Accreditation Coordinator | RN Required | TJC Accredited Healthcare System | Alabama

Competitive Compensation | Superb Benefits Program | Relocation Assistance

Our client is a not-for-profit TJC-accredited healthcare system. This opening is located at their 500-bed flagship hospital.

For healthcare professionals, this is an opportunity to build a rewarding career in an environment that values compassion, collaboration, innovation, and excellence. Join a team where your expertise is valued, your contributions matter, and your work can make a difference for years to come.

About the Community:

Located within one of the South’s most dynamic metropolitan regions, this community offers an exceptional quality of life paired with a strong economic foundation.

Consistently recognized for its affordability, livability, and business-friendly environment, the area combines Southern hospitality with modern amenities and cultural vibrancy. Residents enjoy:•Affordable housing and a low overall cost of living

• Low tax burden and strong economic stability
• Vibrant arts, music, and entertainment scene
• Collegiate sports, with nearby universities that attract students from across the country
• Outstanding dining and cultural attractions
• Excellent educational opportunities
• Mild four-season climate and abundant outdoor recreation

Within easy driving distance are:•White-sand Gulf Coast beaches

• Scenic lakes, rivers, and rolling countryside
• Historic towns and thriving urban centers
• Mountain landscapes and hiking destinations

Alabama

• Reports to a supportive and mentoring AVP of Quality
• Hospital system with a strong commitment to quality, safety, regulatory readiness, and continuous compliance
• Lead planning, coordination, and implementation of TJC accreditation and regulatory compliance activities across the organization
• Oversee survey readiness efforts for accrediting and regulatory agencies, including TJC and CMS
• Develop and support education related to accreditation standards, regulatory requirements, survey preparation, and ongoing compliance
• Interpret regulatory standards and communicate updates to leaders, clinical teams, and appropriate departments
• Partner with staff across multiple areas to monitor regulatory changes, evaluate impact, and support the timely implementation of required updates
• Assess organizational readiness and recommend action plans, education, and process changes to maintain compliance
• Coordinate regulatory site visits, survey preparation activities, follow-up reports, corrective actions, and related documentation
• Support completion and submission of required accreditation materials, applications, assessments, action plans, and regulatory responses
• Maintain organized historical files, compliance records, survey documentation, and regulatory tracking tools
• Train new leaders and management staff on their responsibilities related to accreditation, survey readiness, and compliance expectations
• Report to leadership on regulatory updates, upcoming surveys, compliance monitoring, action plan progress, and results from external reviews
• Collaborate with quality, patient safety, nursing, medical staff, operations, and department leaders to support a culture of continuous readiness

• Bachelor’s degree
• Active RN license
• Minimum of 5 years of clinical acute care hospital experience required
• Experience in medical-surgical nursing, quality, patient safety, regulatory compliance, or accreditation strongly preferred
• Regulatory survey coordination experience strongly preferred
• Strong knowledge of accreditation standards, CMS requirements, regulatory agency processes, and survey readiness practices
• Experience developing education, presenting to leadership groups, facilitating teams, and supporting cross-functional projects
• Knowledge of process improvement methodologies and the ability to support practical compliance solutions
• Advanced computer skills with proficiency in Microsoft Word, Excel, databases, spreadsheets, reporting tools, graphs, and control charts
• Strong interpersonal, written, verbal, teaching, presentation, analytical, and team-building skills
• Ability to remain self-directed, highly organized, adaptable, and effective in a changing regulatory environment
• Strong problem-solving skills with the ability to make sound independent decisions
• Ability to travel between organizational locations and attend outside educational programs as needed
• 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 industry's most accomplished professionals and executives. 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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