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Accreditation Regulatory TX Open (J#39330)

Title: Accreditation Regulatory
Company: Baylor Health Ca
Location: Dallas, TX 75201

Accreditation Regulatory Coordinator - Baylor Health Care System
Dallas - Bryan Tower - 8a -430p

Baylor Health Care System (BHCS) is committed to the operation of hospitals that meet the Medicare/Medicaid Conditions of Participation (COP) and strive to meet the standards of The Joint Commission. This position may be assigned to multiple hospitals and is established to work collaboratively with the BHCS Director of Hospital Accreditation and Licensure and respective hospital leadership to coordinate activities related to compliance with the COP, Joint Commission accreditation standards, and other regulatory agencies.

1. Coordinates Joint Commission activities to ensure assigned facilities are in compliance with all required standards and have an integrated, consistent plan for maintaining continuous compliance with all required accreditation standards. Reviews and recommends changes, additions or deletions of policies and/or procedures, health care improvement plan, patient safety plan, management of information plan, environment of care management plans, and other organization plans. Develops a Joint Commission education plan and a communication plan for assigned hospitals.
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