Accreditation Director

AMN Healthcare Leadership Solutions | B.E. Smith; Gainesville (GA); On-site; USD 90,000 - 120,000; Full time

Job summary

AMN Healthcare Leadership Solutions | B.E. Smith is seeking an Accreditation Director to oversee accreditation and ensure compliance across acute care hospitals. The role includes leading a team, managing accreditation processes, and collaborating with various departments to promote continuous improvement.

Candidates should have a Bachelor’s degree, an active RN license, and at least five years of relevant experience. The position is located in Gainesville, Georgia, a community known for its charming atmosphere and proximity to natural attractions.

Qualifications

• A minimum of five years of progressive care experience within an acute care setting is required.
• A minimum of five years of accreditation or related experience is required.

Responsibilities

• Lead system-wide accreditation and continuous readiness efforts across hospitals.
• Oversee accreditation readiness activities such as survey preparation and findings management.
• Collaborate with departments to identify improvement opportunities.

Skills

Accreditation management

Policy development

Team leadership

Quality Management Systems

Continuous improvement

Education

Bachelor’s degree

Active RN license

Job description

Job Description & Requirements

StartDate: ASAP

The Position

• The Accreditation Director will lead system-wide accreditation and continuous readiness efforts across acute care hospitals and hospital outpatient departments, including CMS, DNV, state regulations, and ISO standards.
• The Director will oversee approximately five FTEs and manage accreditation readiness activities such as survey preparation, findings management, action planning, and resolution tracking.
• Partner with nursing, operations, Risk Management, and other departments to proactively identify improvement opportunities and ensure ongoing survey readiness.
• Direct system-wide policy and document control functions, including oversight of the Policy Steering Committee and standardization of documentation practices.
• Maintain strategic and operational oversight of the Quality Management System (QMS) and document control systems across Acute Care Services.
• Lead and develop the Accreditation, Policy, and Document Control teams, providing coaching, performance management, and competency oversight.
• Collaborate with executive leadership on budgeting, resource planning, and system-level accreditation priorities and goals.
• Serve as a lean leader, promoting continuous improvement and supporting organizational excellence initiatives, while completing special projects as assigned.

Requirements

• Bachelor’s degree is required.
• Active RN license is required.
• A minimum of five years of progressive care experience within an acute care setting is required.
• A minimum of five years of accreditation or related experience is required.

The Organization

Northeast Georgia Health System (NGHS), based in Winder, Georgia, is a not-for-profit health system with a mission to improve the health of the community in all we do. NGHS serves more than 1 million people across northeast Georgia through multiple hospitals and care sites. The organization is guided by four core values—Respectful Compassion, Responsible Stewardship, Deep Interdependence, and Passion for Excellence—which shape daily care delivery and team culture.

The Community

Gainesville, Georgia, offers a blend of natural attractions, cultural venues, and a strong sense of community. The city is known for its proximity to Lake Lanier, its historic downtown, and its reputation as the “Poultry Capital of the World.” Residents appreciate the mix of small‑town Southern charm and modern growth, with year‑round festivals, parks, and recreation programs contributing to an active lifestyle.