What are the responsibilities and job description for the Accreditation Specialist (remote) position at Behavioral Health Group - BHG?
Accreditation Specialist - Remote position
Job Summary
The Accreditation Compliance Specialist will play a vital role in ensuring that assigned treatment centers maintain compliance with Joint Commission standards and state and federal regulations. This position serves as the primary accreditation point of contact, overseeing survey readiness, mock audits, and compliance monitoring. The role involves training key leaders, developing accreditation programs, and fostering relationships with regulatory bodies. The ideal candidate will have a strong background in accreditation and regulatory compliance, excellent analytical and communication skills, and the ability to support ongoing quality improvement efforts. If you're passionate about maintaining high standards in behavioral healthcare and making a meaningful impact, this role offers the opportunity to contribute to a mission-driven organization with growth opportunities and a strong commitment to employee well-being.
Duties And Responsibilities
BHG is an equal opportunity, affirmative action employer providing equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, national origin, protected veteran status, disability status, or any other legally protected basis, in accordance with applicable law.
Job Summary
The Accreditation Compliance Specialist will play a vital role in ensuring that assigned treatment centers maintain compliance with Joint Commission standards and state and federal regulations. This position serves as the primary accreditation point of contact, overseeing survey readiness, mock audits, and compliance monitoring. The role involves training key leaders, developing accreditation programs, and fostering relationships with regulatory bodies. The ideal candidate will have a strong background in accreditation and regulatory compliance, excellent analytical and communication skills, and the ability to support ongoing quality improvement efforts. If you're passionate about maintaining high standards in behavioral healthcare and making a meaningful impact, this role offers the opportunity to contribute to a mission-driven organization with growth opportunities and a strong commitment to employee well-being.
Duties And Responsibilities
- Serve as the designated Accreditation Point of Contact for assigned treatment centers.
- Assist in the development and maintenance of the Joint Commission Preparedness Program to ensure real-time resource availability.
- Provide training and support on accreditation-related documents, including:
- Behavioral Health Care (BHC) Requirements for Improvement
- BHC Standards Chapters and Onsite Survey Guide
- National Patient Safety Goals
- Accreditation Program Document List
- Identified Risk Areas
- Assist in survey readiness efforts by conducting mock surveys, intra-cycle monitoring, and compliance audits.
- Monitor licensure and certification requirements in accordance with state and federal regulations.
- Serve as a consultant for Quality Improvement and treatment team meetings.
- Coordinate Joint Commission applications, updates, and intracycle monitoring activities.
- Ensure the timely submission of Evidence of Standards Compliance to maintain accreditation.
- Provide concise reporting on accreditation activity to leadership and regulatory agencies.
- Develop and implement training programs for key leaders, including Program Directors, Counselor Supervisors, Nurse Supervisors, and Medical Directors.
- Foster relationships with Joint Commission surveyors, Account Executives, and Business Developers.
- Support ongoing compliance efforts by reviewing internal audits, third-party assessments, and regulatory changes.
- Stay updated on state-specific regulatory requirements affecting treatment centers.
- Bachelor’s degree required; Master’s degree preferred.
- Strong knowledge of Opioid Treatment Programs and Code of Federal Regulations
- Proven experience in accreditation, regulatory compliance, or healthcare administration.
- Experience and strong working knowledge of Joint Commission accreditation standards and behavioral health regulations.
- Excellent verbal and written communication skills.
- Ability to analyze outcomes and recommend improvements.
- Proficiency in Microsoft Office Suite and related software.
- High integrity, sound judgment, and the ability to lead compliance initiatives.
- Ability to train and mentor staff on accreditation requirements.
- Ability to communicate effectively in person, by phone, and via written correspondence.
- Vision and manual dexterity adequate for reading and using office equipment.
- Willingness to travel by car and airplane to treatment centers and meetings.
- Ability to sit for extended periods, with occasional bending, stooping, and stretching.
- Potential interaction with patients who may have infectious diseases, mental health diagnoses, or criminal justice involvement.
- Ability to tolerate medical office environments and comply with safety standards.
- Work-Life Balance: Generous paid time off, holidays, and flexible schedules.
- Professional Growth: Role-specific training, career advancement opportunities, and tuition reimbursement.
- Comprehensive Benefits: Health, life, dental, and vision insurance; competitive 401K match.
- Recognition: Competitive pay, bonuses, and certification incentives.
- Employee Perks: Discounts on services and entertainment, Employee Assistance Program access, and self-care resources.
BHG is an equal opportunity, affirmative action employer providing equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, national origin, protected veteran status, disability status, or any other legally protected basis, in accordance with applicable law.
