Manager Regulatory & Accreditation
- Oversee the implementation of the accreditation plan to ensure a state of continuous survey readiness and compliance with district and federal regulatory requirements.
- In addition, have knowledge or ability to ascertain, hospital requirements for accreditations at an academic teaching hospital.
- Ensure an ongoing mechanism for proactive monitoring and auditing is developed, continually updated, and executed on a regular schedule and the results of any monitoring or auditing are made available to appropriate leadership.
- Effective written, verbal and interpersonal communication skills
- Ability to make quality, independent decisions
- Ability to maintain confidentiality
- Ability to adapt to multiple and changing priorities
- Strong analytical and problem solving skills
- Self-directed
- Knowledge of licensure regulations, Joint Commission on Accreditation of Healthcare Organization and state/federal standards
- Knowledge of Performance Improvement methodology and Outcomes Management
- Statistical analysis skills
- Demonstrated problem solving, data assembly and action planning ability leading to the development of actions plans that will prove helpful in achieving measurable objectives
- Ability to organize, formulate, educate and facilitate problem solving teams
- Demonstrative ability to work without supervision towards a desired outcome
- Expertise in Microsoft Office and Database management
We value our employees and offer a comprehensive package to support your career growth, well-being, and work-life balance.
Qualifications
- Experience with management of Regulatory and Accreditation preparedness
- Master's Degree preferred
- 3 years experience in an acute care setting