Accreditation Program Manager

At Cleveland Clinic Health System, We Believe In A Better Future For Healthcare

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 Main Campus-Clinical And Operational Improvement

Shift

Days

Schedule

8:00am-5:00pm

Job Summary

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.

As an Accreditation Program Manager, you will coordinate the hospital accreditation activities, ensure continuous readiness for surveys and work alongside senior leadership to facilitate a culture of continuous patient readiness. In this role, you will assess for vulnerabilities within the hospital, write Plans Of Correction and ensure the overall working order and highest standard of patient care. Ultimately, your efforts are vital to the regulatory compliance of Main Campus and continued CMS reimbursement.

A caregiver in this position works days from 7:00AM - 4:00PM, with occasional local travel as needed.

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 and five years of experience with quality management, risk management/patient safety and performance improvement programs or related healthcare experience OR Associate's Degree and seven years of experience OR Master's Degree and four 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

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 followed 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.

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