Manager Accreditation

July 11, 2023
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Job Description

Yuma Regional Medical Center

Yuma, Arizona, Summary: As the Accreditation Manager, you will be responsible for ensuring that the organization maintains compliance with industry standards and regulations. Your primary focus will be overseeing the accreditation process, coordinating audits, and implementing necessary improvements to ensure ongoing compliance. The ideal candidate will possess strong analytical abilities, excellent communication skills, and a working knowledge of accreditation processes. Responsibilities: Manage Accreditation Process: Oversee all aspects of the accreditation process, including initial applications, ongoing compliance, and renewal procedures. Compliance Monitoring: Assists in development of policies, procedures, and systems to monitor and ensure adherence to accreditation requirements. Audit Coordination: Plan, coordinate, and facilitate internal and external audits to assess compliance with accreditation standards. Documentation Management: Maintain accurate and up-to-date records of all accreditation-related documents, ensuring accessibility and availability for audits. Process Improvement: Identify areas for improvement in policies, procedures, and practices to enhance compliance and streamline accreditation processes. Training and Education: Provide guidance and training to employees regarding accreditation standards, requirements, and best practices. Communication and Collaboration: Serve as the primary point of contact for accreditation-related inquiries, communicating with internal teams, external auditors, and regulatory bodies as needed.

Stay Current on Industry Standards: Stay informed about changes in accreditation regulations and industry best practices, ensuring ongoing compliance and recommending necessary adjustments. Reporting: Prepare regular reports and updates on accreditation status, performance metrics, and improvement initiatives for management and regulatory bodies Manages and directly supervises the activities of the Document Control Associate position; including evaluating performance, interviewing for personnel selection, providing guidance, support, and constructive feedback to team members and other team members as appropriate. Other duties as assigned. Minimum Requirements: Bachelor’s degree in a relevant field (Healthcare Administration, Business Administration, Clinical Specialty) Minimum Experience Required: Minimum of 2 years of experience in accreditation management, or other quality specialty (patient safety, process improvement, or project management) in a healthcare or finance setting Exceptional written and verbal communication skills, with the ability to convey complex information clearly and effectively. Strong interpersonal skills and the ability to work collaboratively with cross-functional teams. Preferred Education: Master’s degree Relevant certification in accreditation or healthcare quality Work Schedule : 8-hours, Days, Monday through Friday Physical Requirements and working conditions for this position will be provided to you upon interview.

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