Accreditation Director

AMN Healthcare Leadership Solutions | B.E. Smith; Winder (GA); On-site; USD 120,000 - 160,000; Full time

Job summary

Northeast Georgia Health System in Winder, GA, is seeking an Accreditation Director to lead system-wide readiness across hospitals and hospital outpatient departments, coordinating CMS, DNV, state, and ISO standards. The role oversees accreditation readiness activities, findings management, action planning, and resolution tracking with a team of approximately five FTEs.

The director partners with nursing, operations, Risk Management, and other departments, directs policy and document control,

Qualifications

• Bachelor’s degree required.
• Active RN license required.
• Minimum five years’ accreditation or related experience required.

Responsibilities

• Lead system-wide accreditation and readiness across hospitals and ambulatory settings for CMS, DNV, state regulations, and ISO standards.
• Oversee accreditation readiness activities, survey preparation, findings management, action planning, and resolution tracking.
• Partner with nursing, operations, Risk Management, and other departments to identify improvement opportunities and maintain survey readiness.
• Direct system-wide policy and document control, including Policy Steering Committee and standardization of documentation practices.
• Maintain oversight of the Quality Management System and document control across Acute Care Services.
• Lead Accreditation, Policy, and Document Control teams with coaching and performance oversight.
• Collaborate with executive leadership on budgeting, resource planning, and accreditation priorities.
• Promote continuous improvement as a lean leader and support organizational excellence initiatives.

Education

Bachelor’s degree

RN license

Five years’ accreditation experience

Job description

Job Description & Requirements

Accreditation Director

StartDate: ASAP Available Shifts: -

Join Northeast Georgia Health System, a not-for-profit healthcare system, as their new Accreditation Director!

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 be responsible for the oversight of approximately five FTEs and will oversee accreditation readiness activities, including 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
• This leader will direct system-wide policy and document control functions, including oversight of the Policy Steering Committee and standardization of documentation practices.
• The Director will strive to 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, including coaching, performance management, and competency oversight.
• This leader will 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’ experience of accreditation or related experience is required.

The Organization

• Northeast Georgia Health System (NGHS), based out of Winder, Georgia, is a not-for-profit health system with a mission to improve the health of the community in all we do, serving more than 1 million[JE1.1] 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.
• NGHS is consistently recognized nationally for excellence in patient care, workplace culture, and safety, including awards from U.S. News & World Report, Newsweek, Forbes, Press Ganey, and others.
• As a growing regional system anchored by multiple hospital campuses and specialty programs, NGHS emphasizes innovation, high reliability, and community investment through reinvestment in services, technology, and access to care.

The Community

• Gainesville is best known for its proximity to Lake Lanier, one of Georgia's premier destinations for boating, fishing, camping, and waterfront recreation. The city also features a revitalized historic downtown, the Quinlan Visual Arts Center, and scenic outdoor destinations like the Elachee Nature Science Center and nearby Blue Ridge foothills. Gainesville is often referred to as the "Queen City of the Mountains" due to its location in North Georgia's rolling landscape.
• Gainesville is served by both the Gainesville City School District and portions of the Hall County School District, with schools known for strong academics, athletics, and fine arts programs. Gainesville High School has a long-standing reputation for academic and athletic excellence, while the area also offers higher education opportunities through the University of North Georgia – Gainesville Campus and Lanier Technical College.
• Gainesville is internationally recognized as the "Poultry Capital of the World," serving as a major hub for the poultry industry and food production throughout the Southeast. In addition to its industrial presence, the city has become known for its balance of outdoor recreation, economic growth, healthcare expansion, and vibrant community culture.
• Residents are drawn to Gainesville for its welcoming, family‑oriented atmosphere and strong sense of community. The city offers a mix of small‑town Southern charm and modern growth, with year‑round festivals, local shops, parks, and recreation programs contributing to a highly active lifestyle. Convenient access to Atlanta combined with mountain and lake scenery makes Gainesville a desirable place for both families and professionals.

About the Company

At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.

RN, Director