Job Description
Summary:
Directs the operation of clinical programs and promotes quality services for the community and patients.
Responsibilities:
Responsibilities include all aspects of planning and implementation of compliance activities for accreditation and or regulatory agencies requirements, including Joint Commission, State and CMS.Coordinates on-site surveys, mock surveys, and consultations.Prepares and presents reports on compliance status.Coordinates organization sustainability plan for ongoing readiness.Develops methodologies and activities to support departments in achieving and exceeding continual compliance requirements.Assesses, monitors, and recommends, as appropriate, activities and educational opportunities to maintain compliance with accreditation and/or regulatory standards.Educates leaders, staff, medical staff, and other stakeholders on the accreditation process and requirements....