| Purpose of the Position: |
The National Accreditation Manager is responsible for leading and overseeing the organization’s national accreditation strategy, ensuring consistent compliance with applicable accreditation standards, regulatory requirements, and organizational policies across all locations and programs.
This position serves as the subject-matter expert and primary internal resource for accreditation readiness, compliance monitoring, documentation, and continuous improvement. The National Accreditation Manager partners with executive leadership, operational teams, and site-level leaders to establish sustainable processes that maintain accreditation standards and support successful initial and ongoing accreditation reviews.
Duties / Responsibilities:
• Develop, implement, and maintain a comprehensive national accreditation program aligned with applicable accreditation standards and organizational objectives. Serve as the organization’s primary point of contact and subject-matter expert for accreditation requirements, standards, policies, and processes. Lead preparation for accreditation applications, reviews, surveys, inspections, and ongoing compliance activities. Coordinate organization-wide accreditation readiness activities, including documentation, evidence collection, policy review, corrective action planning, and mock surveys. Monitor compliance with accreditation standards across multiple locations and identify areas of risk, non-compliance, or opportunity for improvement.
• Establish standardized accreditation processes, tools, timelines, and reporting mechanisms across the organization. Partner with site and regional leadership to develop and implement corrective action and performance improvement plans. Track accreditation findings and ensure timely completion and sustainability of corrective actions. Conduct internal audits, compliance assessments, and readiness reviews to evaluate organizational adherence to accreditation standards. Develop and deliver accreditation-related training and education for leadership and staff. Maintain current knowledge of changes to accreditation standards, regulatory requirements, and industry best practices. Prepare executive-level reports, dashboards, and presentations regarding accreditation status, compliance risks, findings, and improvement initiatives. Collaborate with Quality, Compliance, Risk Management, Operations, Human Resources, and other departments to integrate accreditation requirements into organizational processes. Support the development and revision of policies, procedures, workflows, and performance measures to promote ongoing compliance.
• Foster a culture of continuous readiness rather than survey-specific preparation. Represent the organization during accreditation-related communications, meetings, and external reviews as appropriate. Perform other duties and special projects as assigned. Ability to travel nationally as required.
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| Minimum Requirements: |
• Bachelor’s degree in healthcare administration, public administration, business administration, criminal justice, social services, quality management, or a related field; equivalent professional experience may be considered.
• Minimum of five years of experience in accreditation, compliance, quality assurance, regulatory affairs, or a related field.
• Demonstrated experience interpreting and implementing accreditation standards and regulatory requirements.
• Experience conducting audits, compliance assessments, or organizational readiness reviews.
• Strong project management skills with the ability to manage multiple locations, deadlines, and priorities.
• Excellent written, verbal, analytical, and presentation skills.
• Ability to work effectively with executive leadership, operational leaders, and frontline staff.
• U.S. Citizenship is required.
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| Desired Qualifications: |
• Direct experience with CALEA and/or ICALEA accreditation processes, standards, surveys, or compliance requirements is preferred.
• Experience leading an organization through an initial accreditation or reaccreditation process is desired.
• Experience managing accreditation activities across multiple sites or a national organization is desired.
• Experience developing corrective action plans and monitoring sustained compliance is desired.
• Certification in healthcare, quality, compliance, accreditation, or a related discipline is desired.
• Master’s degree in a relevant field is desired.
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