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Time Type:

Full time

Hours per Pay Period:

80

Shift:

Day Shift

Minimum:

Depending on Experience

Maximum:

Depending on Experience(This represents the rate for an individual with significant experience in this job in a full-time 40 hour per week position)

Department:

Quality Division

Current Bay Area Hospital Employee: If you are a current Bay Area Hospital employee, please apply through the Workday internal career site.

The future looks bright at Bay Area Hospital, and we are always searching for quality people to join our team. We offer a great atmosphere, competitive pay, a wide array of benefits, and many growth opportunities for our employees.

Job Description:

Manager Accreditation Nurse

The Accreditation Manager is a key member of the Quality and Performance Improvement Team. This individual supports the accreditation and quality functions for the hospital as we design, build and manage and improve our quality programs. This individual leads the organization with ongoing programs to promote integration of standards and regulations for The Joint Commission and serves as a key resource for knowledge of and compliance with external regulatory requirements. This position leads and develops the Accreditation team.

SKILLS AND ABILITIES

• Expert knowledge and interpretation of Joint Commission and CMS Standards
• Demonstrates ability to interpret accreditation standards, identify organizational gaps and implement processes to meet standards and/or close gaps
• Demonstrates knowledge of regulatory, accreditation, and certification requirements and processes that are applicable to the healthcare setting
  • Demonstrates the ability to use a personal computer and various software programs applicable to the position
  • Demonstrates the ability to operate applicable office equipment
  • Exhibits the ability to deal effectively interdepartmentally & with the public
  • Exhibits the ability to maintain confidentiality, think and act independently with minimal supervision
  • Demonstrates the ability to effectively manage a meeting
  • Maintains regular, consistent and punctual attendance at the assigned job location

EDUCATION/CERTIFICATIONS/LICENSES/DEGREES

• Licensed to practice as a Registered Nurse in the state of Oregon
• CPHQ Certification within one year
• American Heart Association Healthcare Provider Basic Life Support (BLS) or must be obtained by the last day of the month after the 60-day grace period
• Bachelor’s degree or higher or complete within two years

EXPERIENCE

• Two years’ experience in acute care hospital setting and hospital accreditation/regulatory affairs preferred

GENERAL INFORMATION

Union Affiliation:  None

The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position.  They are not intended to be an exhaustive list of all duties, responsibilities and job skills required. 

Physical/Mental/Environmental Requirements

• Requires extensive sitting with periodic standing and walking
• May be required to lift up to 20 pounds
• Requires significant use of personal computer, phone and general office equipment
• Needs adequate visual acuity, ability to grasp and handle objects
• Needs ability to communicate effectively through reading, writing, and speaking in person or on telephone
• May require off-site travel

Compensation Grade:

I

Compensation Grade Profile:

I - Salaried

Bay Area Hospital is an Equal Opportunity Employer.

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