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Accreditation Program Manager

3 months ago

Other US Location Cleveland Clinic Full time

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

We all have the power to help, heal and change lives — beginning with our own. That's the power of the Cleveland Clinic Health System team, and The Power of Every One.

Job TitleAccreditation Program Manager - South Submarket

LocationAkron

FacilityAkron General Medical Center

DepartmentOffice of Accreditation South-Clinical and Operational Improvement

Job CodeT30059

ShiftDays

Schedule7:00am-3:00pm

Job Summary

Job Details


Join Cleveland Clinic Akron General where we have been providing world-class care to the community for over 100 years. At Akron General, you will work and learn from some of the best caregivers, provide and receive multitudes of support and appreciation, and create the steppingstones toward a rewarding career with one of the world's most respected healthcare organizations.



Cleveland Clinic is looking for an Accreditation Program Manager to manage the accreditation process and program within the south submarket, specifically Akron General. As an Accreditation Program Manager, you will coordinate hospital accreditation activities through the hospital, ensure continuous readiness for surveys and work with senior leadership to target interventions to improve a culture of continuous patient readiness.



The ideal future caregiver is someone who:

  • Has experience with regulatory surveys and standards.
  • Is self-driven, motivated and flexible.
  • Thrives working independently and as part of a team.


At Cleveland Clinic, we know what matters most. That's why we treat our caregivers as if they are our own family, and we are always creating ways to be there for you. Here, you'll find that we offer: resources to learn and grow, a fulfilling career for everyone, and comprehensive benefits that invest in your health, your physical and mental well-being and your future. When you join Cleveland Clinic, you'll be part of a supportive caregiver family that will be united in shared values and purpose to fulfill our promise of being the best place to receive care and the best place to work in healthcare.


Responsibilities:

  • Develops, manages and maintains programs designed to ensure Cleveland Clinic compliance with accreditation and regulatory standards, including those of: The Joint Commission (TJC), Ohio Department of Health (ODH) and Center for Medicare and Medicaid Services (CMS).
  • Acts as the primary resource for staff to facilitate overall operations of programs.
  • Acts as a consultant to departments/institutes for all aspects of TJC and other regulatory agencies.
  • Educates and disseminates accurate information to clinical and nonclinical departments pertaining to certifications and standard interpretations.
  • Participates in preparation and support of onsite survey activities.
  • Collaborates with all departments within the Quality and Patient Safety Institute to ensure safe high quality care.
  • Develops and manages varied projects. Participates in committees and meetings.
  • Other duties as assigned.

Education:

  • Bachelor's degree in Nursing, Healthcare Administration, Business, Engineering or related field.
  • Master's degree preferred.

Certifications:

  • Healthcare Accreditation Certification Program (HACP) or Certified Joint Commission Professional (CJCP) certifications will be required within 2 years of hire.

Complexity of Work:

  • Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
  • Must be able to work in a stressful environment and take appropriate action.
  • Demonstrated knowledge in principles of risk management, quality and performance improvement methods.
  • Working knowledge of accreditation and regulatory standards.

Work Experience:

  • Minimum of five years of related experience with Quality Management, Risk Management/Patient Safety and Performance Improvement program or related healthcare experience.
  • Offset: Associate's degree and seven years of experience.
  • Offset: Master's degree and four years of experience.

Physical Requirements:

  • Manual dexterity to operate office equipment.
  • Ability to lift and transport up to 15 pounds.
  • Requires extended periods of standing, walking and sitting.
  • Normal or corrected vision and hearing.

Personal Protective Equipment:

  • Follows Standard Precautions using personal protective equipment as required for procedures.

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.

Please review the Equal Employment Opportunity poster.

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities