The University of Illinois Hospital & Clinics (UI Health) is seeking a Director to lead our Cancer Accreditation & Registry. The Director, Cancer Accreditation & Cancer Registry, as directed by the Hospital Oncology Service Line Leadership, will be responsible and accountable for planning, directing, and implementing successful cancer accreditation/regulatory readiness and cancer registry performance and compliance.
The Director, Cancer Accreditation & Cancer Registry works closely with the following individuals to support and improve the quality of UIH Cancer programs: Cancer Integrated Practice Unit Leadership; Senior Director Clinical Operations, Cancer Center; and Director of Quality for Hospital Cancer Programs.
Direct activities for achieving and maintaining compliance and accreditations. Examples include but are not limited to the American College of Surgeons Commission on Cancer (ACS CoC) and the National Accreditation Program for Breast Centers (NAPBC).
Direct activities to successfully meet ongoing accreditation standards such as preparing for ACS and other reaccreditation surveys, conducting medical record analysis, data abstraction, and overall data management. Demonstrates thorough understanding of these standards and requirements. Assist with data collection, assessment, and compilation for the annual and three-year Survey Application Records (SAR) submissions to the American College of Surgeons. Direct survey logistics and pre-visit data coordination for accreditation surveys.
Lead the development and implementation of regulatory readiness plans and follow up actions. Assess organizational accreditation readiness and vulnerabilities and implements continuous readiness survey plans.
Direct the assessment, measurement, and reporting of ongoing compliance with the CoC standards, NAPBC standards, and other regulatory requirements.
Serve as Alternate Cancer Program Administrator for the UIH Cancer Committee (for CoC) and coordinate the Breast Program Leadership Committee (for NAPBC). Collaborate with owner/responsible party for each Standard to ensure requirements are being met on an ongoing basis. Ensure meetings, agendas, and minutes comply with requirements.
Provide hospital-wide leadership for UIH accreditation and regulatory readiness program.
Perform cancer data collection to assist leaders in accomplishing individual or organizational objectives.
Ongoing participation in acquiring best practice information and sharing with internal and external stakeholders.
Oversee all functions of the Cancer Registry, ensuring deadlines and Cancer Center objectives are met. Train, develop, and evaluate the staff who perform case finding, abstracting, and follow-up, utilizing CoC Standards and CoC data collection practices.
Responsible for budget planning and financial & operational performance of the UIH Cancer Registry.
Serve as system administrator for the Cancer Registry database system; responsible for State of Illinois, NCDB, and other reporting of registry related data. Works with IT staff from UIH and Hematology Oncology Clinic to provide cancer registry data for linkage to other clinical and administrative information systems as needed. Participate in identification of and lead implementation of enhanced uses of the Cancer Registry.
Perform other related duties and participate in special projects as assigned.
Master's Degree in public health, business administration, nursing, medical, social science or related field required.
A minimum of seven (7) years of increasing responsibility in healthcare leadership required, including experience with accreditation functions, regulatory compliance, EHR/EMR/abstracting, data management, and reporting.
A proven track record leading a team, with responsibility for budget, performance, staff management and development.
Broad understanding of health care delivery, including strategy, business planning, operations, and finances.
Understanding of health care industry changes, competitor actions, legal/regulatory changes and technological trends.
Salary & Benefits:
UI Health offers competitive benefit packages, including: vacation days, paid holidays, Floating Holidays, State University Retirement System, tuition waiver, tuition discount for dependents, and excellent medical, dental, and vision packages.
For consideration, please submit a complete application and supplemental resume by September 9, 2019
The University of Illinois at Chicago is an Equal Opportunity, Affirmative Action Employer. Minorities, women, veterans, and individuals with disabilities are encouraged to apply.
The University of Illinois may conduct background checks on all job candidates upon acceptance of a contingent offer. Background checks will be performed in compliance with the Fair Credit Reporting Act.