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Community Health Systems · 3 months ago

Stroke Program Coordinator

4311 E LOHMAN AVE, LAS CRUCES, NM, 88011, US

Full-time

Onsite

Mid Level

3+ years exp

Community Health Systems is dedicated to providing quality healthcare, and they are seeking a Stroke Program Coordinator to support accreditation and regulatory compliance. This role involves coordinating survey preparedness, facilitating performance improvement initiatives, and educating staff on applicable standards in collaboration with clinical and administrative leaders.

Health CareHospital

Responsibilities

Coordinates all accreditation and regulatory readiness activities across departments, ensuring ongoing compliance with standards from accrediting bodies such as The Joint Commission (TJC), CMS, and state agencies

Serves as liaison with external accrediting and regulatory agencies, supporting survey preparation, coordination, and follow-up

Facilitates multidisciplinary teams to address compliance gaps and implement corrective action plans

Conducts routine compliance rounds in clinical and non-clinical areas, identifying issues, educating staff, and escalating concerns when needed

Provides education and training on accreditation standards, performance improvement methodologies, and regulatory changes to hospital staff and leadership

Collaborates with hospital leadership and medical staff to track and trend performance indicators related to quality, safety, and accreditation

Assists departments in developing and evaluating policies and procedures to ensure alignment with accreditation and licensure standards

Performs other duties as assigned

Maintains regular and reliable attendance

Complies with all policies and standards

Qualification

Accreditation knowledgeRegulatory compliancePerformance improvementData analysisGoogle SuiteMicrosoft OfficeCPHQ certificationCHCQM certificationRN licensureCommunication skillsFacilitation skills