Hospital Accreditation & Compliance Strategist

Hunterdon Health; Flemington (NJ); On-site; USD 98,000 - 122,000; Full time

Job summary

HHS Hunterdon Healthcare System Inc. is seeking an Accreditation and Regulatory Specialist to lead regulatory compliance and accreditation initiatives across the health system. The role requires directing departments to meet licensure and accreditation standards and coordinating readiness activities.

You will chair the Regulatory Readiness Committee, design compliance strategies, and train managers on survey processes, ensuring ongoing readiness for Joint Commission and other authorities.

Qualifications

• Bachelor's degree in nursing or healthcare field.
• Minimum 3 years of current experience in TJC hospital accreditation and compliance.
• Preferred: NJ RN License, CPHQ, CJCP.

Responsibilities

• Design and implement a systematic approach to raise awareness of regulatory and accrediting requirements.
• Ensure compliance with federal and state standards, including Joint Commission readiness.
• Chairs Regulatory Readiness Committee.
• Coordinate site visits, follow-up reports and compliance activities.
• Develop action plans from focused standards assessments.
• Monitor and implement activities to maintain accreditation and regulatory compliance.
• Train management staff on accreditation and survey activities.

Skills

project management

facilitation

leadership

process improvement

communication

team dynamics

problem solving

data visualization

Education

Bachelor's degree in Nursing or healthcare

Job description

HHS Hunterdon Healthcare System Inc. is seeking an Accreditation and Regulatory Specialist to lead regulatory compliance and accreditation initiatives across the health system. The role requires directing departments to meet licensure and accreditation standards and coordinating readiness activities.

You will chair the Regulatory Readiness Committee, design compliance strategies, and train managers on survey processes, ensuring ongoing readiness for Joint Commission and other authorities.