Responsible for the planning and coordination of activities designed to maintain ongoing compliance with Accreditation Standards, CMS Conditions of Participation, and State Licensure Requirements. This position assists in keeping the organization in an ongoing state of readiness for all healthcare licensing and accreditation surveys. This position will also assist in the implementation of programs and services to improve the clinical and operational performance as they relate to licensing and accreditation.

Coordinates activities designed to maintain on-going compliance with all accreditation standards, state licensing requirements, and CMS Conditions of ParticipationCoordinates organizational response to survey and inspection activity and assists with corrective action planningParticipates in educational programs and offerings that support efforts toward compliance with accreditation and licensing standards.Provides leadership and expertise regarding accreditation, regulatory, and licensing requirementsActively promotes, improves processes and educates team members to accreditation standards and licensing requirements.Maintains accreditation application and related licensing information in coordination with external agency requirementsActs as a liaison to population program disease specific program certifications and designations to external agencies and the organizationIn addition to the above job responsibilities, other duties may be assigned.Position Compensation Range: $74,900.80 - $119,849.60 Annual

MINIMUM REQUIREMENTS

Education: Bachelor’s Degree required. Masters Degree Preferred.
Experience: Health care experience required. Progressive health care leadership preferred. Experience in health care accreditation and regulatory and licensing requirements preferred.
Licensure: None required.

PHYSICAL DEMANDS
 

This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally require traveling some distance to attend meetings, and programs.  This job does occasionally require periods of walking and prolonged standing.

The University of Virginia, including the UVA Health System which represents the UVA Medical Center, Schools of Medicine and Nursing, UVA Physician’s Group and the Claude Moore Health Sciences Library, are fundamentally committed to the diversity of our faculty and staff.  We believe diversity is excellence expressing itself through every person's perspectives and lived experiences.  We are equal opportunity and affirmative action employers. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex, pregnancy, sexual orientation, veteran or military status, and family medical or genetic information.