Accreditation Specialist

St. Luke's Health SystemMeridian, ID
3d

About The Position

The Accreditation Specialist supports organizational excellence by coordinating and managing accreditation, regulatory, and licensure activities across the organization. This role serves as a subject-matter expert on accreditation standards, ensures continuous survey readiness, and partners with clinical and operational leaders to maintain compliance with federal, state, and accrediting body requirements.

Requirements

  • Accreditation Specialist 1 requirement: Education/Experience: Associate Degree and 2+ years experience, HS Diploma/GED and 4+ year experience Clinical background strongly preferred Licenses/Certifications: None
  • Accreditation Specialist 2 requirements: Education: Bachelor's degree/BSN or experience in lieu of degree, Master's degree prefered Experience: 2 years, clinical background preferred Licenses/Certifications: None
  • Meridian location/Monday thru Friday day time hours

Nice To Haves

  • clinical background preferred
  • Master's degree prefered
  • clinical background preferred

Responsibilities

  • Coordinate accreditation and regulatory activities for applicable accrediting bodies (e.g., The Joint Commission, DNV, CMS, AAAHC, state agencies).
  • Serve as the primary resource for accreditation standards, regulatory requirements, and interpretive guidance.
  • Lead ongoing survey readiness efforts, including tracers, mock surveys, and compliance audits.
  • Manage preparation, coordination, and execution of accreditation and regulatory surveys, including document submission and on-site/virtual survey support.
  • Track standards compliance, findings, and corrective action plans; monitor progress to closure.
  • Collaborate with clinical, operational, and leadership teams to implement and sustain compliance improvements.

Benefits

  • robust benefits package to support our teams both professionally and personally
  • competitive salary and retirement plans
  • benefits beyond the typical medical, dental, and vision offerings
  • fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Number of Employees

5,001-10,000 employees

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