Mgr Accreditation & Licensing

Children’s Hospitals and Clinics of Minnesota•MN and WI Remote, MN

5h•Hybrid

About The Position

The Accreditation and Licensing Manager is vital to Children's system to ensure compliance with regulatory and accrediting bodies. This position will report to the Compliance Officer. The Accreditation and Licensing Manager responsible for planning, designing, implementation, and maintenance of the hospital's accreditation and licensing status. The Accreditation and Licensing Manager will ensure that the hospital and all services included in the State of Minnesota license are in continual readiness status for The Joint Commission (TJC), Department of Health Services (DHS), and Centers for Medicare and Medicaid (CMS) surveys. This position is responsible for the overall continual regulatory readiness and compliance with all standards of accreditation and certification. The Accreditation and Licensing Manager acts as the primary liaison with the external surveyors and other regulatory representatives.

Requirements

Bachelor's degree required
Minimum 5 years in accreditation and compliance experience required
Regulatory and accreditation experience required
Strong written, verbal and listening skills
Strong analytical skills
Project management skills
Ability to read regulations and accreditation standards
Ability to work with varying levels of leadership
Ability to utilize data to develop dashboards
Proficiency in Microsoft Office tools (Word, Excel, Powerpoint, Teams)
Experience with Compliance 360 or similar GRC tools
DHS Background Study Required

Nice To Haves

Healthcare accreditation strongly preferred

Responsibilities

Planning, designing, implementation, and maintenance of the hospital's accreditation and licensing status.
Ensuring that the hospital and all services included in the State of Minnesota license are in continual readiness status for The Joint Commission (TJC), Department of Health Services (DHS), and Centers for Medicare and Medicaid (CMS) surveys.
Overall continual regulatory readiness and compliance with all standards of accreditation and certification.
Acting as the primary liaison with the external surveyors and other regulatory representatives.