Accreditation Specialist

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Creighton University
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Omaha, NE
recency icon Posted 09-10-2023

Job Description

Creighton University Arizona Health Education Alliance GME Accreditation Specialist Under the direction of the Graduate Medical Education (GME) Manager, the GME Accreditation Specialist provides administrative support for the compliance of graduate medical education training programs in Phoenix under the Creighton Alliance. Duties include planning, coordinating, and implementing processes and procedures to ensure compliance with accreditation requirements. Essential Functions & Responsibilities: Learn and maintain a strong knowledge base of Accreditation Council for Graduate Medical Education (ACGME) and other accrediting body requirements and regulations. Provide administrative support to Graduate Medical Education (GME) in facilitating the coordination and monitoring of Clinical Learning Environment Review (CLER) visits, Annual Institutional Reviews, Annual Program Evaluations and Annual Program updates through WebADS. Develop and maintain project management tools to support programs in continued preparation and management of portfolio reviews, evaluations, program evaluations, etc. Assist the Program Coordinators and Program Directors as needed in the preparation of documentation for Graduate Medical Education Committee (GMEC) and ACGME deadlines. Prepare Self-Study visits, Site Visit documentation, surveys (Resident & Faculty), Internal & Special Reviews and Annual Program Reviews Maintain knowledge of the rules, regulations, policies, administrative guidelines, and legal issues that impact or govern the residency programs and ensures that Creighton University is in compliance Interpret and apply ACGME and other national accrediting agencies' requirements, and hospital policies to support compliance Assist with accreditation planning and applications for new programs Monitor and disseminate information regarding various institutional and program accreditation Create document controls and standardization for resident and fellow notifications (corrective action, etc.) Coordinate GMEC meetings, including scheduling, agendas, and minutes transcription and reporting of the meetings Facilitate the National Residency Matching Program (NRMP) match activation and approval process, track program change requests Facilitate the Grievance/Appeals process Ensure program compliance with various accreditation reporting Assist preparation of data collection for the ACGME Annual Institutional Review (AIR) Report and additional reports and presentations for the Dean's Office and Board of Directors Serves as the liaison between GME and the ACGME, AAMC, AMA (FREIDA,) NRMP, and other organizations, assuring that each Program meets deadlines and provides correct information Tracks, reports and ensures compliance with procedures regarding licensing, moonlighting, annual contracts, and initial and re-credentialing of trainees Facilitates the development and tracking of institutional GME level policies Facilitates the creation of quick guides and tools that will support mentoring and development of new and existing program coordinators Supports GME leadership with special projects and other duties as needed Qualifications: Bachelor's Degree and/or relevant experience in an academic/medical department Knowledge, Skills, Abilities: Experience in health care administration/program coordination preferred Experience in accreditation preferred Experience in project management preferred Courteously facilitates and handles requests, complaints and communication with staff, physicians, and external customers. Exercises good judgment, discretion, and diplomacy in communications Acts as a liaison between the Accrediting bodies, GME, GMEC, and individual training programs Strong attention to detail Highly organized capability to maintain office records, reports, and files The ability to quickly adapt to change, handle multiple inputs and tasks simultaneously and accommodate to new situations Strives to continuously improve service and program performance Change the World From Here AAP/EEO Statement Creighton University is committed to providing a safe and non-discriminatory educational and employment environment. The University admits qualified students, hires qualified employees and accepts patients for treatment without regard to race, color, religion, sex, marital status, national origin, age, disability, citizenship, sexual orientation, gender identity, gender expression, veteran status, or other status protected by law. Its education and employment policies, scholarship and loan programs, and other programs and activities, are administered without unlawful discrimination. Disclosure Statement This description describes the general nature of work to be performed and does not include an exhaustive list of all duties, skills, or abilities required. Regular, reliable attendance is an essential function and all employees are required to follow any other job-related instructions and to perform any other job-related duties as requested by their supervisor. Employees may also be required to work in excess of normal working hours as workloads and seasonal activities necessitate. A complete description is available in the Human Resource office located at 3006 Webster Street Omaha, NE. Creighton University reserves the right to modify duties, responsibilities and activities at any time with or without notice.