Assistant Director of Accreditation

Albany Medical CenterAlbany, NY
1d

About The Position

The Assistant Director will assist the Director of Accreditation and Certification in all activities related to Accreditation Survey preparedness with a focus on either the Hospital or Hospital Based Clinics. The Assistant Director will assist the Director of Accreditation and Certification in all activities related to Accreditation Survey preparedness with a focus on either the Hospital or Hospital Based Clinics. Assists with special projects that impact survey compliance, develops and performs audits to support compliance in areas where active improvement work is occurring. Works with the Accreditation Associate and/or Accreditation Specialist to ensure all areas of survey preparations are covered. Plays an active role during any on site survey. Thank you for your interest in Albany Med Health System! Albany Med Health System is an equal opportunity employer. This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Responsibilities

  • Assist the Director of Accreditation and Certification in all activities related to Accreditation Survey preparedness with a focus on either the Hospital or Hospital Based Clinics.
  • Assist with special projects that impact survey compliance
  • Develop and perform audits to support compliance in areas where active improvement work is occurring.
  • Work with the Accreditation Associate and/or Accreditation Specialist to ensure all areas of survey preparations are covered.
  • Play an active role during any on site survey.
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