The Accreditation Manager oversees compliance with all regulatory standards. This includes education, planning, and conducting systematic, ongoing individual patient tracers as well as formal and informal system/ process audits in order to assess and provide feedback, education and consultation regarding CMS and other Accreditation/Certification standards compliance to all entities within the organization. The Accreditation Manager facilitates the planning, achievement, and maintenance of a continuous state of survey readiness within the organization. The Accreditation Manager also oversees the duties of the Accreditation Consultant(s).
The person in this position works under general supervision, is responsible for various shifts, may be subject to over 40 hours per week and/or callback as required, and may also be required to remain on campus immediately before, during, and after severe weather and/or disasters.