Accreditation & Compliance Program Lead

Bayhealth; Milford (DE); On-site; USD 94,000 - 145,000; Full time

Job summary

Bayhealth in Milford, DE seeks an Accreditation Services Program Manager to lead regulatory coordination with CMS, JCAHO, and state authorities. The role includes developing standardized processes, educating leadership, managing the tracer program, and coordinating on-site survey activities for Bayhealth’s Sussex Campus and related entities.

The position requires a Nursing Bachelor, RN licensure, and at least five years in acute care with two years in accreditation/regulatory work.

Qualifications

• Bachelor degree in Nursing required.
• Registered Nurse credential required.
• Minimum five years acute care nursing experience.
• Two years accreditation/regulatory experience preferred.

Responsibilities

• Oversee accreditation and regulatory processes across Bayhealth.
• Coordinate survey preparation and on-site activities.
• Lead the centralized tracer program administration and reporting.
• Develop and deliver education on accreditation standards for leaders, medical staff, and employees.
• Maintain survey documentation for Sussex Hospital Campus and affiliated entities.

Education

Bachelor Degree Nursing

Master Degree Nursing

Job description

Bayhealth in Milford, DE seeks an Accreditation Services Program Manager to lead regulatory coordination with CMS, JCAHO, and state authorities. The role includes developing standardized processes, educating leadership, managing the tracer program, and coordinating on-site survey activities for Bayhealth’s Sussex Campus and related entities.

The position requires a Nursing Bachelor, RN licensure, and at least five years in acute care with two years in accreditation/regulatory work.