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HomeCompaniesFa Evzu Saasfaprod1 Fa Ocs Oraclecloud Com CX 1Accreditation and Licensure Specialist

Accreditation and Licensure Specialist

Fa Evzu Saasfaprod1 Fa Ocs Oraclecloud Com CX 1 · Ephrata, PA, United States; 169 Martin Ave-Ephrata Community Hospital-EMP, Ephrata, PA, US; 252 S 4th St-Good Samaritan Hospital-EMP, Lebanon, PA, US · On Site · Active · Oracle Recruiting Cloud / Fusion HCM

Job facts

FieldValue
CompanyFa Evzu Saasfaprod1 Fa Ocs Oraclecloud Com CX 1
TitleAccreditation and Licensure Specialist
Normalized title-
Department / teamLegal and Compliance
LocationEphrata, PA, United States
Work modelOn Site
Employment typeFull Time
Salary-
Statusactive
ATS providerOracle Recruiting Cloud / Fusion HCM
Posted / first seen2026-05-27 / 2026-05-31
Changed / last seen2026-06-11 / 2026-06-22

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PageWhat it containsOpen
Company jobsActive postings from Fa Evzu Saasfaprod1 Fa Ocs Oraclecloud Com CX 1.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through Oracle Recruiting Cloud / Fusion HCM.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Ephrata.Open
Department jobsActive postings in Legal and Compliance.Open
Work model jobsActive On Site postings.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyFa Evzu Saasfaprod1 Fa Ocs Oraclecloud Com CX 1
Source141e2fa9-69c2-4818-bbbf-c9689ea3d0fe
ATS providerOracle Recruiting Cloud / Fusion HCM

Description

Description General Summary Provides direction and leadership to the organization by coordinating activities designed to achieve and maintain compliance with the CMS Conditions of Participation, PA Department of Health, DNV and other accreditations as they apply, for inpatient and outpatient WellSpan licensed entities and locations. Independently performs a variety of audits, analysis of the data as well as ensure compliance with regulatory audits. Serves as a resource for risk management matters for supported areas. Participates in on-site and virtual survey activities and works with others to facilitate system process and outcome improvements and shared communications with spread of best practices. Responsibilities Duties and Responsibilities Essential Functions: Maintains responsibility for ensuring that all Federal/State/Accreditation Standards related to licensure are being met. Schedules and coordinates survey related activities including but not limited to agendas, site visits and educational opportunities. Works closely with 1-up and other department leaders to help coordinate survey follow-up activities, including plans of action, monitoring systems, clarifications and challenges. Educates others in interpretation of standards and assists as needed in planning improvement/compliance. Facilitates the integration of new accreditation, certification and regulatory requirements. Manages and assigns all mock tracers for the off-site locations as well as analyzing the data, develops and monitors action plans as well as reports results. Performs structured medical record and other audits. Reviews materials for completeness, accuracy, and other indicators as indicated. Compiles data for and prepares regularly scheduled or special reports, analyses and statements, after regulatory accreditation or certification surveys Analyzes data for significant trends or occurrences. Presents data to the appropriate leadership. Evaluates procedures, provides communication and action tools to encourage the team’s development of methods to track and ensure sustained improvement over time. Develops and oversees the implementation of corrective action plans to address survey findings. Monitors and analyzes all data related to action plans and reports results to leadership. Keeps abreast of appropriate regulatory, accreditation, and risk management requirements and best practices. Utilizes tracer and environmental rounds findings to initiate improvement. Utilizes Tracer activities as educational opportunity for staff. Provides ongoing reports and updates of existing and potential regulatory compliance issues to 1-up and other leaders. Common Expectations: Develops, establishes and implements goals, objectives, and policies and procedures for department/service line/entity operation, which guide and support the provision of the department/service line/entity's services. Continuously assesses and improves the department/service line/entity/ performance. Maintains appropriate quality control/assessment programs (if applicable). Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation. Develops collaborative networking relationships with colleagues involved in regulatory compliance activities. Serves as a back-up to 1-up and other team members in the department. Qualifications Qualifications Minimum Education: Associates Degree Required Bachelors Degree Preferred Work Experience: 1 year Experience in Quality, Patient Safety, Government Regulations, Legal Services, Healthcare and Regulatory Affairs. Required Licenses: Licensed Registered Nurse Upon Hire Preferred Knowledge, Skills, and Abilities: Demonstrated leadership skills. Demonstrated knowledge of health care and regulatory affairs. Must have a global view of the health system’s vision, mission, values and strategic goals and plan. Needs to be analytical, inquisitive, persistent and detail-minded. Just Culture is essential in dealing with possible misconduct. Must possess a work ethic that is fair, moral, objective and discreet. Project management and computer skills are required. Benefits Offered: Comprehensive health benefits Retirement savings plan Paid time off (PTO) Education assistance Financial education and support, including DailyPay Expanded Paid Parental Leave For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org)

Full job record

Job ID6e9e7869ea44fbb141cd583485a935e9888d0bce
Org IDb484349d-18e7-4347-bf77-a24fb2cebde7
Source ID141e2fa9-69c2-4818-bbbf-c9689ea3d0fe
Board ID141e2fa9-69c2-4818-bbbf-c9689ea3d0fe
Provideroracle_hcm
Provider Job Key224473
TitleAccreditation and Licensure Specialist
Normalized Title
Statusactive
Activeyes
Location TextEphrata, PA, United States; 169 Martin Ave-Ephrata Community Hospital-EMP, Ephrata, PA, US; 252 S 4th St-Good Samaritan Hospital-EMP, Lebanon, PA, US
DepartmentLegal and Compliance
Team
Employment Typefull_time
Workplace Typeon_site
Remote Policy
CountryUnited States
RegionPA
CityEphrata
Salary RawDescription General Summary Provides direction and leadership to the organization by coordinating activities designed to achieve and maintain compliance with the CMS Conditions of Participation, PA Department of Health, DNV and other accreditations as they apply, for inpatient and outpatient WellSpan licensed entities and locations. Independently performs a variety of audits, analysis of the data as well as ensure compliance with regulatory audits. Serves as a resource for risk management matters for supported areas. Participates in on-site and virtual survey activities and works with others to facilitate system process and outcome improvements and shared communications with spread of best practices. Responsibilities Duties and Responsibilities Essential Functions: Maintains responsibility for ensuring that all Federal/State/Accreditation Standards related to licensure are being met. Schedules and coordinates survey related activities including but not limited to agendas, site visits and educational opportunities. Works closely with 1-up and other department leaders to help coordinate survey follow-up activities, including plans of action, monitoring systems, clarifications and challenges. Educates others in interpretation of standards and assists as needed in planning improvement/compliance. Facilitates the integration of new accreditation, certification and regulatory requirements. Manages and assigns all mock tracers for the off-site locations as well as analyzing the data, develops and monitors action plans as well as reports results. Performs structured medical record and other audits. Reviews materials for completeness, accuracy, and other indicators as indicated. Compiles data for and prepares regularly scheduled or special reports, analyses and statements, after regulatory accreditation or certification surveys Analyzes data for significant trends or occurrences. Presents data to the appropriate leadership. Evaluates procedures, provides communication and action tools to encourage the team’s development of methods to track and ensure sustained improvement over time. Develops and oversees the implementation of corrective action plans to address survey findings. Monitors and analyzes all data related to action plans and reports results to leadership. Keeps abreast of appropriate regulatory, accreditation, and risk management requirements and best practices. Utilizes tracer and environmental rounds findings to initiate improvement. Utilizes Tracer activities as educational opportunity for staff. Provides ongoing reports and updates of existing and potential regulatory compliance issues to 1-up and other leaders. Common Expectations: Develops, establishes and implements goals, objectives, and policies and procedures for department/service line/entity operation, which guide and support the provision of the department/service line/entity's services. Continuously assesses and improves the department/service line/entity/ performance. Maintains appropriate quality control/assessment programs (if applicable). Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation. Develops collaborative networking relationships with colleagues involved in regulatory compliance activities. Serves as a back-up to 1-up and other team members in the department. Qualifications Qualifications Minimum Education: Associates Degree Required Bachelors Degree Preferred Work Experience: 1 year Experience in Quality, Patient Safety, Government Regulations, Legal Services, Healthcare and Regulatory Affairs. Required Licenses: Licensed Registered Nurse Upon Hire Preferred Knowledge, Skills, and Abilities: Demonstrated leadership skills. Demonstrated knowledge of health care and regulatory affairs. Must have a global view of the health system’s vision, mission, values and strategic goals and plan. Needs to be analytical, inquisitive, persistent and detail-minded. Just Culture is essential in dealing with possible misconduct. Must possess a work ethic that is fair, moral, objective and discreet. Project management and computer skills are required. Benefits Offered: Comprehensive health benefits Retirement savings plan Paid time off (PTO) Education assistance Financial education and support, including DailyPay Expanded Paid Parental Leave For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org)
Salary Min
Salary Max
Salary Currency
Salary Period
Source URLhttps://fa-evzu-saasfaprod1.fa.ocs.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/224473
Apply URLhttps://fa-evzu-saasfaprod1.fa.ocs.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/224473
First Seen At2026-05-31 17:57:11Z
Last Seen At2026-06-22 14:47:31Z
Last Checked At2026-06-22 14:47:31Z
Last Changed At2026-06-11 11:28:35Z
Inactive At
Source Posted At2026-05-27 13:57:32Z
Source Updated At
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=oracle_hcm/board=fa-evzu-saasfaprod1.fa.ocs.oraclecloud.com|CX_1/date=2026-06-22/2026-06-22T14-46-36-091Z-cecb14f84331abcab10a6b3a987ad0134d8d1829e757334a8ff45ee22ee66659.json
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GET https://api.bluedoor.sh/job-postings/v1/jobs/6e9e7869ea44fbb141cd583485a935e9888d0bce?include=descriptionJSON
GET https://api.bluedoor.sh/job-postings/v1/orgs/b484349d-18e7-4347-bf77-a24fb2cebde7JSON
GET https://api.bluedoor.sh/job-postings/v1/sources/141e2fa9-69c2-4818-bbbf-c9689ea3d0feJSON
GET https://api.bluedoor.sh/job-postings/v1/jobs/6e9e7869ea44fbb141cd583485a935e9888d0bce/eventsJSON