Position Summary:  Person in this position will be responsible for coordinating and monitoring assigned aspects of the national accreditation process to ensure that WestCare policies and procedures, national accreditation standards, state licensing regulations and other applicable federal, state, and local rules and regulations are met. Essential job functions include those listed below: 

Essential Job Functions: 

Submit assigned accreditation applications.  

Collaborate with assigned regions to develop state specific policies upon request. 

Assist assigned regions with CARF survey preparation assignments. 

Collaborate with Incident Reporting workgroup and participate in any scheduled meetings/assignments.  

Participate in assigned National Operations sub-committee.  

Ensure Annual Review of Policy forms are signed by leadership, uploaded to the intranet, and distributed during the accreditation call.  

Coordinate with Vice President to develop policies, procedures, plans and processes across WestCare to ensure regions meet accreditation standards. 

Provide training and assistance to staff that is designed to improve understanding of the accreditation process and requirements, conformance to accreditation standards and adherence to regulatory requirements. 

Update CARF manual changes document annually and provide education regarding revisions to accreditation standards during scheduled accreditation calls. 

Conduct regular conference calls with regional management staff to facilitate sharing of strategies and techniques among regions to obtain and maintain conformance to accreditation standards.  

Perform site-based reviews to determine level of conformance with accreditation standards,  

prior to on-site surveys occurring.  

Assist with the development and implementation of all plans required to conform to accreditation standards, coordinate annual development or review of plans and upload documents to the accreditation tab on the intranet. 

Embrace and embody the mission, vision, guiding principles, clinical vision, and goals of WestCare Foundation.  

Other relevant duties as assigned.