Accreditation and Compliance Specialist II

This is a 32-hour position, working 5 days a week. The Accreditation and Compliance Specialist II will assist leaders and managers in assessing adherence to accreditation and licensing standards, support efforts to improve and maintain adherence to standards by providing reports to highlight gaps and helping develop action plans as appropriate. The Accreditation and Compliance Specialist II will organize mock surveys and readiness audits, help maintain an up-to-date Quality Assurance and Performance Improvement (QAPI) plan, coordinate activities during surveys, maintain relevant information on file and readily accessible during surveys, communicate results after accreditation surveys, help draft and submit a plan of correction, and lead inter-professional teams in addressing survey deficiencies. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: Associate’s degree with at least five years of relevant healthcare experience OR bachelor’s degree with at least three years of relevant healthcare experience required. License/Certifications: N/A Experience: See "Education." Experience working with inter-professional teams in addressing organization-wide problems. Familiarity with The Joint Commission, CMS and State accreditation standards required Familiarity with performance improvement tools and concepts, e.g., plan-do-study-act, preferred Proficiency in Microsoft Office suite or equivalent preferred Familiarity with electronic health records preferred Effective verbal and written communication skills Strong critical thinking skills and attention to detail Collaborative and team oriented Location: MaineHealth · Integ QS - TJC St Accred and R Schedule: Full Time, Day Shift, 32