
• Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees.
• 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.
• Permanent Change of Station (PCS) allowances may be authorized, subject to the provisions of the Joint Travel Regulations and an agency determination that a PCS move is in the Government Interest.
• Position is designated as Mission Essential. The incumbent will be required to report to work during times of contingency operations, natural disasters, extreme weather or other emergency situations.