Director overseeing accreditation and licensure at one of Georgia’s largest health systems. Ensuring regulatory compliance and continuous survey readiness across multi-facility healthcare organization.
Responsibilities
The Director of Accreditation & Licensure reports to the Exec. Director Accreditation and Licensure.
Provides expertise and consultation on The Joint Commission (TJC), Georgia Department of Human Resources (DHR), Center for Medicare and Medicaid Services (CMS), and other regulatory standards and requirements.
Responsible for development and provision of strategies to support continuous survey readiness (CSR) activities, link CSR to safety, and compliance across the healthcare system.
Keeps Senior Leadership informed of Wellstar's survey readiness status.
Develops strategies to support continuous survey readiness activities across the system.
Provides consultation on strategies to support Disease Specific Certifications.
Monitors and tracks areas of non-compliance; facilitates barrier removal.
Develops and implements a reliable process for periodic review and revision of policies and procedures.
Drives continuous survey readiness through leading The Joint Commission Steering Committee and serves as liaison between system and TJC.
Requirements
Bachelor's Degree BS degree in a healthcare related field
All certifications are required upon hire unless otherwise stated.
HCQM - Cert Healthcare Quality Mgt-Preferred within 1 Year
Minimum 5 years experience in coordinating regulatory agency survey activities.
Must have strong interpersonal skills.
Be able to multi-task.
Be flexible, organization skills to support a multi-component system.
Travel between components, occasional out of town travel for seminars, etc.
Benefits
Join us and discover the support to do more meaningful work—and enjoy a more rewarding life.
Connect with the most integrated health system in Georgia, and start a future that gives you more. More Than A Career. A Purpose.
Nationally ranked and locally recognized for our high-quality care and inclusive culture, Wellstar is one of Georgia’s largest and most integrated healthcare systems.
Every day, 24,000+ of us work together to provide personalized care for patients at every age and stage of life – and our team members are the foundation of that care.
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