Healthcare Accreditation Coordinator - Quality / Performance Improvement - Days - FT

Job Description

The Healthcare Accreditation Coordinator is responsible for ensuring organizational activities comply with accreditation and regulatory standards and requirements. The Coordinator manages ongoing audits and validation of organizational policies and processes to maintain accreditation readiness. The Coordinator develops corrective measures to address variances and communicates findings and action plans to leadership on an ongoing basis.

Responsibilities

• Coordinates essential accreditation, regulatory, and licensure processes and compliance within the organization

Responsible for interpreting new or revised regulatory standards for the organization and communicating to leaders

Works in collaboration with clinical area to ensure that all required regulatory submissions and follow-up, including the annual Focus Standards Assessment (FSA), Evidence of Standards Compliance (ESC), response to regulatory complaint investigations, Measures of Success (MOS) and action plans are appropriate and completed

Qualifications

Education :

Required : Bachelor's Degree from an accredited program in Nursing, Healthcare Administration, Business Administration, lnformatics, Finance or other field of study; Applicable experience can be used in lieu of education requirement

Preferred : Master's Degree

Experience :

Required : Five (5) years of experience in an acute healthcare facility with two (2) years of experience performing quality, regulatory, or accreditation processes

Skills :

Excellent verbal, written communication and presentation skills