Accreditation and Governance Specialist

Centerstone; Bradenton (FL); Hybrid; USD 51,000 - 71,000; Full time

Benefits offered by this job

Medical, dental, and vision health覆盖

403b retirement plan with companymatch

Paid time off and ten paid holidays

AD&D Insurance, Life Insurance, and LT

Job summary

Centerstone is seeking an Accreditation and Governance Specialist to promote survey readiness and ensure compliance with accreditation standards across markets. The role partners with operational leaders to interpret requirements, conduct mock surveys, and prepare for regulatory reviews.

Based in Bradenton with hybrid/remote options, you will monitor action plans, provide education on standards, and collaborate across clinical excellence and policy governance to strengthen quality.

Qualifications

• Bachelor's degree in Social Work, Health and Human Services, Healthcare Administration, Nursing, Public Health, or related field.
• Three years of experience in healthcare quality, accreditation, compliance, or related healthcare field.
• Experience with accreditation surveys, mock surveys, regulatory reviews, or quality improvement preferred.
• CPHQ certification or licensed healthcare professional preferred.

Responsibilities

• Support enterprise accreditation readiness across markets and service lines.
• Conduct mock surveys, tracers, and readiness assessments.
• Partner with operational leaders to identify opportunities for improvement.
• Assist with preparation for accreditation and regulatory surveys, including documentation and logistics.
• Monitor compliance and communicate risks or deficiencies to leadership.
• Develop and monitor corrective action plans from surveys and reviews.
• Collaborate to ensure timely completion of corrective actions.
• Provide education on accreditation standards and regulatory expectations.
• Participate in enterprise readiness committees and quality governance activities.
• Travel may be required to support priorities.

Skills

Project management

Written and verbal communication

Facilitation

Attention to detail

Prioritize multiple projects

Microsoft Office

Regulatory knowledge

Education

Bachelor's degree in Social Work, Health and Human Services, Healthcare Administration, Nursing, Public Health, or related field

Tools

Microsoft Office

Electronic documentation systems

Job description

## Accreditation and Governance SpecialistApply: Hybrid - Remote and Other work locations: Bradenton, Florida: Full time: Posted Today: JR-033765Centerstone is among the nation’s leading nonprofit behavioral health systems with thousands of employees dedicated to delivering care that changes people’s lives. A dynamic, well-established organization, we offer rewarding opportunities to serve all ages in a variety of settings. Come talk to us about joining the Centerstone team!**JOB DESCRIPTION:****Position Summary**The Accreditation and Governance Specialist supports Centerstone's enterprise Accreditation & Quality Governance program by promoting continuous survey readiness, regulatory compliance, and consistent implementation of accreditation standards across all markets and service lines.This position partners closely with operational leaders to interpret accreditation standards, conduct mock surveys and tracers, monitor corrective action plans, and prepare the organization for regulatory and accreditation surveys.The Accreditation and Governance Specialist serves as a subject matter resource on accreditation requirements and collaborates with Clinical Excellence, Clinical Risk Management, Patient Voice & Experience, and Policy Governance to strengthen organizational quality and regulatory compliance.**Essential Duties and Responsibilities*** Support enterprise accreditation readiness initiatives across all Centerstone markets and service lines.* Conduct mock surveys, tracers, and readiness assessments to evaluate compliance with accreditation standards and organizational policies.* Partner with operational leaders to identify opportunities for improvement and strengthen continuous survey readiness.* Assist with preparation for accreditation and regulatory surveys, including document review, evidence collection, and survey logistics.* Monitor compliance with accreditation standards and communicate identified risks or deficiencies to leadership.* Assist in developing and monitoring corrective action plans resulting from accreditation surveys, mock surveys, tracers, and regulatory reviews.* Collaborate with operational leaders to ensure timely completion of corrective actions and ongoing compliance activities.* Provide education and consultation regarding accreditation standards, regulatory expectations, and survey readiness.* Assist with interpretation of accreditation standards and communicate updates to operational leaders.* Participate in enterprise readiness committees and quality governance activities.* Collaborate with Policy Governance to ensure policies and procedures align with accreditation standards and regulatory requirements.* Collaborate with Clinical Excellence to incorporate findings from chart reviews, tracers, and clinical quality evaluations into survey readiness efforts.* Collaborate with Operations/Clinical management to identify trends that may impact accreditation readiness or regulatory compliance.* Completes activities associated to SAMSHA survey* Completes activities necessary to ensure certification of Centerstone locations in National Health Services Corps (NHSC) and the opportunity for enrollment of Centerstone staff into NHSC programs* Assists in activities to ensure compliance with Federal Rule 1557 of Affordable Care Act regarding non-discrimination activities.* Maintain documentation and records related to accreditation readiness activities.* Participate in enterprise quality improvement initiatives as assigned.* Represents the department on internal organizational committees and functions. Acts as a representative of Centerstone externally with key stakeholders relevant to work of the department.* Periodic travel may be required to support organizational priorities, including leadership collaboration, incident response activities, staff development, and other Clinical Risk Management initiatives. Travel expectations will vary based on organizational needs.* Perform other duties as assigned.**Supervisory Responsibilities**This position does not have supervisory responsibilities.**Knowledge, Skills and Abilities*** Working knowledge of healthcare accreditation standards and survey processes.* Knowledge of behavioral healthcare operations preferred.* Knowledge of continuous survey readiness principles.* Ability to interpret regulatory and accreditation requirements.* Strong organizational and project management skills.* Excellent written and verbal communication skills.* Strong facilitation and relationship-building abilities.* Strong attention to detail.* Ability to prioritize multiple projects and deadlines.* Ability to analyze compliance gaps and recommend practical solutions.* Proficiency with Microsoft Office applications and electronic documentation systems.**Minimum Qualifications****Education**Bachelor's degree in Social Work, Health and Human Services, Healthcare Administration, Nursing, Public Health, or a related field.**Experience*** Three (3) years of experience in healthcare quality, accreditation, compliance, clinical operations, or related healthcare field.* Experience participating in accreditation surveys, mock surveys, regulatory reviews, or quality improvement activities preferred.**Licenses and Certifications**Preferred:* Certified Professional in Healthcare Quality (CPHQ)* Licensed healthcare professional preferred, when applicable**Preferred Qualifications*** Experience in behavioral healthcare.* Experience within a large multi-site or multistate healthcare organization.* Experience supporting Joint Commission, CARF, CMS, or state licensing surveys.* Experience conducting mock surveys or tracer activities.* Experience interpreting accreditation standards and regulatory requirements.* Experience collaborating with interdisciplinary operational teams.* Experience developing or monitoring corrective action plans.**Physical and Work Environment Requirements**Work is performed in an office, clinical, residential, and/or community-based environment depending on role and assignment. The position may involve routine use of office, clinical, or electronic systems and equipment. Duties may require prolonged periods of sitting, standing, walking, and working at a computer. Work hours may include evenings, weekends, holidays, or extended shifts based on program needs. This position is classified as sedentary work. Sedentary work involves exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.**Program and State-Specific Requirements (When Applicable)**N/A**Disclaimer**The statements herein are intended to describe the general nature and level of work performed by individuals assigned to this position. They are not intended to be an exhaustive list of all responsibilities, duties, and skills required. Duties and responsibilities may change at any time with or without notice.**Time Type:**Full time**Pay Range:**$50,700.00--$71,100.00Delivering care that changes people's lives starts with our employees. Below are just some of the great benefits Centerstone employees enjoy:* Medical, dental, and vision health coverage* Flexible Spending and Health Savings Accounts* 403b retirement plan with company match* Paid time off and ten paid holidays* AD&D Insurance, Life Insurance, and Long Term Disability (company paid)* Employee Resource Groups* Continuing education opportunities* Employee Assistance Program*Centerstone is an equal opportunity employer. Employment at Centerstone is based solely on a person's merit and qualifications directly related to professional competence. We treat all clients and colleagues with dignity and respect.*