Accreditation Officer

King khaled Eye Specialist Hospital; Riyadh; On-site; SAR 200,000 - 300,000; Full time

Job summary

A healthcare facility in Riyadh is seeking an Accreditation Officer who will be responsible for evaluating hospital performance for accreditation. The role includes performing on-site assessments, reviewing documentation, and monitoring compliance with international and national healthcare standards. The ideal candidate will have strong analytical skills and the ability to provide actionable recommendations to enhance quality and compliance. The position requires collaboration with various departments to ensure successful accreditation processes.

Responsibilities

• Perform on-site evaluations of healthcare facilities to assess compliance with accreditation standards.
• Review documentation and evidence; Identify requirements for the hospital with timeframes.
• Monitor performance against national and international standards.
• Evaluate hospital operations and clinical practices against benchmarks.
• Identify strengths, weaknesses, and areas of non-compliance.
• Develop reports summarizing findings from assessments.
• Provide actionable recommendations to address deficiencies.
• Outline follow-up actions for accreditation compliance.
• Collaborate with staff to determine pre-accreditation evidence; Provide guidance.
• Interpret and apply standards consistently during assessments.
• Communicate findings and recommendations to management and relevant departments.
• Encourage a culture of quality and continuous improvement.
• Handle sensitive information with discretion.
• Stay updated on accreditation standards.
• Perform all duties professionally and confidentially.

Job description

Position Summary

The Accreditation Officer evaluates hospital performance for accreditation by conducting on-site assessments and reviewing submitted evidence. They produce reports highlighting best practices, areas for improvement, and necessary follow-up actions to meet accreditation standards.

Responsibilities

• Perform on-site evaluations of healthcare facilities to assess compliance with accreditation standards.
• Review documentation and evidence provided by the hospital; Identify requirements to be addressed by the hospital with associated timeframes for completion.
• Monitor the hospital performance against the relevant international and national standards to ensure compliance with requirements.
• Evaluate hospital operations, clinical practices, and administrative processes against established benchmarks.
• Identify strengths, weaknesses, and areas of non-compliance.
• Develop detailed reports summarizing findings from assessments.
• Provide clear, actionable recommendations to address deficiencies.
• Outline follow-up actions required for accreditation compliance.
• Collaborate with KKESH&RC staff to determine pre-accreditation evidence needed in advance of on-site assessment; Provide guidance and clarification on accreditation requirements.
• Interpret and apply standards consistently during assessments.
• Communicate findings and recommendations to Quality Management Director and relevant departments.
• Encourage a culture of quality and continuous improvement within healthcare organizations; Share best practices and support hospitals in implementing improvements.
• Handle sensitive information with discretion and in compliance with ethical and legal standards.
• Stay updated on national and international healthcare accreditation standards.
• Performs all duties in a professional, effective and confidential manner.
• Performs all other related duties as required or assigned.