About the role
Coordinates organization wide efforts to maintain performance that meets or exceeds accreditation standards as set by the Joint Commission (TJC) and the Centers for Medicare and Medicaid Services (CMS), along with Florida State Regulations through the Agency for Healthcare Administration (AHCA). Conducts mock surveys to determine compliance status of hospital sections/departments with TJC, CMS and AHCA standards. Provides orientation, education, and training as necessary to team members. Serves…