This role offers the opportunity to work closely with the Executive Director of Accreditation to help ensure ongoing compliance with federal, state, and accreditation requirements across hospital locations. The position plays a key role in survey readiness, regulatory coordination, and serving as a trusted departmental resource for compliance standards and best practices. Accreditation, Licensure and Regulatory Affairs in maintaining high quality and safe care by ensuring organizational systems and processes comply with the state and federal regulations and other identified standards ex. Joint Commission. Participate and support activities relating to accreditation and regulatory standards for all Hospital sites including preparation for, compliance with, and follow up for all surveys. Responsible for leading the project activities of assigned program. Coordinates status reports as well as participating on teams and working with project staff and stakeholders to assure that requirements are incorporated within the project design. Assigns work to team members to assure timely completion of project milestones and deliverables as appropriate. Develops policies and procedures as appropriate. Identifies and escalate issues following departmental guidelines.
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Job Type
Full-time
Career Level
Mid Level