Accreditation Coordinator | Hospital System | RN | Southeastern US

Competitive Compensation | Superb Benefits Program | Relocation Assistance | Professional Growth & Development

Our client is a not-for-profit hospital/healthcare system at the forefront of cutting-edge medical technology advances, continually redefining healthcare possibilities. They pride themselves on being one of the state's most technologically advanced health systems and delivering exemplary care across the region. The organization and its employees are actively involved with their surrounding communities. After more than a decade of representing the organization in leadership search and staffing, we have grown to genuinely appreciate the commitment to their employees' quality of work/life balance and long-term success.

This organization is located in the heart of the South and is recognized as one of the ‘Top 25 U.S. places for a low cost of living. The city is filled with historical landmarks, performing arts centers, sporting activities, world-class shopping, and a diverse foodie/dining scene to keep even the most active resident fully engaged. With affordable home prices, lower national average taxes, and a more economical cost of living, this is an excellent location for improving your quality of life. Homes also cost lower than the national average, and this state has some of the lowest property tax rates in the nation.

The area offers colorful autumns, pleasant springs, balmy summers, and mild winters. It has excellent proximity to beach and mountain venues. Snow and ice are rare, and the average low temperatures are above freezing even in the coldest months.

Southeastern, US

• Reports directly to the Vice President of Quality and Patient Safety
• Plans and implements compliance activities for accreditation and regulatory agencies requirements, including Joint Commission (TJC), and CMS
• Develops educational activities related to accreditation
• Oversees and manages survey readiness methodologies
• Assesses, monitors, and recommends, as appropriate, activities and educational opportunities to maintain compliance with accreditation and regulatory standards
• Works with staff from all relevant areas to communicate, plan for, monitor, and evaluate new developments in regulation, standards, or legislation
• Identifies plans, educates, and assists in the implementation of change as required by new/evolving standards
• Develops methodologies to support departments in achieving and exceeding continual compliance requirements
• Manages documentation and other information as requested by regulatory and accrediting bodies, including, but not limited to, submission of applications, Focused Standards Assessment (FSA), and action plans on time
• Coordinates site visits, follow-up reports, compliance activities, and historical files
• Trains all new management staff on their role in accreditation and survey activities
• Reports to the leadership team potential changes in regulatory standards

• Bachelor's degree required, Master's degree preferred
• RN (Registered Nurse) license required
• 5+ years of clinical acute care hospital experience
• Regulatory survey coordination experience
• Experience in project management, group facilitation, and leadership group presentations preferred
• Proficient in the use of Microsoft Word and Excel programs
• Possess advanced computer skills to maintain databases and spreadsheets and develop reporting tools, graphs, control charts
• Knowledge of accrediting and regulatory agency procedures and standard requirements
• Exceptional interpersonal communication, teaching, presentation, and writing skills
• Highly motivated with problem-solving abilities and possesses independent decision-making skills
• Adaptable to change and able to adjust job responsibilities as the organization and outside regulatory agencies mandate
• Ability to establish and maintain effective working relationships with all levels of hospital staff

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 www.galileosearch.com

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