Program Manager - Accreditation

Serving the needs of Garfield Heights and the Southeast communities of Cuyahoga County, Marymount Hospital is an acute care, faith-based hospital. At Marymount Hospital, caregivers are guided by the Christian values of service, compassion, dignity and respect and live by the mission of providing world-class healthcare.

As a Program Manager, you will oversee and coordinate different related projects to ensure they benefit one another and meet business goals. The Cleveland Clinic supports compliance to all standards to promote safety and provide quality of care. There are resources available at the clinic to help the accreditations professional develop skills to assess all standards. The Accreditations Professionals meet regularly to address standards as an Enterprise and to support each other by participating in mock surveys. The Accreditations Professionals have access to AMP tracers to utilize as a tool to assess and trend compliance.

The Future Caregiver is someone who

• Has High-level management and leadership skills.

• Can schedule and manage tasks effectively.

• Can bring teams together to evaluate compliance with JC standards

• Has written and verbal communication skills.

• Has a passion for quality and safety in healthcare.

• 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 in different administrative and project/program management.

Join a team of over 1,100 caregivers in their meaningful work and embark on your journey of accomplishment. Marymount Hospital has a rich history of providing its caregivers with opportunities for development, growth and career advancement in addition to exceptional benefits. Come build a rewarding, lifelong career at a diverse and welcoming hospital where caregivers recognize, support and celebrate one another.

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 required.

• 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.

Work Experience:

• Minimum five years of related experience with Quality Management, Risk Management/Patient Safety and Performance Improvement program or related healthcare experience..

• Working knowledge of accreditation and regulatory standards

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.

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Keywords: Accreditation, Accreditation Professional, Patient Safety, Quality Management, Risk Management

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