Accreditation Manager, Warner Robins, GA
Listed on 2026-03-01
-
Healthcare
Healthcare Management, Healthcare Administration, Healthcare Compliance
Overview
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:
- Comprehensive health benefits that start day 1
- Student Loan Repayment Assistance & Reimbursement Programs
- Family‑focused benefits
- Wellness incentives
- Ongoing mentorship, development, and leadership programs
- And more
On‑Site Warner Robins, GA
DescriptionThe Accreditation Manager provides Operating Unit (OU) direction, oversight and support for regulatory and accreditation compliance. This role leads accreditation readiness activities and supports multiple certification and licensure programs. The Accreditation Manager partners with OU clinical, operational, and executive leaders to drive sustained readiness, standardization, and continuous improvement aligned with the organization’s Always Patient Ready mission.
Responsibilities- Provide OU‑level oversight for accreditation and regulatory compliance, including The Joint Commission (TJC), State, and Federal agencies.
- Remain current with accreditation standards, Conditions of Participation, and regulatory requirements; interpret and translate standards into operational expectations.
- Serve as the primary OU resource for accreditation and regulatory guidance across departments and service lines.
- Plan, lead, and conduct routine tracers and readiness assessments.
- Provide real‑time coaching and education.
- Identify gaps, risks, and trends; develop actionable recommendations and monitor corrective action plans.
- Support preparation for announced and unannounced accreditation, licensure, and validation surveys.
- Develop and deliver education and training related to accreditation standards, regulatory requirements, and continuous survey readiness.
- Educate leaders and frontline staff on standards interpretation, tracer methodology, and survey expectations.
- Serve as a consultant to departments on regulatory compliance, process redesign, and risk mitigation.
- Collaborate with leadership to recommend sustainable processes and system improvements to maintain quality metrics and/or accreditation‑related objectives.
- Facilitate interdisciplinary work groups and committees focused on accreditation readiness and regulatory compliance.
- Track, trend, and report accreditation readiness activities, tracer findings, and corrective action status.
- Support regulatory documentation, policy alignment, and evidence management to ensure survey readiness.
- Other duties as assigned.
- Travel:
Less than 10% of the time may be required.
- Bachelor’s degree (BA/BS) in a health‑related field required.
- Five (5) years of experience in a clinical healthcare environment.
- Experience in clinical operations and/or performance improvement, patient safety, risk management, or quality management.
- Knowledge of quality improvement methodologies, group facilitation, project management, and healthcare regulatory and event reporting requirements.
- Preferred:
Previous accreditation and/or regulatory readiness experience. - Preferred:
Licensure as a registered nurse in the state of Georgia.
Physical Requirements (Medium): 20‑50 lbs; 0‑33% of the work day (occasionally); 11‑25 lbs, 34‑66% of the work day (frequently); 01‑10 lbs, 67‑100% of the work day (constantly); lifting 50 lbs max; carrying of objects up to 25 lbs; occasional to frequent standing & walking, occasional sitting, close eye work (computers, typing, reading, writing), physical demands may vary depending on assigned work area and work tasks.
Environmental Factors:
Blood‑borne pathogen exposure, bio‑hazardous waste, chemicals/gases/fumes/vapors, communicable diseases, electrical shock, floor surfaces, hot/cold temperatures, indoor/outdoor conditions, latex, lighting, patient care/handling injuries, radiation, shift work, travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.
Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources ase note that one week’s advance notice is preferred.
#J-18808-Ljbffr(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).