Strategic Accreditation & Compliance Coordinator

UC Health; Cincinnati, Northern (OH, KY); Hybrid; USD 60,000 - 85,000; Full time

Job summary

UC Health is seeking a Full Time Accreditation Coordinator in Psychiatry to lead accreditation and regulatory activities for hospital inpatient and outpatient departments. The role ensures compliance with CMS, The Joint Commission, and state regulations, working with clinical, operational, and administrative teams.

Key duties include preparing surveys, conducting mock tracers, and translating regulatory updates into actionable plans, along with developing dashboards and training materials to

Qualifications

• Bachelor's degree in nursing or a healthcare-related field.
• Master's degree preferred (nursing or related).
• Professional certification preferred (e.g., HACP, CPPS, CPHQ).
• Preferred: 3–5 years equivalent experience.

Responsibilities

• Accreditation & Compliance Readiness: Lead preparation for internal and external accreditation and regulatory surveys and partner with operations to close gaps.
• Education & Training: develop and deliver education materials related to standards and survey readiness; provide instruction for the AMP system.
• Data Management & Reporting: manage and analyze regulatory data; create dashboards and scorecards for leaders.
• Communication & Relationship Management: act as liaison between departments and regulatory, legal, risk, and quality teams.

Skills

Joint Commission

CMS CoP

State regulations

Analytical skills

Project management

Communication skills

Team collaboration

Data analysis

Education

Bachelor's degree - Nursing

Master's degree - Nursing

Tools

AMP system

Job description

UC Health is seeking a Full Time Accreditation Coordinator in Psychiatry to lead accreditation and regulatory activities for hospital inpatient and outpatient departments. The role ensures compliance with CMS, The Joint Commission, and state regulations, working with clinical, operational, and administrative teams.

Key duties include preparing surveys, conducting mock tracers, and translating regulatory updates into actionable plans, along with developing dashboards and training materials to