Accreditation Manager

Apply Now

Company: Jefferson Health System

Location: Philadelphia, PA 19120

Description:

Primary Function:

  • The Accreditation Manager manages program and institutional accreditation functions and processes related to accredited residency/fellowship training programs sponsored by the Einstein Healthcare Network. The functions and processes include but are not limited to: implementing ACGME, CODA, and CPME accreditation requirements; overseeing required accreditation activities; developing and implementing annual program and institutional quality and process review activities; developing and implementing corrective action plans related to accreditation; preparation of accreditation applications and inspections for new programs; managing web-based Accreditation Systems; maintaining continuous accreditation inspection readiness; preparing the GME programs and institution for regularly scheduled and periodically scheduled accreditation inspections; ensuring compliance with CMS finance reporting systems and monitoring of program compliance with Einstein Academic Affairs and accrediting entities' policies.
  • The Accreditation Manager educates the GME leadership team and program coordinators on current and emerging accreditation standards and supervises accreditation workflow for all GME Administrators and Program Coordinators.
  • During the period between program application and new coordinator onboarding, the Accreditation Manager will serve as the named program coordinator and fulfill the responsibilities of the program coordinator needed to support the program. The Accreditation Manager will also, when assigned, serve as a program coordinator when necessary.
  • The Accreditation Manager will serve as an Ex-officio member and Recording Secretary of the Graduate Medical Education Committee. Responsible for Agenda preparation and minutes.
  • The Accreditation Manager will serve as New Innovations Administrator and is responsible for implementing accreditation standards within this IT system across the network .


Qualifications

  • Bachelors' degree required, Master's in healthcare area desired.
  • Must have a minimum of 4 years' experience as an ACGME program coordinator or institutional GME administrator with accreditation responsibility required.
  • TAGME Certification strongly preferred or obtained within 12 months of hire
  • Excellent organizational and administrative abilities. He/she must also exhibit excellent communication and interpersonal skills.
  • Ability to handle confidential information with good judgment in respect to highly sensitive nature of material related to program, residents, and GME Professional Staff.
  • Must have management skills, the ability to gather data, compile information, analyze data, and prepare reports.
  • Utilize project management tools and techniques including Microsoft Office applications to move high volume work in timely manner. Must have the ability to communicate with clinicians and technical staff, and to provide consultative guidance and direction on accreditation as it relates to policy, compliance, IT systems, and OAA processes


Par Reference Code

100404

Similar Jobs