RN Accreditation Director: Quality & Compliance Leader

Veterans in Healthcare; Gainesville (GA); On-site; USD 120,000 - 180,000; Full time

Job summary

Northeast Georgia Health System is seeking a Director of Accreditation to oversee accreditation activities for Acute Care Services. The role focuses on readiness for CMS, DNV, Georgia Rules and Regs, and ISO compliance, guiding documentation and policies across the system.

You will lead a team of Accreditation Specialists and Policy/Document Specialists, coordinating with clinical and non-clinical departments to ensure continuous readiness and high-quality compliance across NGHS facilities.

Qualifications

• RN license GA is required to practice nursing in Georgia.
• Bachelor's degree is required.
• 5+ years in a hospital environment with management experience; 5+ years in accreditation (DNV/ISO) preferred.

Responsibilities

• Lead continuous readiness and accreditation processes for System Acute Care Hospitals (CMS, DNV, Georgia Rules and Regs, ISO).
• Collaborate with nursing, operations, Risk, and other departments to identify improvement opportunities.
• Organize the Accreditation team to support survey activity and maintain document control.

Skills

Communication skills

Organizational skills

Interpersonal & facilitation

Accreditation knowledge

ISO requirements

Prioritization & time management

Flexible hours & adaptability

Education

RN licensure GA

Bachelor's degree

Master's Healthcare Administration / MBA

Job description

Northeast Georgia Health System is seeking a Director of Accreditation to oversee accreditation activities for Acute Care Services. The role focuses on readiness for CMS, DNV, Georgia Rules and Regs, and ISO compliance, guiding documentation and policies across the system.

You will lead a team of Accreditation Specialists and Policy/Document Specialists, coordinating with clinical and non-clinical departments to ensure continuous readiness and high-quality compliance across NGHS facilities.