Accreditation Manager, Warner Robins, GA

Emory•Warner Robins, GA

1d•Onsite

About The Position

Be inspired . Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be . We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, and leadership programs And more Location: On-Site Warner Robins, GA Description The Accreditation Manager provides Operating Unit (OU) direction, oversight and support for regulatory and accreditation compliance. This role leads accreditation readiness activities and supports multiple certification and licensure programs. The Accreditation Manager partners with OU clinical, operational, and executive leaders to drive sustained readiness, standardization, and continuous improvement aligned with the organization's Always Patient Ready mission.

Requirements

Bachelor's degree (BA/BS) in a health-related field required.
Five (5) years of experience in a clinical healthcare environment.
Experience in clinical operations and/or performance improvement, patient safety, risk management, or quality management.
Knowledge of Quality Improvement methodologies, group facilitation, project management, and healthcare regulatory and event reporting requirements.

Nice To Haves

Previous accreditation and/or regulatory readiness experience preferred.
Licensure as a Registered Nurse in the state of Georgia strongly preferred.

Responsibilities

Accreditation & Regulatory Oversight: Provide OU-level oversight for accreditation and regulatory compliance, including The Joint Commission (TJC), State, and Federal agencies. Remain current with accreditation standards, Conditions of Participation, and regulatory requirements; interpret and translate standards into operational expectations. Serve as the primary OU resource for accreditation and regulatory guidance across departments and service lines.
Survey Readiness: Plan, lead, and conduct routine tracers and readiness assessments Provide real-time coaching and education. Identify gaps, risks, and trends; develop actionable recommendations and monitor corrective action plans. Support preparation for announced and unannounced accreditation, licensure, and validation surveys.
Education, Training & Consultation: Develop and deliver education and training related to accreditation standards, regulatory requirements, and continuous survey readiness Educate leaders and frontline staff on standards interpretation, tracer methodology, and survey expectations. Serve as a consultant to departments on regulatory compliance, process redesign, and risk mitigation.
Performance Improvement & Collaboration: Collaborates with leadership to recommend sustainable processes and system improvements to maintain quality metrics and/or accreditation-related objectives that support high reliability and ongoing readiness. Facilitate interdisciplinary workgroups and committees focused on accreditation readiness and regulatory compliance.
Reporting & Documentation: Track, trend, and report accreditation readiness activities, tracer findings, and corrective action status. Support regulatory documentation, policy alignment, and evidence management to ensure survey readiness
Other Duties as Assigned.