Accreditation Officer

Perform on-site evaluations of healthcare facilities to assess compliance with accreditation standards.

Review documentation and evidence provided by the hospital; Identify requirements to be addressed by the hospital with associated timeframes for completion.

Monitor the hospital performance against the relevant international and national standards to ensure compliance with requirements.

Evaluate hospital operations, clinical practices, and administrative processes against established benchmarks.

Identify strengths, weaknesses, and areas of non-compliance.

Develop detailed reports summarizing findings from assessments.

Provide clear, actionable recommendations to address deficiencies.

Outline follow-up actions required for accreditation compliance.

Collaborate with KKESH&RC staff to determine pre-accreditation evidence needed in advance of on-site assessment; Provide guidance and clarification on accreditation requirements.

Interpret and apply standards consistently during assessments.

Communicate findings and recommendations to Quality Management Director and relevant departments.

Encourage a culture of quality and continuous improvement within healthcare organizations; Share best practices and support hospitals in implementing improvements. 

Handle sensitive information with discretion and in compliance with ethical and legal standards.

Stay updated on national and international healthcare accreditation standards.

Performs all duties in a professional, effective and confidential manner.

Performs all other related duties as required or assigned.