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Job TitleAccreditation Program Manager
LocationWarrensville Hts
FacilitySouth Pointe Hospital
DepartmentOffice of Accreditation East-Clinical and Operational Improvement
Job CodeT30059
ShiftDays
Schedule7:00am-3:30pm
Job Summary
Job Details
Accreditation Program Manager
Join Cleveland Clinic South Pointe Hospital and experience world-class healthcare at its best. South Pointe Hospital provides state-of-the-art healthcare to all its patients. On this team, you will provide stellar patient care to patients assigned to your assigned unit. South Pointe Hospital is a proud Magnet Hospital awarded by the American Nurses Credentialing Center. This designation is the highest honor an organization can receive for professional nursing practice. You will work with state-of-the-art technology and will build a rewarding career with one of the most respected healthcare organizations in the world.
As an Accreditation Program Manager, you will coordinate the hospital accreditation activities ensure the continuous readiness for surveys of the hospital and affiliated organizations, and work in conjunction with senior leadership to target interventions to improve a culture of continuous patient readiness.
A caregiver in this position works 7:00am—3:30pm.
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 those of: 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.
Healthcare Accreditation Certification Program (HACP) or Certified Joint Commission Professional (CJCP) certifications or willing to obtain within two years of hire.
Five years of related experience with quality management, risk management/patient safety and performance improvement programs or related healthcare experience.
Demonstrated knowledge in principles of risk management, quality and performance improvement methods.
Working knowledge of accreditation and regulatory standards.
An associate’s degree and seven years of experience may substitute the education requirement.
A master’s degree and four years of experience may substitute the experience requirement.
Preferred qualifications for the ideal future caregiver include:
Master’s degree.
Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we’re dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/
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