Specialist, Licensing & Accreditation

Job Summary Start the day excited to make a difference…end the day knowing you did. The role participates in the planning and coordination of activities designed to maintain ongoing compliance with JCAHO Standards, CMS Conditions of Participation, and State Licensure Requirements. This position assists in keeping the organization ready for all healthcare licensing and accreditation surveys and supports the mission, vision, values, and strategic initiatives of Mary Washington Healthcare. Essential Functions & Responsibilities Coordinates activities designed to maintain ongoing compliance with all JCAHO accreditation standards. Coordinates activities designed to maintain ongoing compliance with all State Licensure requirements and Medicare Conditions of Participation. Serves as co‑leader for the Regulatory Readiness Team. Serves as an escort for External Surveyors (JCAHO, State, and CMS) when they are surveying our facilities. Obtains literature and completes research necessary to remain current in the field of accreditation and licensing. Participates in educational and networking programs that support efforts to comply with JCAHO and licensing standards. Actively promotes and improves processes and educates appropriately as they relate to licensing and accreditation. Maintains professional competency and career growth through participation in professional organizations and continuing education activities. Performs other related duties as assigned or requested. Qualifications Bachelor’s Degree is required. RN is preferred. Previous experience with JCAHO Accreditation Standards, State Licensure Requirements, and CMS Conditions of Participation is preferred. Clinical experience is preferred. Strong analytical skills are required. Effective communication skills are required. Must demonstrate the ability to work effectively with all levels of the organization. Required Physical Requirements Constant (67-100% of workday) sitting and use of arms and hands. Occasional (0-33% of workday) standing, walking, bending, and squatting. Ability to lift, push, and pull up to 10 lbs. Auditory and visual skills. Mental Requirements Critical thinking and analytical skills. Ability to multi‑task. Ability to communicate effectively and collaborate with a multi‑disciplinary team. Environmental Requirements and Exposure Hazards Potential risk of exposure to chemicals. Employer Statements As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant’s race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status. It is the policy of Mary Washington Healthcare to provide reasonable accommodations to qualified individuals with a disability who are applicants for employment or Associates. Vaccination Requirement All Associates are required to receive the annual flu vaccine. Medical and religious exemptions may apply and will be discussed during interview. #J-18808-Ljbffr