Manager Accreditation

Position Summary:

Responsible for overall accountability for the assigned facility’s accreditation and regulatory requirements including active involvement with all survey activity. Leads facility and associated on and off-campus site activities to achieve a constant state of survey readiness. Develops ongoing education and monitoring of all departments in support of regulatory compliance. Attends appropriate meetings for dissemination of information and consultative input. Serves as assigned on quality committees and participates, chairs and oversees performance improvement activities within the accreditation and regulatory arenas. Assists the department administration in managing system accreditation and survey activities.

Essential Functions and Responsibilities:

• Provides direction and oversight for regulatory and accreditation compliance including all local, state, and federal agencies.
• Develops systems to ensure continual organizational readiness.
• Functions as a resource and educator to support management, medical and hospital staff on accreditation and other applicable regulatory requirements to the assigned facility
• Oversees, within scope of accountability, the regulatory agencies database and inputs data for the application process and monitors the data input for citation clearance. Collaborates with applicable reimbursement team members to ensure regulatory and cost reports/filings are consistent.
• Participates and/or coordinates in unannounced regulatory agency surveys including mock surveys. Designs, implements and takes leadership as directed of the command center during any survey activity.
• Routinely monitors corrective measures to ensure ongoing compliance.

Qualifications:

Required:

• Associate Degree in nursing, business or related field
• One year of healthcare regulatory experience

Preferred:

• Bachelors degree in nursing, business or related field
• 1 year of management experience

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

Additional Information

• Schedule: Full-time
• Requisition ID: 26010327
• Daily Work Times: 8am - 4:30pm
• Hours Per Pay Period: 80
• On Call: No
• Weekends: No

About Us

McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $7.3 billion, fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 12 hospitals in Michigan, ambulatory surgery centers, imaging centers, a 640-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 732,838 lives in Michigan and Indiana, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer centers. McLaren has 20,000 full-, part-time and contracted employees and more than 113,000 network providers throughout Michigan, Indiana and Ohio.