Program Manager - Accreditation

Posted 2 Days Ago
Be an Early Applicant
Weston, FL, USA
In-Office
Senior level
Healthtech • Biotech
The Role
Manage and develop accreditation and compliance programs to ensure adherence to The Joint Commission, AHCA, and CMS standards. Serve as primary resource and consultant for departments on regulatory matters, provide education, support onsite survey preparation, and collaborate with Quality and Patient Safety teams to maintain safe, high-quality care.
Summary Generated by Built In

                    

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

                        

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

                                    

Job TitleProgram Manager - Accreditation

                        

LocationWeston

                    

FacilityFlorida Weston Hospital

                     

DepartmentCRP Regulatory Compliance-Clinical and Operational Improvement

                      

Job Code000525

                     

ShiftDays

                       

Schedule7:30am-4:30pm

                       

Job Summary

                         

Job Details

Join Cleveland Clinic Weston Hospital’s team of caregivers that remain on the leading edge of technology and education, all while consistently providing patient-centered healthcare. As part of Cleveland Clinic’s Florida region, Weston Hospital is recognized as one of the top hospitals in the Miami-Fort Lauderdale and Florida regions. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world.   

The Program Manager in this role will develop and manage various compliance programs with the Senior Director of Quality. 

A caregiver in this position works 8:00am to 5:00pm with additional potential times from 7:30am to 4:30pm or 7:00am to 4:00pm. No weekends or holidays required.

A caregiver who excels in this role will:  

  • Ensure Cleveland Clinic compliance with accreditation and regulatory standards, including those of: The Joint Commission (TJC), Florida Agency of Healthcare Administration (ACHA) and Center for Medicare and Medicaid Services (CMS). 
  • Act as the primary resource for staff 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 preparation and support of onsite survey activities. 
  • Collaborate with all departments within the Quality and Patient Safety Institute to ensure safe high-quality care. 

Minimum qualifications for the ideal future caregiver include:  

  • Bachelor's degree in healthcare related field.  
  • Five years of experience in healthcare, direct experience leading efforts to prepare for a Joint Commission survey. 
  • Working knowledge of accreditation and regulatory standards. 

Preferred qualifications for the ideal future caregiver include:  

  • Master’s degree. 
  • Clinical background but will consider other experience in the healthcare setting. 
Why You'll Love Working with Us:
  • 403(b) Savings & Investment Plan
  • Investment Pension Plan (IPP) 
  • Tuition Reimbursement
  • Paid Time Off (PTO) 
  • Employee Discounts
  • Dental and Vision Plans 
  • Life Insurance and Disability 

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.

                       

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 drug free environment. All offers of employment are followed by testing for controlled substances.

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. 

If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/

Please review the Equal Employment Opportunity poster

                  

Cleveland Clinic is pleased to be an equal employment opportunity employer.

Skills Required

  • Bachelor's degree in a healthcare-related field
  • Five years of healthcare experience, including leading Joint Commission survey preparation efforts
  • Working knowledge of accreditation and regulatory standards (TJC, AHCA, CMS)
  • Master's degree
  • Clinical background or other healthcare experience

Cleveland Clinic Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Cleveland Clinic and has not been reviewed or approved by Cleveland Clinic.

  • Healthcare Strength Health coverage is described as comprehensive and cost-effective, with broad in-network access and supportive wellness features. Feedback suggests medical, dental, vision, and ancillary services are well-integrated and valuable for families.
  • Retirement Support Retirement offerings include a pension component alongside a matched savings plan, contributing to long-term financial security. Feedback suggests these elements compare favorably to many local options.
  • Parental & Family Support Paid maternity and parental leave are highlighted as stronger than many regional employers. Additional family supports like adoption assistance and education aid further enhance perceived value.

Cleveland Clinic Insights

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The Company
HQ: Cleveland, OH
35,564 Employees
Year Founded: 1921

What We Do

Cleveland Clinic, located in Cleveland, Ohio, is a not-for-profit, multispecialty academic medical center that integrates clinical and hospital care with research and education. Founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation, Cleveland Clinic has become one of the largest and most respected hospitals in the country. Cleveland Clinic facilities can be found throughout Northeast Ohio, as well as around the country and world including: Cleveland Clinic Florida Cleveland Clinic Canada Cleveland Clinic Abu Dhabi Cleveland Clinic Lou Ruvo Center for Brain Health - Las Vegas Cleveland Clinic health system includes eight regional hospitals, 16 family health centers, a children's hospital for rehabilitation and one affiliate hospital. Cleveland Clinic is accredited by The Joint Commission, the nation’s largest accreditor of healthcare organizations. Our family health centers offer: Outpatient care Primary care Numerous subspecialties Numerous locations All of our hospitals, family health centers, outpatient clinics and home healthcare programs are also accredited by The Joint Commission under its hospital accreditation program.

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