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Accreditation & Regulatory Data Coordinator - Cancer Center - Hopewell - Full-Time - DAYS

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.
Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.
The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).
Pay Range:
$86,964.80 - $130,631.49
Scheduled Weekly Hours:
40
Position Overview
ESSENTIAL FUNCTIONS
  • Facilitates Capital Health Cancer Center (CHCC) readiness with statutory mandates and regulatory requirements including without limitation the New Jersey Department of Environmental Protection, NJ Department of Health and DNV.
  • Coordinates accreditation readiness by monitoring, gathering data, submitting applications and participating actively in surveys from the Commission on Cancer, National Accreditation Program for Breast Centers, National Accreditation Program for Rectal Cancer, American College of Radiology, National Pancreas Foundation Clinical Center of Excellence and other relevant organizations.
  • Reviews national cancer indicators as proposed by our accrediting bodies and assesses the CHCC compliance with these indicators.
  • Works on process improvement projects related to accreditation requirements or as otherwise directed by the CHCC leadership.
  • Oversees, plans, prepares, reviews and analyzes data to identify problems, trends and improvement opportunities.
  • Oversees, designs, and improves process workflows to optimize efficiency, patient satisfaction and control unit cost.
  • Assists in the development of CHCC specific reports, spreadsheets, scorecards, dashboards and presentations by reviewing clinical and volume utilization data.
  • Prepares the ACS NSQIP collaborative reports for the cancer center.
  • Develops and facilitates CHCC mortality and morbidity meetings.
  • Develops and updates, in collaboration with the clinicians of the CHCC, evidence-based clinical protocols and pathways and policies and procedures of the CHCC.
  • Participates in clinical research projects upon request.
  • Supports preparation of abstracts and manuscripts for publication.
  • Performs other duties as assigned.
MINIMUM REQUIREMENTS
  • Education: Bachelor’s degree in healthcare administration, or other healthcare-related field, Five years of healthcare quality experience accepted in lieu of degree.
  • Experience: Previous experience in quality management, health information management, informatics, safety, or risk management preferred.
  • Other Credentials:
  • Knowledge and Skills: Excellent communication, interpersonal and organizational skills. Ability to problem solve and multi-task. Able to multi-task and manage frequent interruptions.
  • Special Training: Able to knowledgeably collect, compile, and evaluate data. Ability to learn unfamiliar concepts quickly and partner with medical staff and clinical leaders to drive results.
PHYSICAL DEMANDS AND WORK ENVIRONMENT
  • Frequent physical demands include: Sitting , Wrist position deviation , Pinching/fine motor activities , Keyboard use/repetitive motion , Talk or Hear
  • Occasional physical demands include: Standing , Walking , Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Taste or Smell
  • Continuous physical demands include:
  • Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.
  • Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Accurate Color Discrimination, Accurate Depth Perception, Accurate Hearing
  • Anticipated Occupational Exposure Risks Include the following: Dust/Particulate Matter
IND123
This position is eligible for the following benefits:
  • Medical Plan
  • Prescription drug coverage & In-House Employee Pharmacy
  • Dental Plan
  • Vision Plan
  • Flexible Spending Account (FSA)
  • Healthcare FSA
  • Dependent Care FSA
  • Retirement Savings and Investment Plan
  • Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
  • Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
  • Disability Benefits – Long Term Disability (LTD)
  • Disability Benefits – Short Term Disability (STD)
  • Employee Assistance Program
  • Commuter Transit
  • Commuter Parking
  • Supplemental Life Insurance
  • Voluntary Life Spouse
  • Voluntary Life Employee
  • Voluntary Life Child
  • Voluntary Legal Services
  • Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
  • Voluntary Identity Theft Insurance
  • Voluntary Pet Insurance
  • Paid Time-Off Program
The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level.
The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.

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