Director, Accreditation Support

Company: WellStar Health System
Location: Marietta
Posted on: January 12, 2021

Job Description:

At WellStar, we all share common goals. That's what makes us so successful - and such an integral part of our communities. We want the same things, for our organization, for our patients, and for our colleagues. As the--most integrated healthcare provider--in Georgia, this means we pride ourselves on investing in the communities that we serve. We continue to provide innovative care models, focused on improving quality and access to healthcare.Responsibilities The Director of Accreditation Support reports to the Executive Director Accreditation and Licensure. The Director provides expertise and consultation on Joint Commission (TJC); Georgia Department of Human Resources (DHR); Center for Medicare and Medicaid Services (CMS); and other regulatory standards and requirements and related processes.This position is responsible for development and provision of strategies to support continuous survey readiness (CSR) activities, link CSR to safety, and compliance across the healthcare system.The Director keeps Senior Leadership informed of WellStar's survey readiness status as well as new/revised regulatory requirements and the impact on the organization.He/she ensures routine self-assessment of compliance with various standards/regulations, development of action plans, review and revision of related policies and procedures and submission of Periodic Performance Reviews to the JC. The Director supports the System during various survey/review activities, i.e. JC survey, State visits.Ensure timely submission by all of recommendations for improvement and deficiencies identified by outside agencies.Job Requirements:Required Minimum Education:BS degree in a healthcare related field.Required Minimum Experience:5 years experience in coordinating regulatory agency survey activities.Required Minimum Certification:CJCP within one year of accepting position.Required Minimum Skills: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.#LI-189745536_SL1

Keywords: WellStar Health System, Marietta , Director, Accreditation Support, Executive , Marietta, Georgia