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A hospital administrator sitting next to her computer, talking with a colleague.
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Two advanced practice nurses talking with a female patient who is sitting on an examination table
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Two physical therapists and a nurse helping a female hospital patient to walk
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A hospital office worker sitting next to her computer, talking with a colleague
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A hospital customer service representative and a patient transporter escorting a patient in a wheelchair
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A hospital facilities worker operating a floor cleaning machine
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A hospital finance department worker having a virtual meeting on her computer
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A hospital human resources worker sitting next to her computer, talking with a colleague
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A hospital IT or cybersecurity worker looking at a rack of computers
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Hospital laboratory workers working with high-tech machines in a laboratory
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A hospital marketing communications professional having a virtual meeting on her computer.
Two nurses talking with a female patient who is sitting on an examination table
Two nurses talking with a female patient who is sitting on an examination table
Two advanced practice nurses talking with a female patient who is sitting on an examination table
Two advanced practice nurses talking with a female patient who is sitting on an examination table
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Two nurses giving care to a female patient in a hospital ward
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Nurse working with a patient at the bedside
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A young nursing graduate viewing a patient monitor in a hospital ward
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Two occupational therapists and a nurse helping a female hospital patient to walk
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Two pharmacists working together within a hospital pharmacy
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A doctor talking with three nurses in a hospital ward setting
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A hospital office worker sitting at her desk looking at a computer screen.
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A research technician using a machine to test samples in a hospital laboratory
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Three student nurses standing in a row in a hospital ward setting
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A hospital office worker sitting at her desk looking at a computer screen
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Program Manager – Accreditation

Garfield Heights, OH, US


req#: 256912
Location: Garfield Heights, OH

Facilities: Marymount Hospital,

Professional Area: Administrative and Business Professionals

Department: 1335 Office of Accreditation East-Clinical Transformation

Job Code: T30059

Schedule: Full Time

Shift: Days

Serving the needs of Garfield Heights and the Southeast communities of Cuyahoga County, Marymount Hospital is an acute care, faith-based hospital. At Marymount Hospital, caregivers are guided by the Christian values of service, compassion, dignity and respect and live by the mission of providing world-class healthcare.  

As a Program Manager, you will oversee and coordinate different related projects to ensure they benefit one another and meet business goals. The Cleveland Clinic supports compliance to all standards to promote safety and provide quality of care. There are resources available at the clinic to help the accreditations professional develop skills to assess all standards. The Accreditations Professionals meet regularly to address standards as an Enterprise and to support each other by participating in mock surveys. The Accreditations Professionals have access to AMP tracers to utilize as a tool to assess and trend compliance.

The Future Caregiver is someone who: 

• Has High-level management and leadership skills. 

• Can schedule and manage tasks effectively. 

• Can bring teams together to evaluate compliance with JC standards

• Has written and verbal communication skills. 

• Has a passion for quality and safety in healthcare.

• Has organizational and multitasking skills. 

This is a rewarding opportunity that offers growth-oriented projects, mentorship, support, and resources. You will experience great exposure to both the institute and department leadership and have numerous opportunities for career growth in different administrative and project/program management. 

 

Join a team of over 1,100 caregivers in their meaningful work and embark on your journey of accomplishment. Marymount Hospital has a rich history of providing its caregivers with opportunities for development, growth and career advancement in addition to exceptional benefits. Come build a rewarding, lifelong career at a diverse and welcoming hospital where caregivers recognize, support and celebrate one another.

Responsibilities:

  • Develops, manages and maintains 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).
  • Acts as the primary resource for staff to facilitate overall operations of programs.
  • Acts as a consultant to departments/institutes for all aspects of TJC and other regulatory agencies.
  • Educates and disseminates accurate information to clinical and nonclinical departments pertaining to certifications and standard interpretations.
  • Participates in preparation and support of onsite survey activities.
  • Collaborates with all departments within the Quality and Patient Safety Institute to ensure safe high quality care.
  • Develops and manages varied projects. Participates in committees and meetings.
  • Other duties as assigned.

Education:

  • Bachelor's Degree in Nursing, Healthcare Administration, Business, Engineering or related field required.
  • Master’s Degree Preferred

Certifications:

  • Healthcare Accreditation Certification Program (HACP) or Certified Joint Commission Professional (CJCP) certifications will be required within 2 years of hire.

Complexity of Work:

  • Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
  • Must be able to work in a stressful environment and take appropriate action.
  • Demonstrated knowledge in principles of risk management, quality and performance improvement methods.

Work Experience:

  • Minimum five years of related experience with Quality Management, Risk Management/Patient Safety and Performance Improvement program or related healthcare experience..
  • Working knowledge of accreditation and regulatory standards

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.

#LI-LF1

Keywords: Accreditation, Accreditation Professional, Patient Safety, Quality Management, Risk Management

Pay Range

Minimum hourly: $30.41

Maximum hourly: $46.38

The pay range displayed on this job posting reflects the anticipated range for new hires. While the pay range is displayed as an hourly rate, Cleveland Clinic recruiters will clarify whether the compensation is hourly or salary. A successful candidate’s actual compensation will be determined after taking factors into consideration such as the candidate’s work history, experience, skill set, and education. This is not inclusive of the value of Cleveland Clinic’s benefits package, which includes among other benefits, healthcare/dental/vision and retirement.

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 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

Contact a recruiter

Nneka

Apply Today!

Contact a recruiter

Nneka