Accreditation Program Manager - South Submarket

Cleveland Clinic

About The Position

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. Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide patient-first healthcare. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world. As an Accreditation Program Manager, you will coordinate the hospital accreditation activities, ensure continuous readiness for surveys and work alongside senior leadership to facilitate a culture of continuous patient readiness. A caregiver in this position works between 7:00am and 5:00pm with a need for flexibility based on needs.

Requirements

Bachelor’s Degree in Nursing, Healthcare Administration, Business, engineering or a related field and five years of experience with quality management, risk management/patient safety and performance improvement programs or related healthcare experience OR Associate’s Degree and seven years of experience OR Master’s Degree and four years of exprience
Healthcare Accreditation Certification Program (HACP) or Certified Joint Commission Professional (CJCP) Certifications within two years of hire
Demonstrated knowledge in principles of risk management, quality and performance improvement methods
Working knowledge of accreditation and regulatory standards

Nice To Haves

Master’s Degree
Nursing experience
Prior radiologist, lab or dietician experience

Responsibilities

Develop, manage and maintain programs designed to ensure Cleveland Clinic compliance with accreditation and regulatory standards, including The Joint Commission (TJC), Ohio Department of Health (ODH) and Center for Medicare and Medicaid Services (CMS).
Act as the primary resource for caregivers to facilitate overall operations of programs.
Act as a consultant to departments/institutes for all aspects of TJC and other regulatory agencies.
Educate and disseminate accurate information to clinical and nonclinical departments pertaining to certifications and standard interpretations.
Participate in the preparation and support of onsite survey activities.
Collaborate with all departments within the Quality and Patient Safety Institute to ensure safe high-quality care.
Develop and manage varied projects.
Participate in committees and meetings.