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The Children's Hospital of Philadelphia Accreditation Manager in Philadelphia, Pennsylvania

BUERGER - Buerger Center Ambulatory Care Req ID: 29051.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp; Shift: Days.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp; Employment Status: AF - Active - Regular - Full Time.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp; JOB SUMMARY.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp; Responsible for the coordination of activities to maintain continual regulatory (CMS, DOH, and Joint Commission).and.nbsp; readiness at CHOP, to include introducing new systems, coordinating surveys, measuring and reporting compliance, conducting mock surveys, and coordinating completion of improvement plans. Collaborates with Director on responding to inquiries and complaints from DOH, CMS and Joint Commission. Manages all accreditation personnel and collaborates with support staff to ensure the smooth operation of the department..and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp; JOB RESPONSIBILITIES.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp; * Manages accreditation staff, policy staff and clinical coordinator (total FTEs 6)..and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp; * Manages activities to maintain continual compliance with Joint Commission, CMS and other clinical standards, by working in partnership with identified operational leaders. Acts as an internal consultant and maintains a working knowledge of changes to regulatory processes, and with key leaders, facilitates and supports the implementation of organizational changes in response to the changes..and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp; * Manages accreditation staff, policy staff and clinical coordinator..and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp; * Manages Joint Commission, Pennsylvania and New Jersey DOH occupancy and complaint surveys and/or unannounced visits. With the designated leaders, develops a plan and coordinates follow up activities from the survey..and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp; REQUIRED LICENSES, CERTIFICATIONS, REGISTRATIONS.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp; None.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp; REQUIRED EDUCATION AND EXPERIENCE.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp; Required Education: Bachelor s Degree.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp; Required Experience:.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp; * At least five (5) years of healthcare accreditation and regulatory experience with direct experience managing related systems and implementing Joint Commission, Department of Health, CMS.and.nbsp; or similar regulatory requirements..and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp; * At least three (3) years.and.nbsp; experience of leading teams using Performance Improvement, Continuous Quality Improvement or Total Quality Management methods..and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp; PREFERRED EDUCATION, EXPERIENCE .and.amp; CERT/LIC.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp; Preferred Education: Master degree.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp; Preferred Licenses/certificates/registrations: Certified Joint Commission Professional CJCP.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp; ADDITIONAL TECHNICAL REQUIREMENTS.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp; * Demonstrated leadership skills in working with teams to achieve the expected results while engendering cooperation, confidence and respect from leaders and staff at all levels of the organization..and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp; * Capable of making significant decisions that will impact on the overall success of the organization, in collaboration with the Director, hospital and medical leadership and with the immediate team..and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp;.and.nbsp; * D

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