Accreditation Program Manager

Posted:
7/23/2024, 5:35:01 AM

Location(s):
Ohio, United States ⋅ Cleveland, Ohio, United States

Experience Level(s):
Junior ⋅ Mid Level

Field(s):
Product

Workplace Type:
On-site

                    

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

                        

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

                                    

Job Title

Accreditation Program Manager

                        

Location

Cleveland

                    

Facility

Cleveland Clinic Main Campus

                     

Department

Office of Accreditation Corporate-Clinical Transformation

                      

Job Code

T30059

                     

Shift

Days

                       

Schedule

7:30am-4:30pm

                       

Job Summary

                         

Job Details


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. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. 


As an Accreditation Program Manager, you will coordinate hospital accreditation activities through the hospital, ensure continuous readiness for surveys and work with senior leadership to target interventions to improve a culture of continuous patient readiness.  
 

The ideal future caregiver is someone who:  

  • Is flexible, kind, patient, diligent and detail oriented.  

  • Effectively handles grey areas of information.  

  • Is highly emotionally intelligent, a strong negotiator and a lifelong learner.  

  • Wants to be part of a thoughtful, close knit and is always willing to help.  

  • Is passionate about patient safety.  


By taking this opportunity, you will work with a team that champions a psychologically safe environment and recognizes that all caregivers have strengths and weaknesses, but working together as a team is powerful and helps accomplish goals. There will also be opportunities for education and training regarding the Joint Commission accreditation and CMS regulation.  
 

At Cleveland Clinic, we know what matters most. That's why we treat our caregivers as if they are our own family, and we are always creating ways to be there for you. Here, you'll find that we offer: resources to learn and grow, a fulfilling career for everyone, and comprehensive benefits that invest in your health, your physical and mental well-being and your future. When you join Cleveland Clinic, you'll be part of a supportive caregiver family that will be united in shared values and purpose to fulfill our promise of being the best place to receive care and the best place to work in healthcare. 


 
Responsibilities:
  • Develops, manages and maintains programs designed to ensure Cleveland Clinic compliance with accreditation and regulatory standards, including those of: The Joint Commission (TJC), Ohio Department of Health (ODH) and Center for Medicare and Medicaid Services (CMS).
  • Acts as the primary resource for staff to facilitate overall operations of programs.
  • Acts as a consultant to departments/institutes for all aspects of TJC and other regulatory agencies.
  • Educates and disseminates accurate information to clinical and nonclinical departments pertaining to certifications and standard interpretations.
  • Participates in preparation and support of onsite survey activities.
  • Collaborates with all departments within the Quality and Patient Safety Institute to ensure safe high quality care.
  • Develops and manages varied projects. Participates in committees and meetings.
  • Other duties as assigned.

Education:

  • Bachelor's Degree in Nursing, Healthcare Administration, Business, Engineering or related field required.
  • Master’s Degree Preferred

Certifications:

  • Healthcare Accreditation Certification Program (HACP) or Certified Joint Commission Professional (CJCP) certifications will be required within 2 years of hire.

Complexity of Work:

  • Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
  • Must be able to work in a stressful environment and take appropriate action.
  • Demonstrated knowledge in principles of risk management, quality and performance improvement methods.

Work Experience:

  • Minimum five years of related experience with Quality Management, Risk Management/Patient Safety and Performance Improvement program or related healthcare experience..
  • Working knowledge of accreditation and regulatory standards.

Physical Requirements:

  • 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.

Personal Protective Equipment:

  • Follows Standard Precautions using personal protective equipment as required for procedures.

                       

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. 

Please review the Equal Employment Opportunity poster

                  

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities

Cleveland Clinic

Website: https://clevelandclinic.org/

Headquarter Location: Cleveland, Ohio, United States

Employee Count: 1001-5000

Year Founded: 1921

IPO Status: Private

Last Funding Type: Grant

Industries: Health Care ⋅ Hospital ⋅ Medical ⋅ Non Profit