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Program Manager - Accreditation

  • Job
    Full-time
    Senior Level
  • Healthcare
  • Stuart

AI generated summary

  • You need a Bachelor’s in healthcare, 5 years’ experience with Joint Commission surveys, accreditation knowledge, and a Master’s degree. A clinical background is preferred.
  • You will ensure compliance with accreditation standards, serve as a resource for staff, consult on regulatory issues, educate departments, support survey activities, and collaborate on quality care initiatives.

Requirements

  • Bachelor's degree in healthcare related field.
  • Five years of experience in healthcare, direct experience leading efforts to prepare for a Joint Commission survey.
  • Working knowledge of accreditation and regulatory standards.
  • Master’s degree.
  • Clinical background but will consider other experience in the healthcare setting.
  • 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.
  • Follows Standard Precautions using personal protective equipment as required for procedures.

Responsibilities

  • Ensure Cleveland Clinic compliance with accreditation and regulatory standards, including those of: The Joint Commission (TJC), Florida Agency of Healthcare Administration (ACHA) and Center for Medicare and Medicaid Services (CMS).
  • Act as the primary resource for staff 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 preparation and support of onsite survey activities.
  • Collaborate with all departments within the Quality and Patient Safety Institute to ensure safe high-quality care.

FAQs

What are the primary responsibilities of the Program Manager - Accreditation?

The primary responsibilities include ensuring compliance with accreditation and regulatory standards, acting as a primary resource for staff, consulting with departments on regulatory matters, educating staff on certifications, participating in onsite survey preparations, and collaborating with departments within the Quality and Patient Safety Institute.

What is the required education for this position?

A Bachelor's degree in a healthcare-related field is required.

How much experience is necessary for the ideal candidate?

The ideal candidate should have at least five years of experience in healthcare, with direct experience leading efforts to prepare for a Joint Commission survey.

Are there preferred qualifications for candidates applying for this position?

Yes, preferred qualifications include a Master's degree and a clinical background, but other experience in the healthcare setting may also be considered.

What are the working hours for this role?

This position typically works Days from 7:00 am to 4:30 pm.

Is there any physical requirement for this position?

Yes, the position requires manual dexterity to operate office equipment, the ability to lift and transport up to 15 pounds, and the capacity for extended periods of standing, walking, and sitting.

What personal protective equipment is required for this position?

Standard Precautions using personal protective equipment as required for procedures must be followed.

What is the pay range for this position?

The pay range for this position is between $30.41 and $46.38 per hour, with actual compensation determined by factors such as work history, experience, skill set, and education.

Does Cleveland Clinic Martin North Hospital offer benefits to its caregivers?

Yes, Cleveland Clinic offers a comprehensive benefits package that includes healthcare, dental, vision, and retirement.

Can a candidate with a non-clinical background apply for this position?

Yes, candidates with a non-clinical background will be considered, provided they have relevant experience in the healthcare setting.

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Mission & Purpose

Cleveland Clinic, located in Cleveland, Ohio, is a not-for-profit, multispecialty academic medical center that integrates clinical and hospital care with research and education. Founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation, Cleveland Clinic has become one of the largest and most respected hospitals in the country. Cleveland Clinic facilities can be found throughout Northeast Ohio, as well as around the country and world including: Cleveland Clinic Florida Cleveland Clinic Canada Cleveland Clinic Abu Dhabi Cleveland Clinic Lou Ruvo Center for Brain Health - Las Vegas Cleveland Clinic health system includes eight regional hospitals, 16 family health centers, a children's hospital for rehabilitation and one affiliate hospital. Cleveland Clinic is accredited by The Joint Commission, the nation’s largest accreditor of healthcare organizations. Our family health centers offer: Outpatient care Primary care Numerous subspecialties Numerous locations All of our hospitals, family health centers, outpatient clinics and home healthcare programs are also accredited by The Joint Commission under its hospital accreditation program.