Job Details

In an environment of continuous quality improvement, the Accreditation Coordinator is responsible for coordinating continuous readiness related to the accreditation programs including Accreditation Commission for Health Care (ACHC), the Centers for Medicare and Medicaid Services (CMS), and other regulatory agencies as appropriate, and assisting with responses to initiatives. This position also handles ongoing regulatory preparedness, educational planning for survey readiness, technical support, innovative resource development and training for accreditation preparedness. Exhibits the MHS Standards of Excellence and exercises strict confidentiality at all times.

Job Functions:

1. Facilitates system-wide efforts to achieve and maintain regulatory compliance including CMS certification, ODH/OHFLAC certification, and Accreditation Commission for Health Care (ACHC) accreditation.
2. Coordinates development and implementation of auditing processes to detect weaknesses, compliance, and areas of improvement. Assures improvements are made and documented.
3. Maintain current knowledge of applicable regulations, Conditions of Participation, and accreditation standards; communicate changes to leadership and operational teams.
4. Provide guidance and education to staff regarding accreditation standards and regulatory expectations.
5. Coordinates the preparation and submission of reports, responses and/or corrective action plans and follows-up with ACHC and CMS as required.
6. Assumes all other duties and responsibilities as necessary.

Minimum Education/Experience Required:

• Associate's degree in healthcare related field or equivalent experience required.
• Bachelor's degree in healthcare related field or equivalent experience preferred.
• Clinical background or healthcare operations experience required.

Special Knowledge, Skills, Training:

• Strong understanding of accreditation guidelines.
• Organizational skills the ability to meet deadlines.

Compensation Details: Education, experience, and tenure may be considered along with internal equity when job offers are extended.

Benefits: Memorial Health System is proud to offer an affordable, comprehensive benefit package to all full time and flex time employees. To learn more about the many benefits we offer, please visit our website at www.mhsystem.org/benefits.

Bonus Eligibility: Available to qualifying full or flex time employees. Eligibility will be determined upon offer.

Memorial Health System is an equal opportunity provider and employer.

If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at or at any USDA office, or call (866) ###-#### to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, S.W., Stop 9410, Washington, D.C. 20250-9410, by fax (202) ###-#### or email at ...@usda.gov.

* Memorial Health System is a federal drug-free workplace. This policy prohibits marijuana use by employees.