Accreditation Manager

Emory Healthcare

$75K — $95K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Licensure as a Registered Nurse in Georgia is preferred.
  • BA/BS degree in a health-related field with 5 years of clinical experience.
  • Experience in clinical operations or areas like performance improvement and patient safety.
  • Knowledge of Quality Improvement methodology and healthcare regulatory reporting.
  • Previous experience with accreditation and regulatory readiness is preferred.

Responsibilities

  • Oversee regulatory compliance for The Joint Commission and other agencies.
  • Develop and implement accreditation compliance strategies for the Operating Unit.
  • Maintain collaborative relationships with OU departments and regulatory entities.
  • Collaborate with leadership on quality metrics and system improvements.
  • Educate staff on accreditation standards and process improvements.
  • Ensure readiness for accreditation and licensure surveys.

Benefits

  • Health benefits starting from day one.
  • Student loan repayment assistance and reimbursement programs.
  • Family-focused benefits.
  • Incentives for wellness participation.
  • Ongoing mentorship and leadership development programs.
  • Additional benefits available.
Full Job Description
Overview

Description

We're seeking an Accreditation Manager responsible for providing Operating Unit (OU) direction and oversight for regulatory and accreditation compliance including The Joint Commission (TJC), State and Federal agencies. This individual:
  • Assists in the development, coordination and implementation of activities to assure compliance with OU accreditation and regulatory requirements, supports OU clinical compliance with the TJC, State & Federal regulations, and remains current with accreditation and regulatory standards.
  • Maintains collaborative relationships between OU departments, units, EHC hospitals, and appropriate regulatory agencies.
  • Collaborates with Leadership on recommendations for sustainable processes and system improvements to maintain quality metrics and/or accreditation-related objectives.
  • Serves as OU resource for education and training regarding quality improvement, accreditation standards, internal process improvements, and external regulatory requirements.
  • Assists OU in maintaining preparedness for accreditation and licensure surveys.

MINIMUM QUALIFICATIONS:
  • Licensure as a Registered Nurse in the state of Georgia strongly preferred.
  • BA/BS degree in a health related field with five (5) years of experience in a clinical healthcare environment.
  • Experience in clinical operations and/or experience working in performance improvement, patient safety, risk management or quality management areas in the healthcare environment.
  • Knowledge of Quality Improvement methodology, group facilitation, project management, and healthcare regulatory event reporting requirements.
  • Previous accreditation/regulatory readiness experience preferred.

JOIN OUR TEAM TODAY! Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet® designated ambulatory practice. We are made up of 11 hospitals-4 Magnet® designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.

Additional Details

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