Director of Accreditation

Kaweah Health
Visalia, CA Full Time
POSTED ON 8/20/2022 CLOSED ON 9/30/2022

Job Posting for Director of Accreditation at Kaweah Health

    POSITION SUMMARY/PURPOSE
      The Director of Accreditation provides a value-added depth of knowledge and expertise that will enable Kaweah Health to successfully maintain Joint Commission/CMS and CA State Licensing accreditation by effectively meeting the regulations, advance standards-based practice, and sustaining a culture of continuous readiness. This position encompasses broad knowledge of the regulatory and accreditation environment; the ability to identify relevant statutes, regulations, and standards; and skill and expertise to oversee their successful adoption and evaluation. The Director must prepare for the ever-changing healthcare regulatory and accreditation landscape by developing a strong foundation to identify and appropriately apply regulations and accreditation standards within the wide variety of healthcare settings within the organization.
    QUALIFICATIONS
      License /Certification
        Required:
        Preferred:
        • Certified Professional in Healthcare Quality certification
      Education
        Required:
        • Bachelor’s degree in healthcare-related field or nursing
        • MSN or other graduate degree in a health-related field
        Preferred:
        • Master’s degree in health-related field or nursing
      Experience
        Required:
        • Direct experience in federal and state hospital/health system accreditation requirements, standards and compliance surveys
        • Experience in leading all points in survey processes; readiness, survey and post survey management
        • Experience using quality management tools and principles
        • Experience with facilitation of group process
        • Experience with data management


      Knowledge/Skills/Abilities
      • Current knowledge of The Joint Commissions Standards, Title 22 and CMS Conditions of Participation.
      • Knowledge and ability to use PC -based information management systems and databases.
      • Excellent oral and written communication skills.
      • Ability to build relationships and gain alignment for clinical support and be able to articulate questions to receive an appropriate level of support from superiors and peers.
      • Knowledge of Risk Management/Quality Improvement/Patient Safety and hospital policies and standards preferred.


Location: Kaweah Health · Organizational Accreditation
Schedule: Reg Full Time, Day, 8 hour shifts 40 hours/week
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Salary.com Estimation for Director of Accreditation in Visalia, CA
$107,768 to $137,173
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