Accreditation and Compliance Specialist II

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.