Galileo Search

Published: March 13, 2021


Accreditation Coordinator | Team Member | RN | Hospital | Southeastern, U.S.

Competitive Compensation | Superb Benefits Program | Relocation Assistance with Temporary Lodging

Galileo Search has a full-time career opportunity for an experienced Accreditation & Quality Coordinator. Our client is a highly regarded not-for-profit acute care hospital system. This high-profile position is partnered with a second Accreditation Coordinator to provide system-wide support.


Southeastern, US


• Reports to the Vice President (VP) of Quality
• Responsible for all aspects of planning and implementation of compliance activities for accreditation and regulatory agency requirements, including The Joint Commission and CMS
• Ensures compliance with all federal and state regulatory and licensing requirements, including aspects of Joint Commission readiness
• Assesses, monitors, and recommends, as appropriate, activities and educational opportunities to maintain compliance with accreditation and/or regulatory standards
• Responsible for documentation and other information as requested by regulatory and accrediting bodies, including, but not limited to, submission of applications
• Identifies plans, educates, and assists in the implementation of change as required by new/evolving standards
• Coordinates site visits, follow-up reports, compliance activities, and historical files
• Focused Standards Assessment (FSA), and action plans
• Responsible for development and implementation of educational activities related to accreditation
•Develops methodologies to support departments in achieving and exceeding continual compliance requirements
• Trains current and new management staff on their role in accreditation and survey activities
• Report to the leadership team announced and/or potential changes in regulatory standards: related implementation plans to assure compliance


• Bachelor's degree required
• Active RN (Registered Nurse) License
• 5 years clinical acute care hospital experience
• 3 years of current experience in TJC accreditation and compliance to include regulatory survey coordination experience
• Experience in project management, group facilitation, and leadership group presentations
• Must be able to adapt to change and adjust job responsibilities as the organization and outside regulatory agencies mandate
• Knowledge of process improvement methodologies
• Excellent verbal/written communication, interpersonal, and relationship-building skills; will interact with physicians and other key stakeholders
• Must possess a solid understanding of team dynamics
• Self-directed, highly motivated with superb problem-solving abilities
• Proficient in the use of Microsoft Word and Excel programs; advanced computer skills to maintain databases, spreadsheets and develop reporting tools/graphs/control charts

About Galileo Search:

Galileo Search, LLC partners with hospitals and healthcare organizations across the United States to identify, recruit and retain the most accomplished professionals and executives in the industry. Our clients include community and critical access hospitals, health systems, academic medical centers, and Fortune 500 corporations. To learn more about Galileo Search, LLC, visit our website at

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Job ID:



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