Provides support with accreditation activities to ensure compliance of the accreditation standards. Assists with initiatives necessary to meet organizational objectives for accreditation by pro-actively coordinating, monitoring, and evaluating these activities throughout the health plan in order to attain and maintain full accreditation status.
The Accreditation Coordinator assists the Accreditation Director in obtaining quality evidence required for all aspects of the accreditation activities. Serves as a primary resource and subject matter expert for the readiness assessment, preparation and submission for surveys. Pro-actively monitors compliance with the standards and serves as a liaison to departments and ensures the submitted evidence meets the requirements. Assists with training for departments falling under the scope of the accreditation
Assist with initial and on-going education regarding accreditation standards and requirements.
Develops and maintains auditing, tracking, and reporting tools. Analyzes audit results; identifies opportunities for improvement and, if indicated, recommends corrective actions; and collaborates with the accreditation manager to correct deficiencies. Ensures departments are in compliance with accreditation requirements and audit ready.
Assigns and ensures new standards are properly assigned for implementation.
Provide assistance and support to staff needing additional guidance regarding the accreditation evidence required.
Education / Experience