Job Details

This position is responsible for coordinating with the Director of Accreditation and Empath programs leadership to facilitate successful accreditation and regulatory surveys across the organization. This position serves as a subject matter expert on regulatory and accreditation requirements and supports our programs through gap assessments, mock surveys, and survey readiness activities.

JOB DUTIES/RESPONSIBILITIES:

• Functions in a administrative and consultative role to support all Empath programs to acquire and maintain the highest level of service and practice through regulatory survey processes and accreditation activities. Serves as a resource for divisional and program leaders – builds confidence, competencies and commitment of staff by sharing knowledge and technical expertise.
• Demonstrates a working knowledge of Federal (CMS Conditions of Participation) and State (AHCA) regulations, and accreditation (ACHC, CHAP, TJC) standards for Hospice and Home Health programs.
• Exercises excellent collaboration skills with internal and external partners to influence and assure organizational compliance with all standards and regulations. 
• Partners with the Director of Accreditation to facilitate or coordinate all external surveys, from regulatory or accrediting bodies.  Conducts risk/gap assessments and mock surveys as appropriate to inform improvement activities.
• Engages others in planning, corrective action plans, and activities required to maintain organizational compliance and achieve a high level of service and regulatory excellence across the continuum of programs and services.
• Actively participates and/or consults in the organization’s accreditation readiness committees as appropriate to share knowledge and assist in decision making.
• Trains and coordinates with local survey response teams.
• Actively seeks new opportunities to learn and grow throughout the year - attends training sessions, conferences, seminars designed for own personal and professional growth.
• Shares knowledge and technical expertise with others in workplace and demonstrates openness to learning from others.
• Performs other duties as assigned.
• Ability to travel within the Empath footprint to participate in survey activities

POSITION QUALIFICATIONS/REQUIREMENTS:

• Education and/or Experience: Bachelor’s degree (B.A. or B.S.) or equivalent combination of applicable education and experience.
• Minimum of 4 years’ experience in hospice or homecare .
• Experience and proven track record in areas of State and Federal regulatory compliance for healthcare organizations, education and training, the Home Care accrediting standards and best practices.
• Proficiency in use of Microsoft Office programs and electronic documentation systems required.
• Excellent interpersonal skills with ability to communicate effectively with all internal and external customers.

Empath Health values diversity as it strengthens our community and care. We embrace the diversity of cultures, thoughts, beliefs and traditions of our employees, volunteers and people we are honored to serve across our network. Our diverse staff reflects our community and each day, we work to be respectful, sensitive and competent with each other and those in our care. In every journey, we are dedicated to achieving comfort, dignity and exceptional care. Those of all backgrounds are welcome and encouraged to apply with us or seek our care and services

Our commitment to patient, client, staff and volunteer safety is a cornerstone of a High Reliability Organization with a focus on zero harm. Participation in the seasonal influenza program is a condition of employment and a requirement for all Empath Health employees.

Providing compassionate, full life care is an honor we take seriously at Empath Health. Join our team and make a positive impact in the community!