Accreditation and Compliance Specialist II
: Job Details :


Accreditation and Compliance Specialist II

MaineHealth

Location: Westbrook,ME, USA

Date: 2025-01-06T08:52:55Z

Job Description:

MaineHealth Corporate

Professional - Nonclinical

Req #: 6488

Position Summary:

The Accreditation and Compliance Specialist II will assist leaders and managers in assessing adherence to accreditation and licensing standards, support efforts to improve and maintain adherence to standards by providing reports to highlight gaps and helping develop action plans as appropriate. The Accreditation and Compliance Specialist II will organize mock surveys and readiness audits, help maintain an up-to-date Quality Assurance and Performance Improvement (QAPI) plan, coordinate activities during surveys, maintain relevant information on file and readily accessible during surveys, communicate results after accreditation surveys, help draft and submit a plan of correction, and lead inter professional teams in addressing survey deficiencies.

* Familiarity with The Joint Commission, CMS and State accreditation standards required

* Familiarity with performance improvement tools and concepts, e.g., plan-do-study-act, preferred

* Proficiency in Microsoft Office suite or equivalent preferred

* Familiarity with electronic health records preferred

* Effective verbal and written communication skills

* Strong critical thinking skills and attention to detail

* Collaborative and team oriented

* Experience working with inter-professional teams in addressing organization-wide problems.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

1. Education: Associate's Degree or Bachelor's Degree required. See Experience

2. License/Certifications: N/A

3. Experience: Candidates with Associate's Degree will require five years of relevant healthcare experience. Candidates with Bachelor's Degree will require three years of relevant healthcare experience.

Additional Information

With a career at any of the MaineHealth locations across Maine and New Hampshire, you'll be working with health care professionals that truly value the people around them - both within the walls of the organization and the communities that surround it.

We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow - programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family.

Apply Now!

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