Accreditation Coordinator

Accreditation Coordinator

Job Title: Accreditation Coordinator
Reports to: Executive Director
Last Updated: August 20, 2025

Job Summary

Reporting to the Executive Director, the Accreditation Coordinator is responsible for coordinating facets of the Hospice Palliative Care Ontario (HPCO) Accreditation process ensuring compliance, effectiveness and operational efficiency. The Coordinator provides comprehensive project coordination support by facilitating processes, serving as a liaison and resource for internal and external partners, and offering administrative support to the faculty lead overseeing the accreditation process. The Coordinator will also assist with formatting policies and procedures to meet Hospice Quinte documentation standards and upload documents into the accreditation portal. This role provides administrative and other required support to the Executive Director in regards to the accreditation project. This position requires a sound knowledge of quality assurance related to health care, sensitivity to clients and caregivers requiring the services of the agency, excellent organizational skills and the ability to communicate effectively.

Qualifications:
Education
- Diploma in health informatics, or nursing with experience in quality assurance, or a proven combination of education and experience

Experience
- Degree or diploma in a related discipline or the equivalent combination of education and experience would be considered;
- Experience in an accreditation, compliance, or quality assurance administration/coordination role;
- Experience in project management or records management.

Knowledge, Skills, and Abilities
- Awareness and knowledge of privacy and confidentiality issues regarding client care and information
- Excellent analytical, organizational, time management, and problem solving skills
- Ability to work independently and with supervision
- Ability to multi-task and set priorities with a sense of urgency to achieve goals
- Proficiency working with Microsoft Office Suite of products
- Ability to maintain up-to-date knowledge of accreditation standards and regulatory requirements;
- Records management, database creation and maintenance;
- Project management software;
- Detail oriented, systematic and deadline focused.

Responsibilities and Duties

The statements below reflect the general details considered necessary to describe the principal functions of the job as identified, and shall not be considered as a detailed description of all work requirements that may be inherent in the job. Other duties may be assigned as required.

HPCO Accreditation:

- Coordinate and assist with the accreditation process for the Accreditation Self-study and Report;
- Collaborate with all Hospice Quinte staff across all programs to ensure required program information and documents are circulated for the accreditation;
- Plan and coordinate accreditation meetings, including taking meeting minutes, and outlining next steps;
- Maintain an accreditation planning schedule; track and monitor deadlines and reporting requirements;
- Gather and organize necessary documentation, including policies, templates and other integrated critical required aspects of the HPCO accreditation program;
- Write and review policy and procedure documentation;
- Prepare, format, and send any communications to various staff members related to accreditation including progress reports, requests for information and meeting requests;
- Participate in the quality improvement and accreditation committees;
- Create and maintain spreadsheets, charts, and other data-tracking tools to support accreditation activities;
- Support the development and monitoring of the accreditation progress and provide regular feedback to the Quality Committee, Program Managers and the Executive Director;
- Provide guidance to internal partners on accreditation standards, processes and timelines;
- Collaborate with cross-functional teams to ensure continuous improvement and readiness for site visits or evaluations;
- Establish, maintain, and manage Accreditation-related SharePoint platforms;
- Conduct client and volunteer chart audits;
- Other duties related to accreditation as required.

**Preferred or Asset Skills**:

- Records management, database creation and maintenance;
- Project management software;
- Detail oriented, systematic and deadline focused.

Working Conditions
- 35-hour work week with the flexibility to work some weekends and evenings, for which time off in lieu will be given with the approval of the Executive Director
- Work location is at Hospice Quinte’s Stan Klemencic Care Centre with provision for remote work with approval of the Executive Director
- 6 months contract with possibility of extension
- Vacation pay of 6% paid on each pay cheque
- Position has 5 sick leave days available for the 6 months contract - more if contract is extended (prorated to 10 per fiscal year)
- 10% hourly premium in lieu of health benefits and RRSP
- Pay