Accreditation Program Manager

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.

The Accreditation Program Manager, coordinates the hospital accreditation activities throughout the hospital. They ensure the continuous readiness for surveys of the hospital and affiliated organizations including off-site facilities The caregiver will work in conjunction senior leadership to target interventions to improve a culture of continuous patient readiness. This is a key position in meeting with and completing a variety of regulatory surveys. It ensures continual readiness that promotes quality and safety.

The Future Caregiver is someone who

• Has Clinical knowledge (preferred).

• Has High-level management and leadership skills.

• Can schedule and manage tasks effectively.

• Has written and verbal communication skills.

• Has organizational and multitasking skills.

This is a rewarding opportunity that offers growth-oriented projects, mentorship, support, and resources. You will experience great exposure to both the institute and department leadership and have numerous opportunities for career growth.

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.

Pay Range

Minimum hourly: $30.41

Maximum hourly: $46.38

The pay range displayed on this job posting reflects the anticipated range for new hires. While the pay range is displayed as an hourly rate, Cleveland Clinic recruiters will clarify whether the compensation is hourly or salary. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set, and education. This is not inclusive of the value of Cleveland Clinic's benefits package, which includes among other benefits, healthcare/dental/vision and retirement.

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