Mgr Accreditation & Licensing

Children’s Minnesota

15h•Hybrid

About The Position

Children’s Minnesota is one of the largest pediatric health systems in the United States, providing care exclusively to children from before birth through young adulthood. It is an independent, not-for-profit system since 1924, serving kids throughout the Upper Midwest at two free-standing hospitals, nine primary care clinics, multiple specialty clinics, and seven rehabilitation sites. Children’s Minnesota is recognized by U.S. News & World Report as a top children’s hospital and by Modern Healthcare as one of 2023’s Top Diversity Leaders. The corporate compliance department is committed to promoting an ethical culture at Children's Hospitals and Clinics by ensuring integrity in business practices, providing continuous education, and promoting collaborative relationships with all customers. The Accreditation and Licensing Manager is a vital position within Children's system, responsible for ensuring compliance with regulatory and accrediting bodies. This role involves planning, designing, implementation, and maintenance of the hospital's accreditation and licensing status. The manager ensures that the hospital and all services included in the State of Minnesota license are in continual readiness status for surveys by The Joint Commission (TJC), Department of Health Services (DHS), and Centers for Medicare and Medicaid (CMS). This position is responsible for overall continual regulatory readiness and compliance with all standards of accreditation and certification, and acts as the primary liaison with 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

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.
Ensuring 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.