Join Cleveland Clinic’s Main Campus where research and surgery are advanced, technology is leading-edge, patient care is world class and caregivers are family. Here, you will work alongside a passionate and dedicated team, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. 

 
The Accreditation Program Manager leads and coordinates all hospital accreditation activities, ensuring continuous survey readiness and compliance with regulatory standards. This role partners closely with senior leadership, physicians, nurses, and interdisciplinary teams to promote a culture of quality, safety, and continuous improvement. The ideal candidate is highly organized, adept at managing multiple priorities, and experienced in accreditation standards, quality processes, and regulatory requirements. Strong communication skills are essential, including the ability to present complex information to diverse audiences. The role also requires analytical expertise, including the ability to analyze data, develop dashboards, and identify trends to support performance improvement. 

 
A caregiver in this position works 8:00am—4:00pm.  

 
A caregiver who excels in this role will:  

• 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. 

 
Minimum qualifications for the ideal future caregiver include:  

• Bachelor’s Degree in Nursing, Healthcare Administration, Business, engineering or a related field 

• 5 years of experience with quality management, risk management/patient safety and performance improvement programs or related healthcare experience  

• OR Associate’s Degree and 7 years of experience  

• OR Master’s Degree and 4 years of experience 

• 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 

 
Preferred qualifications for the ideal future caregiver include: 

• Master’s Degree