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Coordinator of Accreditation and Regulatory Services

Requisition R027853 Market Toledo, OH Department SS Quality - Administration Shift Days Schedule Full-time

Thank you for considering a career at Bon Secours Mercy Health!

Provides coordination for accreditation activities. Works collaboratively with multiple departments and facilities to facilitate systems and/or sub-systems that support accreditation, licensure, regulatory compliance by supporting quality and patient safety.Works with site leaders to coordinate responses to issues related to accrediting bodies. Coordinates activities to Identify strategies and activities facilitating identification of compliance opportunities as measured by Joint Commission standards, CMS, and state regulations.Responsible for implementing strategies to ensure that the organizations are engaged in an effective cooperative effort directed at the realization of the identified project scope and objectives.

Essential Job Functions

Works with facility leaders to coordinate & facilitate organization-wide preparation strategies and activities to move to a state of continued survey readiness.  In collaboration with Leadership and Quality, contributes to and implements strategy and tactics designed to achieve best in class performance as measured by external standards.

Engages in ongoing assessment and improvement of an accreditation support infrastructure.

Consults on accreditation and safety matters. Facilitates collaboration across functions in relation to improving performance.

Communicates new standards, license requirements, compliance strategies, and risk reduction opportunities to facility leaders.

Coordinates key functions and strategies that assess and improve organizational performance as measured by accreditation standards and regulatory requirements.

Facilitates educational sessions that enable leaders, employees, and medical staff(s) to understand standards and justifications for the changes as required by regulatory & accreditation standards.

Collaborates with site quality leaders on compliance improvement activities.

Supports the site point of contact for regulatory surveys. 

Coordinates and provides direction for responses to regulatory bodies.  Participates in the development of post survey and complaint action plans and evidence of standards compliance.

Employment Qualifications

RN Nursing license

Required Minimum Education:

4 year/ Bachelors Degree



Preferred Education:

Graduate Degree (Masters)




Licensure/Certification Required:

As required by degree or licensure

Licensure/Certification Preferred:

Specialty certification in healthcare related area

Minimum Qualifications

Minimum Years and Type of Experience:

5 years in healthcare

Other Knowledge, Skills and Abilities Required:

Foundational working knowledge of CMS and Joint Commission standards.

Other Knowledge, Skills and Abilities Preferred:

1 year experience in healthcare accreditation

Bon Secours Mercy Healthis an equal opportunity employer.

We’ll also reward your hard work with:

  • Comprehensive, affordable medical, dental and vision plans
  • Prescription drug coverage
  • Flexible spending accounts
  • Life insurance w/AD&D
  • An employer-matched 403(b) for those who qualify
  • Paid time off
  • Educational Assistance
  • And much more

Scheduled Weekly Hours:


Work Shift:



SS Quality - Administration

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Ashland, Kentucky, which are Affirmative Action and Equal Opportunity Employers, please email If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at

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Amanda M., CRNP

Nursing is one of the most trusted professions in the world, and it’s because of who we are and how we care about patients.

Amanda M. CRNP
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