Program Manager Accreditation - #603910

Cleveland Clinic


Date: 11/25/2021 20:00 PM

City: Sugarcreek, Ohio

Contract type: Part Time

Work schedule: Full Day

The Program Manager Accreditation coordinates the hospital accreditation activities throughout the hospital. Ensures the continuous readiness for surveys of the hospital and affiliated organizations including off-site facilities. Works in conjunction with senior leadership to target interventions to improve a culture of continuous patient readiness

Position Requirements




  • Develops, manages, and maintains programs designed to ensure Cleveland Clinic compliance with accreditation and regulatory standards, including those of: The Joint Commission (TJC), Ohio Department of Health (ODH), and Center for Medicare and Medicaid Services (CMS)
  • Acts as the primary resource for staff to facilitate overall operations of programs.
  • Acts as a consultant to departments/institutes for all aspects of TJC and other regulatory agencies.
  • Other duties as assigned.

Essential Functions




  • Educates and disseminates accurate information to clinical and nonclinical departments pertaining to certifications and standard interpretations
  • Participates in preparation and support of onsite survey activities.
  • Collaborates with all departments within the Quality and Patient Safety Institute to ensure safe high quality care.
  • Develops and manages varied projects.
  • Participates in committees and meetings

Physical Demands




  • Requires critical thinking skills, decisive judgement, and the ability to work with minimal supervision.
  • Must be able to work in a stressful environment and take appropriate action.
  • Demonstrated knowledge in principles of risk management, quality, and performance improvement methods
  • Manual dexterity to operate office equipment.
  • Ability to lift and transport up to 15lbs.
  • Requires extended periods of standing, walking, and sitting.
  • Normal or corrected vision and hearing.

Educational, Licensure, & Experience Requirements




  • Bachelor’s Degree in Nursing, Healthcare Administration, Business, Engineering, or related field required.
  • Master’s Degree preferred.
  • Healthcare Accreditation Certification Program (HACP) or Certified Joint Commission Professional (CJCP) certifications will be required within 2 years of hire.
  • Minimum 5 years of related experience with Quality Management, Risk Management/Patient Safety and Performance Improvement program or related healthcare experience
  • Working knowledge of accreditation and regulatory standards.

Keywords: PM, Project Manager, Program Coordinator, Implementation Manager, Portfolio Manager, Process Improvement, Project Lead, Project Coordinator, Implementation Specialist, Continuous Improvement



The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our employees and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. Job offers will be rescinded for candidates for employment who test positive for nicotine. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after 90 days.



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.



Please review the Equal Employment Opportunity poster



Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities

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