Director, Policy and Accreditation (81607)

Centurion Health•Sterling, VA

4d•Onsite

About The Position

Centurion is seeking a full-time Director of Policy and Accreditation to join our Corporate Clinical team. This role involves monitoring contract-specific clinical services to ensure compliance with national correctional health care standards (NCCHC, ACA) and other accrediting agencies. The Director will provide on-site consultation, conduct pre-accreditation reviews, and assist with post-accreditation work plans. Responsibilities include coordinating survey scheduling, managing invoices, overseeing the development and revision of company policies and procedures, and managing staff training related to clinical service delivery. The role also oversees Centurion’s continuous quality improvement program and manages the Policy and Accreditation team. The Director will develop pre-accreditation tools, co-lead the internal policy and forms committee, and assist in monitoring contract-specific performance against national standards. The position oversees the State of Accreditation Readiness (SOAR) program, supports facility staff in maintaining accreditation readiness, and represents the company during on-site accreditation visits. Additionally, the Director provides guidance on contract-specific policies, utilizes process improvement techniques, identifies policy requirements based on changing guidelines, and offers on-site and remote support during new contract implementations and thereafter. The role involves providing patient-, unit-, and system-specific clinical consultation, overseeing quality monitoring, performing accreditation site visits, developing work plans for corrective actions, and reviewing facility accreditation information. The Director will also develop/refine model policies and procedures, staff training modules, and provide operational/administrative consultation. Representation at conferences and meetings, and independent self-management are also key aspects of the role.

Requirements

Bachelor’s degree in mental health discipline or nursing is required.
State licensure in clinical discipline if relevant.
Minimum of 5 years’ clinical/administrative experience, preferably in a correctional environment.
CCHP, CCHP-RN, CCHP-MH, CCHP-A or CCN, CCN/M, CHSA or CBHC required.
Ability to interact well with varied levels of management, clinical, and administrative staff in a correctional environment.
Must be able to work independently, without direct on-site supervision.
Must be able to pass background investigation and obtain agency security clearance where applicable.

Nice To Haves

Experience with Lean methodologies, process improvement initiatives, quality management, or operational excellence programs.

Responsibilities

Monitor contract-specific clinical services for compliance with national correctional health care standards (NCCHC, ACA) and other accrediting agencies.
Provide on-site consultation to address identified areas for improvement in healthcare service delivery systems.
Perform pre-accreditation reviews and assist with post-accreditation work plans/visits and/or accreditation documentation.
Coordinate all survey scheduling and invoice management related to NCCHC accreditation.
Oversee the development/revision of company model policies and procedures, forms, and manuals.
Oversee staff training related to clinical service delivery.
Oversee Centurion’s continuous quality improvement program.
Manage Centurion’s Policy and Accreditation team, including direct reports.
Develop pre-accreditation tools/education specific to monitoring associated with NCCHC/ACA and/or other outside agencies.
Serve as a co-leader for the internal policy and forms committee.
Assist in monitoring contract-specific performance with on-site service delivery based on contract compliance indicators and national standards (NCCHC, ACA).
Oversee Centurion’s State of Accreditation Readiness (SOAR) program.
Support facility staff in maintaining a state of ongoing accreditation readiness (SOAR Program).
Represent/provide company support for an on-site accreditation visit.
Provide guidance/support/review of contract specific policy and procedure; educate contracts/sites on methods to update/maintain contract/site specific procedure manuals.
Utilize process improvement techniques to enhance development of staff and readiness compliance.
Identify additional policy requirements and/or revisions based on changing national accreditation guidelines.
Provide on-site and/or remote support during implementation of new contracts and when needed thereafter in clinical areas of expertise or accreditation requirements.
Provide patient-, unit-, and/or system-specific clinical consultation upon request.
Develop, implement, and support multidisciplinary processes that contribute to coordination and integration of care.
Oversee Corporate CQI Coordinator to validate quality monitoring and processes within contracts.
Perform pre and/or post accreditation site visits as part of, or leader of, a team to identify areas for improvement.
Develop a work plan for monitoring progress with corrective action recommendations and/or requirements both pre- and post-survey.
Review and track information specific to a facility and work directly with contract leadership to maintain accreditation.
Develop/refine model policies and procedures related to clinical operations.
Assist with development and review of contract specific policy and procedure to meet contract requirements and promote safe/effective patient care.
Develop/refine staff training modules specific to accreditation preparation, pre/post accreditation checklists and in clinical areas of expertise.
Provide operational/administrative consultation and support for contracts in areas of expertise.
Provide formal and informal training in clinical areas of expertise, as requested or assigned.
Represent the Company at conferences, meetings, and new business opportunities as requested.
Independently self-manage and meet project deadlines.
Perform other duties as assigned.