Compliance And Accreditation Program Manager

Pioneer Human Services Mount Vernon , WA 98274

Posted 2 months ago

Thank you for considering a career with Pioneer Human Services!

We are currently looking for a Compliance and Accreditation Program Manager to join our Quality team serving the Residential Services division here at Pioneer!


Pioneer Human Services is a social enterprise that provides individuals with criminal histories the opportunity to lead healthy, productive lives. For over 50 years we have proudly serviced our clients with professionalism and empathy.


The Compliance and Accreditation Program Manager supports the Residential Services division through directing audit preparation, creation of compliance frameworks and maintenance, division regulatory support, audit and compliance management and protocol maintenance in collaboration with quality assurance. Duties include:

  • Ensure that compliance is embedded throughout Residential Services system.

  • Translate standards and evidence of compliance into practical behaviors or practice.

  • Coordinate regular status meetings with Program Leaders to conduct on-going assessments of survey readiness, assist with corrective action plans, implementation and evaluation.

  • Support the organization-wide commitment to continuous readiness for CMS, DOH and accrediting agency licensing and accreditation surveys.

  • Monitors for changes in PREA expectations and environment and collaborates with PREA Coordinator to establish system for internal audits to maintain program compliance.

  • Internal audit support, breach reporting, external audit preparation.

  • Divisional Policy/Procedure/Standard Work Development.

  • Identify gaps in departments' self-reported vs actual compliance with state of Washington, federal and accrediting agency standards.

  • Lead additional survey preparation meetings and activities related to continuous survey readiness as needed.

  • Negotiate formal and informal channels to champion change in the organization.


  • BA/BS, preferably healthcare related; Master's degree preferred.

  • At least 1 year of experience in criminal justice or reentry field required; 3 years of experience in criminal justice or reentry field preferred.

  • At least 5 years of experience in healthcare setting, preferably in behavioral health.

  • At least 2 year experience providing leadership to accreditation process, preferably with TJC, ACA, CARF and/or DNV.


  • Stability: we have over 50 years of success in Washington state.

  • Impact: Pioneer provides a chance for change to over 3,000 people on any given day.

  • Reputation: we are a nationally recognized non-profit with 50+ locations across Washington state.

  • Tuition assistance program: Pioneer pays 100% of the tuition for a bachelor's degree, and 50% for graduate programs.

  • Retirement plan: Pioneer contributes 4.5% of an employees' annual compensation into retirement plans. An additional 3.5% match is offered to those who contribute 6% on their own.

  • Employee recognition programs: gift cards, additional time off, weekend getaways and other items.

  • Competitive industry compensation and a generous benefit plan.

  • Participation in the life assistance program.

  • Public transportation reimbursement.


Pioneer human services is an equal opportunity employer of minorities/women/individuals with disabilities/protected veterans and does not unlawfully discriminate under federal, state, or local laws. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, or protected veteran status. EEO is the law poster EEO is the law poster supplement


In addition to pre-employment drug screening, Pioneer reserves the right to conduct random sample alcohol or drug testing of all employees. Please note that our drug-free policy includes marijuana and there are no exceptions for those with medical marijuana prescriptions.

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Staff RN Urology

Skagit Regional Health

Posted 2 weeks ago

VIEW JOBS 3/17/2020 12:00:00 AM 2020-06-15T00:00 Job Category Nursing - RN Patient Care Position Staff RN Urology Req Code 17440 Location Skagit Regional Clinics - Mount Vernon Job Summary The RN Urology nurse is clinically competent to coordinate and deliver care to patients utilizing the nursing process of assessment, planning, intervention, implementation and evaluation. Uses critical thinking and appropriate provider consultation to work within scope of practice to the highest level of licensure and training. Engages in interdisciplinary collaboration which includes the use of available community resources. Environmental Factors - Essential Functions Assists other providers as needed for the best patient flow. Coordinates and assists patients in scheduling acute, specialty, or routine care appointments, including referrals. Demonstrates proficiency in application of clinical knowledge as it applies to the specific clinic setting. Considers cultural, spiritual, and psychosocial factors that affect patient perception of and adherence to health care plans when interacting with patients, families, support systems, and the community. Utilizes critical thinking and assessment skills to follow provider approved protocols. Contacts pharmacy for medication refills for patients as needed. Educates patients regarding test results and medical conditions, explaining medical terms and procedures in manner understandable to patients. Maintains a working knowledge of medication frequently utilized, researching any medication not familiar with. Develops a familiarization with brand/generic medication names. Maintains familiarity with all forms and paperwork utilized throughout the clinic. Participates in the advancement of professional nursing practice through continuing education and self development; develops and maintains professional credibility. Demonstrates professional nursing leadership and contributes to a smooth work flow by assisting team members as needed. Responds to codes within the assigned facility if assigned to code team. Collaborates with department Practice Manager and Clinical Supervisor to ensure new team members receive appropriate orientation and reports on trainee performance. Serves as clinical resource to department staff; contributes to the professional growth and development of other clinical staff. PATIENT SATISFACTION- Assists patients, family members, and others with concern and empathy; respects their confidentially and privacy. Ensures accurate and timely communication is facilitated. Identifies him/herself in a pleasant and positive manner. Takes responsibility for helping the caller and/or visitor. TEAMWORK- Assists in the orientation /training of new Team Members. Consistently works in a positive and cooperative manner with fellow Team Members. Assists other Team Members in the performance of their assignments. Seeks out opportunities to help rather than waiting to be asked. Considers the impact of his/her actions on Team Members throughout SRH. Recognizes the need for variations in staffing and volunteers to assist whenever possible. Takes direction and initiates actions to ensure seamless patient care. Demonstrates flexibility to perform duties wherever volume deems it necessary within SRH. PROBLEM SOLVING- Demonstrates sound judgment by taking appropriate actions regarding questionable findings or concerns. Investigates and follows through on unusual orders or requests for service or information. Follows proper reporting procedures for actual or potential accidents and/or incidents so follow up and/or prevention can occur. Records/reports the need for service maintenance or repair of equipment and removes any faulty equipment from service. Contributes to the achievement of Quality Improvement and participates in QI activities. Consistently evaluates work and determines if further steps are needed to meet patient expectations. Takes initiative to do or redo inadequate or incomplete work, even if it is the work of someone else. Ensures compliance with regulatory standards. PERSONAL DEVELOPMENT- Attends required annual in-service programs. Participates in continuing education activities and obtains required contact hours. Meets 100% attendance requirement of annual mandatory skill updates. Attends a minimum of 95% of scheduled staff meetings and is responsible to read and understand all meeting minutes and materials covered at meetings not attended. ADHERENCE TO SRH AND DEPARTMENTAL POLICIES. Demonstrates knowledge and understanding of all policies and procedures; has the ability to reference them from appropriate sources. Complies with SRH?s infection control policies and procedures including Body Substance Isolation and the Exposure Control Plan which reflects OSHA Bloodborne Pathogens Standards to ensure a safe working environment for self and others. Ensures that SRH is operated in a an efficient and cost effective manner by adhering to SRH and departmental attendance policies and support of SRH-Wide Service Standards and SRH/Department Safe Practice Standards. Performs other duties as assigned by manager or designee. Performs technical skills within the scope of licensure in a safe and efficient manner. Maintains patient flow by placing patients in rooms, taking brief histories and vital signs. Reviews current problem with patient. Obtains pertinent past medical history, allergies and medications. Assists with and performs procedures as requested by provider. Maintains workstation in an orderly manner. Directs patient calls according to the physician's schedule and the patient's needs. Adequately stocks exam rooms with supplies, ordering additional supplies as needed. Correctly completes charge slips with ICD-9 codes and notation of service given by provider. As appropriate, makes physician aware of lab results, x-ray reports and reports of other tests ordered. Requests patient charts as needed. Contributes to a smooth work flow by helping team members as needed. Attends all mandatory meetings and in-services provided and broadens professional knowledge by attending outside classes of association with professional specialty organizations. Works collaboratively with Training Team to develop competency checklists. Complies with all SVH policies and procedures. Provides feedback to managers regarding trainee performance. Develops scripts for handling difficult insurance or patient account issues. Utilizes effective triage and assessment skills on a daily basis. Performs telephone triage and assessments as needed. Performs IV Therapy and Observation duties as required. Administration of medications including IV and sublingual. Administers medications as required. Performs invasive procedures per physician order and within scope of practice. Makes recommendations for care utilizing approved standing orders and protocols. Demonstrates independent critical thinking with the ability to multi-task to include urgent situations, giving work direction, and prioritizing work. Directly assists providers serving as a practice extender in the management of patients and as such quickly develops and maintains professional credibility. Minimum Physical Requirements - Education Graduate of an accredited RN program. BSN preferred. Desired Degree - Desired Major - Experience/Training Minimum one (1) year previous nursing experience in a clinic or acute care setting required; experience specific to departmental specialty strongly desired. Experience with medication and case management preferred. Patient education experience required. License/Certification Current WA State RN License required. Current American Heart Association Healthcare Provider BLS required. Ambulatory Care Nursing certification or appropriate specialty certification is encouraged. Other Qualifications Excellent interpersonal communication skills, both written and verbal. Strong organizational skills and technical proficiency. Demonstrated ability to administer treatments and procedures in accordance with physician?s orders and policies and procedures. Must have the ability to work independently with minimal supervision and use critical thinking skills to problem solve. Proficient in the use of Electronic Health Record systems, Microsoft Office suite and other clinical applications. Bilingual Spanish/English preferred. Skagit Regional Health Mount Vernon WA

Compliance And Accreditation Program Manager

Pioneer Human Services