Manager Hospital Accreditation and Licensure

Northern California Minutes from Berkeley, San Jose, Palo Alto, Sacramento and Stockton CA

Our client is a multi facility medical center in CA. They are part of one of the largest, most successful and decorated health systems in the United States. It offers both community based and tertiary medical services. Their location has over 400 licensed beds is a not-for-profit and fully accredited by the Joint Commission on Accreditation of Healthcare Organizations. They have received special recognition for quality by the Joint Commission this year and won a Consumer Choice award for hospitals from the National Research Council.

They have an opening for a Manager of Accreditation and Licensure to help their new leadership take the department to the next level. The Manager of Accreditation & Licensure is responsible and accountable to develop and coordinate components of the Memorial Medical Center's Performance Improvement (PI) Program and ensure the hospital is in compliance with the Joint Commission accreditation standards, state and federal regulations and other identified standards. The responsibility/accountability includes resource management, regulatory compliance and participation in quality improvement activities. To facilitate improvement activities utilizing PI methodologies, and to serve as a resource to assist and train others on performance improvement methodologies and evidence-based patient safety and quality initiatives. To coordinate activities related to licensing and accreditation compliance and continuous survey readiness. The position provides guidance, team facilitation and training and support for performance improvement and special projects within the organization. Act as the primary point of contact for affiliates' survey readiness improvement needs and facilitates communications appropriately.

Qualifications:

Minimum Requirements:

• Bachelor's degree in a healthcare related field.
• A minimum of 3 years recent experience in healthcare outcomes and performance improvement initiatives and/or experience in licensing/accreditation compliance and survey preparation.
• Experience in leading safety/quality/clinical effectiveness initiatives.
• Must be able to travel in and out of Stanislaus County, including transcontinental travel.

Preferred Requirements:

• Bachelor's degree in nursing (BSN).
• Registered Nurse with a California state licensure upon hire.
• Master's degree in a healthcare related field.
• Certified Professional Healthcare Quality RN (CN-PH QUAL).
• Lean Certified.

Our client offers a VERY aggressive compensation package based on experience and a world class benefit program with the OPPORTUNITY to grow your career as far as your performance will take you in one of the largest systems in the country!

For prompt and confidential consideration, please apply to the link below: Click here to apply online