Accreditation Program Manager

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 

Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we’re dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/      

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.