Accreditation & Compliance Coordinator (RN)

Baptist Health - Central Alabama; Montgomery (AL); On-site; USD 65,000 - 90,000; Full time

Job summary

Baptist Medical Center South in Montgomery, Alabama, seeks an Accreditation Coordinator RN to oversee accreditation planning and compliance. The role requires leading educational activities, coordinating survey readiness, and coordinating site visits and action plans with leadership across departments.

The ideal candidate has a Bachelor’s degree, an active RN license, and 5+ years in acute care with experience in a Joint Commission accredited environment.

Qualifications

• Bachelor's degree is required.
• Minimum 5 years clinical acute care hospital experience.
• Minimum 3 years experience in a TJC-accredited facility.

Responsibilities

• Oversee planning and implementation of accreditation activities for Joint Commission and CMS.
• Develop and implement educational activities related to accreditation standards.
• Maintain survey readiness methodologies and monitor compliance.
• Coordinate site visits, follow-up reports, and action plans; manage documentation.
• Train new management staff on roles in accreditation and survey activities.
• Periodically report to leadership on changes in regulatory standards and implementation plans.

Skills

Regulatory compliance

Accreditation coordination

Education & training

Survey readiness

Project management

Interpersonal skills

Writing & reporting

Education

Bachelor's degree

Master's degree preferred

RN license

Job description

Baptist Medical Center South in Montgomery, Alabama, seeks an Accreditation Coordinator RN to oversee accreditation planning and compliance. The role requires leading educational activities, coordinating survey readiness, and coordinating site visits and action plans with leadership across departments.

The ideal candidate has a Bachelor’s degree, an active RN license, and 5+ years in acute care with experience in a Joint Commission accredited environment.