Share Email Opening Apply Now Title Quality, Compliance and Accreditation Manager  About the Organization Catholic Charities, Diocese of Trenton is a faith inspired non-profit organization, mission-driven, family-friendly, and passionate about services to our communities. We offer a wide variety of exciting career opportunities in the areas of Direct Care, Clinical, Fundraising, Human Resources, IT, Finance, Marketing, and Nursing. When you join us, you can expect a true focus on work-life balance, rewarding career, competitive salaries, and comprehensive benefit programs. Some of our benefits include: generous paid holidays, vacation, and sick time; Employee Assistance Program, excellent health & pension plans; Public Student Loan Forgiveness program; and wide array of training and staff development opportunities to earn on-site CEUs. Catholic Charities is an Affirmative Action / Equal Opportunity Employer, fostering a diverse and inclusive environment for staff as well as for people seeking assistance. To learn more about the agency, please visit our website at: www.catholiccharitiestrenton.org. For frequently asked questions, please click here: https://www.catholiccharitiestrenton.org/careers/frequently-asked-questions/   Req Number ADM-26-00003   Location CAS - Access Center (Hamilton, NJ)   Full-Time/Part-Time Full-Time   Number of Openings 1   Category Administration   Description JOB SUMMARY The Quality, Compliance and Accreditation Manager supports the organization's Quality Improvement, Compliance, Accreditation, and Risk Management activities. Working collaboratively with leadership and program staff, the Manager promotes continuous quality improvement, regulatory compliance, safety, and organizational excellence. Responsibilities include case record reviews, facility and environmental compliance audits, Joint Commission survey readiness, performance improvement initiatives, data analysis, corrective action monitoring, and support for state licensing, payer, and accreditation requirements. ESSENTIAL FUNCTIONS: Coordinate quality improvement, compliance, accreditation, and risk management activities Conduct scheduled and unannounced case record audits for compliance with Joint Commission, state licensing, payer, and organizational standards. Conduct facility and environmental compliance rounds assessing Environment of Care, Infection Control, Medication Management, Life Safety, and National Patient Safety Goals. In collaboration with the Director of Quality Improvement and Compliance, coordinate Joint Commission survey readiness, mock surveys, tracers, and evidence collection. Collect, analyze, trend, and report quality and compliance data. Serve as a liaison for licensing inspections, payer audits, and other regulatory reviews as assigned. Coordinate survey logistics, documentation, and responses, and escort surveyors during site visits. Participate in and/or chair Quality Improvement, Safety, Infection Control, and other assigned committees. Prepare committee agendas, minutes, reports, and monitor follow-up activities. Coordinate the development, review, revision, implementation, and communication of policies and procedures. Serve as Quality Improvement representative for assigned programs. Develop audit tools, dashboards, scorecards, and monitoring systems. Assist with Plans of Correction and performance improvement initiatives across the organization. Monitor completion and effectiveness of corrective actions. Review incidents, sentinel events, and risk data; investigate and complete Root Cause Analyses. Provide education regarding regulatory and accreditation standards and documentation requirements. Monitor regulatory and accreditation changes and communicate updates. Collaborate with program staff, operational and clinical leadership to improve quality and compliance. Perform other duties as assigned.   Position Requirements KNOWLEDGE/SKILLS/ABILITIES (Competencies): Experience conducting clinical documentation reviews and quality audits. Knowledge of Joint Commission Behavioral Health standards. Knowledge of behavioral health regulations, HIPAA, CMS, and state licensing requirements. Strong analytical, organizational, communication, and project management skills. Ability to interpret regulations and implement quality improvement initiatives. Proficiency with Microsoft Office suite and electronic health record systems.   MINIMUM QUALIFICATIONS: Bachelor’s degree in healthcare administration, Nursing, Social Work, Psychology, Public Health or related field required. Master's degree preferred. Minimum five years of progressively responsible experience in behavioral health quality improvement, compliance, accreditation, or healthcare operations.   WORK ENVIRONMENT / PHYSICAL REQUIREMENTS Frequent travel between agency locations. Combination of office, residential, and community settings. Requires walking facilities during audits, use of computers, and a valid driver's license.   Exempt/Non-Exempt Exempt   Weekly Work Hours 40   Proposed Salary $75,000   Schedule Monday-Friday, 9:00am-5:00pm; Some flexibility required-- occasional evenings to meet program needs  This position is currently accepting applications. Apply Now WE ALSO RECOMMEND Other Jobs Within Same Category -- None found -- Other Jobs Within 60 Miles HR Specialist - Employment in Trenton, NJ Posted on: 7/28/2026 [Apply Now] Administrative Assistant II - HR in Trenton, NJ Posted on: 8/20/2026 [Apply Now] Administrative Assistant I in Brick, NJ Posted on: 7/25/2025 [Apply Now] Administrative Assistant I in Whiting, NJ Posted on: 8/19/2026 [Apply Now] IT Support Specialist in Ewing, , NJ Posted on: 8/19/2026 [Apply Now]

AppOne.comTM   copyrightŠ1999-2024 HR Services, Inc. Click here for technical assistance.