Accreditation Coordinator

This position is responsible for the quality assurance functions of program operations. This position ensures compliance with all accreditation, licensure, and contractual obligations of agency programs.

• Have full working knowledge of accreditation and licensure standards required of programs including but not limited to CARF(Commission on Accreditation of Rehabilitation Facilities), ACA ( American Correctional Association), and DBHIDS licensing standards.
• Ensure the facilitation of the accreditation process including communications with the accreditation body via the Quality Assurance Director and establishing a quarterly scheduled meeting with program staff to meet accreditation deadlines.
• Submit recommendations to the Quality Assurance Director regarding policy and procedures in accordance with accreditation standards, licensure requirements, contract obligations, or changes in law.
• Assist the QA Director with all aspects of the accreditation process, including but not limited to, scheduling site visits, developing teams for pertinent committees, preparing materials, editing reports, maintaining records/files, and responding to inquiries.
• Ensure adherence to accreditation standards, licensure requirements, contract obligations, or changes in law by following the quality assurance plan approved by the respective Vice Presidents, Quality Assurance Director, and COO.
• Evaluate submission documentation for compliance with established standards as well as consultative guidance and feedback with respect to the application of standards at the practical level in the agency.
• Submit a summary of documentation/physical site review and corrective action plan to the Quality Assurance Director for approval.
• Develop and maintain a compliance calendar for managers for staff credentials, required training, and clearances.
• Ensure the agency meets HIPAA compliance regulations.
• Conduct monthly New Employee orientation trainings as needed to support program management maintaining compliance with training requirements.
• Chair Health and Safety Committee which involves facilitating meetings and conducting monthly inspections to ensure organization-wide compliance with Health and Safety standards providing a report on all identified concerns and corrective action plans to the Risk Management Committee
• Operate as a liaison working with Foodservice contract providers and programs ensuring that all clients receive high-quality food and satisfactory food service. Observe meal delivery and service at a program monthly.
• Coordinate satisfaction surveys for clients, staff, and stakeholders
• Aggregate data from all programs for the annual National Program service summary report.
• Interact (verbally and non-verbally) with all clients, staff, and community members with respect and courtesy.
• Attend and participate in regularly scheduled staff meetings, supervisory conferences training sessions, and meetings as required.
• Maintain client and staff confidentiality in compliance with Administrative Policies and Procedures and Operational Policies and Procedures.
• Other duties as assigned.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities


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