Bayshore HealthCare is one of the Canada’s leading providers of home and community health care services and is a privately owned company.

Bayshore

HealthCare is proud to showcase its achievement as a Platinum member of Canada’s Best Managed Companies Program every year since 2006.

Bayshore

Healthcare is also recognized as Canada’s Best Employers in Forbes 2023 list.The Accreditation Lead, Integrated Care Solutions (ICS), provides end-to-end leadership for accreditation preparedness, sustainment and continuous readiness across Transitional Care Units (TCU), At-Home/Community and the Neurological Rehabilitation Institute of Ontario (NRIO).leads self‑assessments,gap analysis and corrective action planning; and enables leaders andfrontline teams to demonstrate protected, high-quality, person‑ and family‑centred care.The Lead is the primary accreditation subject‑matter resource for IC be and works across the Clinical Quality, Health Information & Privacy (CQ‑HIP) department, IC be operations, clinical leadership, hospital and community partners, and Accreditation Canada.The role maintains the integrated accreditation roadmap, governance structure, evidence repository, risk register and executive reporting required to sustain readiness throughout the full accreditation cycle.Maintain alignment across TCU, At-Home/Community and NRIO while recognizing program‑specific standards, care settings, partner requirements and legitimate scope differences.prepare agendas, decision materials, minutes, action logs and follow‑up communications.Provide regular status briefings to CQ‑HIP and IC be leadership, clearly identifying decisions required, emerging risks, overdue actions and mitigation strategies.Serve as the principal liaison with Accreditation Canada for program scope, assessment manuals, survey‑cycle requirements, submissions, evidence follow‑up and clarification of standards.Maintain current working knowledge of Accreditation Canada, Health Standards Organization standards, Required Safety Practices (RSPs), high‑priority criteria and applicable regulatory or funder requirements.Interpret requirements for IC be programs and convert them into practical assessment tools, evidence expectations, implementation guidance and readiness criteria.Coordinate partner‑facing accreditation readiness for TCUs, including alignment with hospital‑partner expectations without creating avoidable duplication of survey effort.Gap, Risk, CAPA and Action‑Plan Management Identify compliance gaps,



operational risks and evidence weaknesses; and upscale material risks promptly.Maintain centralized trackers, dashboards and risk registers; Connect accreditation findings with internal audits, quality improvement plans, incident trends, patient/client experience insights and partner feedback to drive system‑level improvement.Govern the IC be accreditation evidence repository in SharePoint, including folder architecture, document naming, version control, evidence indexing, access and retention expectations.Define evidence ownership for program and functional‑area leads and provide oversight so collection and maintenance are distributed and sustainable.Review policies, procedures, SOPs, education records, audit results, committee records and reports for currency, traceability and alignment with standards.Develop and maintain scorecards, dashboards, briefing notes, executive reports, presentations, crosswalks and survey‑readiness documentation.Use data and qualitative findings to identify trends, compare performance across services and recommend targeted improvement priorities.Partner with operational, clinical and corporate leaders to embed accreditation requirements into everyday workflows, governance, onboarding, education, quality committees and performance monitoring.Develop and deliver practical education, coaching, tools and communications for leaders, staff, accreditation champions, patients/clients and family partners.Promote person‑ and family‑centred care, health equity, workforce safety and well‑being, client safety, client flow and safe use of medical devices and equipment within readiness activities.Survey Planning and Stakeholder Coordination Plan and coordinate survey logistics, schedules, site and program profiles, document submissions, interview and tracer preparation, surveyor support and leadership readiness.Build and maintain effective working relationships with IC be leaders, CQ‑HIP subject‑matter experts, hospital and community partners, funders, Accreditation Canada and patient/family advisors.Ensure frontline staff and patient/family perspectives are incorporated into self‑assessments,



quality‑improvement work and readiness validation.Coordinate post‑survey debriefs, lessons learned, evidence follow‑up and transition from survey preparation to sustained operational ownership.Quality, Safety and Corporate Responsibilities Participate in quality improvement, patient safety, emergency preparedness and business continuity activities that intersect with accreditation requirements.Protect the confidentiality and privacy of patient/client, employee and corporate information and use information only for authorized purposes.Participate in proactive health and safety activities and promptly report identified risks or concerns.Comply with Bayshore, funder and partner policies and complete other related duties consistent with the scope and level of the role.Bachelor’s degree in health care, health administration, quality, social sciences, business or a related discipline. A relevant master’s degree is an asset.Formal education or certification in quality improvement, patient safety, project management, change management or accreditation is an asset.Progressive experience in health care quality, accreditation, patient safety, program management or a comparable role.Recent hands‑on experience leading or supporting an Accreditation Canada or comparable health‑care accreditation program is required.Experience working across multiple health‑care settings, programs or partner organizations is strongly preferred.Strong working knowledge of accreditation standards, evidence‑based compliance validation, quality improvement and patient safety principles.Understanding of Canadian health‑care delivery, including home and community care, transitional or inpatient services, rehabilitation and partner‑funded care models.Knowledge of person‑ and family‑centred care, health equity, emergency preparedness, risk management, policy governance and continuous quality improvement.Technical skills Advanced proficiency with Microsoft 365, including Word, Excel, PowerPoint, Teams and SharePoint.Strong written communication, policy and procedure writing, data interpretation, presentation and executive briefing skills.Home‑based role with regular virtual collaboration and periodic in‑person work at Bayshore offices, IC be program locations, partner sites and accreditation‑related events.Travel within Ontario and occasional travel outside the province may be required.Workload and scheduling may intensify during assessments, partner surveys, mock tracers, evidence deadlines and formal Accreditation Canada survey periods.

📌 Accreditation Lead, Integrated Care Solutions ( 12 Month Contract) (Winnipeg)
🏢 Bayshore HealthCare
📍 Winnipeg