FARA ETIENNE
Long Island,NY
Summary
Results-oriented accreditation professional, prepared to drive compliance and quality standards. Adept at navigating accreditation processes within behavioral health, psychiatric and government-regulated organizational practices. Consistently promotes team collaboration and adapts to dynamic environments. Proven skills in regulatory adherence and strategic communication.
Overview
9
9
years of professional experience
Work History
NY Accreditation Specialist
St. John’s Episcopal Health Services
Far Rockaway, NY
01.2025 - Current
- Lead accreditation, regulatory compliance, and continuous survey readiness efforts in partnership with the Quality Department and senior leadership.
- Conduct mock surveys, tracer activities, and patient safety rounds to evaluate compliance with Joint Commission (TJC), CMS, and Department of Health (DoH) standards.
- Identify compliance gaps, assess risk, and collaborate with leadership to implement corrective actions and sustain readiness.
- Assist with the development, implementation, and evaluation of policies, procedures, and standards of care aligned with accreditation requirements.
- Support Quality Assurance and Performance Improvement (QAPI) initiatives through data collection, analysis, and reporting of quality and safety metrics.
- Serve as a subject matter resource on patient safety, emergency preparedness, and employee safety.
NY Administrative Assistant II to Clinical Medical Director
Creedmoor Psychiatric Center
Queens Village, NY
12.2023 - 05.2024
- Supported regulatory compliance and patient safety operations for a 588–600 bed psychiatric facility.
- Assisted with Joint Commission readiness activities, including credentialing for 50+ providers and maintenance of compliance documentation.
- Monitored census data, quality indicators, and regulatory reporting requirements to support leadership decision-making.
Administrative Assistant I
NYS Office of Children & Family Services
Dix Hills, NY
04.2020 - 05.2022
- Supported compliance with state and federal child welfare regulations.
- Assisted with policy documentation, audits, and regulatory reporting.
- Coordinated communication between leadership, facilities, and oversight agencies.
Office Assistant I
NYS Office of Mental Health
Queens Village, NY
03.2017 - 04.2020
- Maintained patient records in compliance with HIPAA and regulatory standards.
- Supported quality documentation, audits, and insurance billing processes.
Education
Doctorate of Healthcare Administration -
Virginia University
Lynchburg01.2026
Dual MBA / Master of Health Administration - undefined
University of Scranton
01.2025
Bachelor of Science - Health Services Administration
CUNY School of Professional Studies
01.2022
Associate of Science - Health Administration
Georgia Perimeter College
01.2014
Skills
- Accreditation management
- Program management
- Accreditation standards
- Solo practitioner credentialing
- Compliance documentation
- Policy enforcement
- Project management
- Risk assessment
Affiliations
- American College of Healthcare Executives (ACHE)
- National Association of Health Services Executives (NAHSE)
Timeline
NY Accreditation Specialist
St. John’s Episcopal Health Services
01.2025 - Current
NY Administrative Assistant II to Clinical Medical Director
Creedmoor Psychiatric Center
12.2023 - 05.2024
Administrative Assistant I
NYS Office of Children & Family Services
04.2020 - 05.2022
Office Assistant I
NYS Office of Mental Health
03.2017 - 04.2020
Dual MBA / Master of Health Administration - undefined
University of Scranton
Bachelor of Science - Health Services Administration
CUNY School of Professional Studies
Associate of Science - Health Administration
Georgia Perimeter College
Doctorate of Healthcare Administration -
Virginia University