Director of Accreditation & Quality Management

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

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,