Provides direction and oversight to regulations/accreditation compliance including but not limited to: TJC, DNV, State and Federal agencies (CMS) for hospital/system. Develops and monitors the org ...
Provides direction and oversight to regulations/accreditation compliance including but not limited to: TJC, DNV, State and Federal agencies (CMS) for hospital/system. Develops and monitors the org ...
Provides direction and oversight to regulations/accreditation compliance including but not limited to: TJC, DNV, State and Federal agencies (CMS) for hospital/system. • Develops and monitors the ...
Provides direction and oversight to regulations/accreditation compliance including but not limited to: TJC, DNV, State and Federal agencies (CMS) for hospital/system. • Develops and monitors the ...
Quality/Accreditation Spec II Department Ambulatory Nursing One Ford Place 1 Ford Place Detroit MI 48202 Work Schedule Full-Time (40 Hours Per Week) Monday - Friday, 8:00 AM - 5:00 PM. GENERAL ...
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Quality/Accreditation Spec II Department Ambulatory Nursing One Ford Place 1 Ford Place Detroit MI 48202 Work Schedule Full-Time (40 Hours Per Week) Monday - Friday, 8:00 AM - 5:00 PM. GENERAL ...
Coordinates complex initiatives and facilitates multidisciplinary teams in support of Quality, Safety, Risk Management, Accreditation, Experience of Care, and Infection Prevention (QSRAEI) priorities.
Coordinates complex initiatives and facilitates multidisciplinary teams in support of Quality, Safety, Risk Management, Accreditation, Experience of Care, and Infection Prevention (QSRAEI) priorities.
NCQA Project/Program Manager
Detroit, MI · On-site
The ideal candidate brings strong experience in NCQA accreditation and credentialing oversight. What You'll Do * Serve as the organizational lead for NCQA Credentialing and Recredentialing (CR ...
NCQA Project/Program Manager
Detroit, MI · On-site
The ideal candidate brings strong experience in NCQA accreditation and credentialing oversight. What You'll Do * Serve as the organizational lead for NCQA Credentialing and Recredentialing (CR ...
The Coordinator provides leadership in program compliance, candidate advising, accreditation support, data management, and continuous program improvement. This position serves as the primary ...
The Coordinator provides leadership in program compliance, candidate advising, accreditation support, data management, and continuous program improvement. This position serves as the primary ...
The Coordinator provides leadership in program compliance, candidate advising, accreditation support, data management, and continuous program improvement. This position serves as the primary ...
Quick apply
The Coordinator provides leadership in program compliance, candidate advising, accreditation support, data management, and continuous program improvement. This position serves as the primary ...
Ensures compliance with Accreditation Council for Graduate Medical Education program guidelines and ensures program objectives are met, while identifying gaps and making recommendations for program ...
Ensures compliance with Accreditation Council for Graduate Medical Education program guidelines and ensures program objectives are met, while identifying gaps and making recommendations for program ...
COMPLIANCE AUDITOR, HEALTH SERVICES
Baldwin, MI · On-site
$75K/yr
This position assists management to ensure that compliance and accreditation standards set by the organization, client, or other outside parties are verified within the necessary established ...
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COMPLIANCE AUDITOR, HEALTH SERVICES
Baldwin, MI · On-site
$75K/yr
This position assists management to ensure that compliance and accreditation standards set by the organization, client, or other outside parties are verified within the necessary established ...
This position assists management to ensure that compliance and accreditation standards set by the organization, client, or other outside parties are verified within the necessary established ...
Quick apply
This position assists management to ensure that compliance and accreditation standards set by the organization, client, or other outside parties are verified within the necessary established ...
Ensures compliance with Accreditation Council for Graduate Medical Education program guidelines and ensures program objectives are met, while identifying gaps and making recommendations for program ...
Ensures compliance with Accreditation Council for Graduate Medical Education program guidelines and ensures program objectives are met, while identifying gaps and making recommendations for program ...
COMPLIANCE AUDITOR, HEALTH SERVICES
Baldwin, MI · On-site
$75K/yr
This position assists management to ensure that compliance and accreditation standards set by the organization, client, or other outside parties are verified within the necessary established ...
COMPLIANCE AUDITOR, HEALTH SERVICES
Baldwin, MI · On-site
$75K/yr
This position assists management to ensure that compliance and accreditation standards set by the organization, client, or other outside parties are verified within the necessary established ...
Audit and Accreditation Support organizational leadership in maintaining organizational readiness for audits, monitoring activities, and accreditation reviews. * Develop and implement a system for ...
Audit and Accreditation Support organizational leadership in maintaining organizational readiness for audits, monitoring activities, and accreditation reviews. * Develop and implement a system for ...
Director of Quality, Compliance & Risk Management
Southfield, MI · On-site
$120 - $180/hr
Audit and Accreditation Support organizational leadership in maintaining organizational readiness for audits, monitoring activities, and accreditation reviews. * Develop and implement a system for ...
Director of Quality, Compliance & Risk Management
Southfield, MI · On-site
$120 - $180/hr
Audit and Accreditation Support organizational leadership in maintaining organizational readiness for audits, monitoring activities, and accreditation reviews. * Develop and implement a system for ...
Bachelor's degree in engineering in a program accredited by the Engineering Accreditation Commission of the Accreditation Board for Engineering and Technology (ABET) OR * Bachelor's degree in ...
Bachelor's degree in engineering in a program accredited by the Engineering Accreditation Commission of the Accreditation Board for Engineering and Technology (ABET) OR * Bachelor's degree in ...
Specialty Pharmacist
Coldwater, MI · On-site
$55.25 - $66.25/hr
Participates in activities supporting specialty pharmacy accreditation and ongoing compliance with applicable accreditation standards. Responsible for providing direct supervision of supportive ...
Specialty Pharmacist
Coldwater, MI · On-site
$55.25 - $66.25/hr
Participates in activities supporting specialty pharmacy accreditation and ongoing compliance with applicable accreditation standards. Responsible for providing direct supervision of supportive ...
Provides accreditation administrative oversight and updates to program leadership. Serves as a member of the GME review team, completing review activities, as necessary. Supports development and ...
Provides accreditation administrative oversight and updates to program leadership. Serves as a member of the GME review team, completing review activities, as necessary. Supports development and ...
Specialty Pharmacist
Coldwater, MI · On-site
$55.25 - $66.25/hr
Participates in activities supporting specialty pharmacy accreditation and ongoing compliance with applicable accreditation standards. Responsible for providing direct supervision of supportive ...
Specialty Pharmacist
Coldwater, MI · On-site
$55.25 - $66.25/hr
Participates in activities supporting specialty pharmacy accreditation and ongoing compliance with applicable accreditation standards. Responsible for providing direct supervision of supportive ...
Executive Director Legacy Aviation Learning Cener
Traverse City, MI · On-site
$110 - $130/hr
We are building enrollment, pursuing institutional accreditation, and developing the governance and infrastructure to serve students sustainably for the long term. The Opportunity We are seeking an ...
Executive Director Legacy Aviation Learning Cener
Traverse City, MI · On-site
$110 - $130/hr
We are building enrollment, pursuing institutional accreditation, and developing the governance and infrastructure to serve students sustainably for the long term. The Opportunity We are seeking an ...
Reviews credentialing reports and provider files to ensure compliance with Medical Staff Bylaws, Rules and Regulations, accreditation standards, and organizational policies. Identifies incomplete or ...
Reviews credentialing reports and provider files to ensure compliance with Medical Staff Bylaws, Rules and Regulations, accreditation standards, and organizational policies. Identifies incomplete or ...
Accreditation information
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2% of jobs
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How much do accreditation jobs pay per hour?
What is an accreditation?
An Accreditation job involves managing and overseeing the process of ensuring that an organization, program, or institution meets specific standards set by accrediting bodies. Professionals in this role coordinate evaluations, maintain compliance documentation, and facilitate audits or assessments. They may also work with internal teams to implement improvements and ensure ongoing adherence to accreditation requirements.
What are the typical responsibilities of someone working in accreditation?
Professionals in Accreditation are responsible for ensuring their organization meets industry-specific standards and regulatory requirements through regular assessments, audits, and documentation reviews. This often involves preparing for and coordinating external site visits, compiling evidence of compliance, and implementing quality improvement initiatives. Collaborating with various departments, such as clinical teams or administrative staff, is common to address gaps and maintain continuous readiness. These responsibilities support the organization's ability to provide high-quality services and maintain its licensure or certification status.
What are the key skills and qualifications needed to thrive in the accreditation position, and why are they important?
To thrive in an Accreditation role, you need a solid understanding of regulatory standards, quality assurance practices, and experience with documentation audits, often supported by a bachelor's degree in a relevant field. Familiarity with accreditation management software, quality improvement tools, and knowledge of standards from organizations like The Joint Commission or ISO is typically required. Strong attention to detail, effective communication, and organizational skills help set candidates apart. These abilities are vital for ensuring compliance, maintaining organizational credibility, and facilitating continuous improvement processes.
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Full-time
Re-posted 29 days ago
Henry Ford Health rating
6.9
Based on 573 frontline employees who took The Breakroom Quiz
454th of 898 rated healthcare providers
Job description
GENERAL SUMMARY:
Under limited direction, plans, organizes and maintains a process to ensure organizational compliance with regulatory standards and continuous survey readiness. Serves as an internal consultant for the interpretation of standards and functional measurement of compliance. Develops performance improvement plans with management/staff on an as needed basis. Interprets new regulations for education purposes and implementation efforts.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
In collaboration with corporate and business unit leadership: Provides direction and oversight to regulations/accreditation compliance including but not limited to: TJC, DNV, State and Federal agencies (CMS) for hospital/system.
Develops and monitors the org. infrastructure necessary to assure ongoing compliance with standards/regulations.
Functions as a consultant, resource, educator to support the leadership team. -Develops/implements an ongoing readiness plan to achieve continuous readiness/compliance
Reviews and/or develops Policies/Procedures assuring compliance with regs. -Manages associates and activities to ensure continuous operation and delivery of services
Serves as a technical resource and assists in resolution of complex problems when necessary.
Coordinates agency specific accreditation requirements (TJC/DNV)
Assists depts.. in resolution of deficiencies by providing strategies that successfully meet the intent of the standards.
Provides leadership/direction for on-site surveys and unannounced visits -Provides routine reports to the quality committee; other committees regarding problem-prone areas, action plans, etc.
Continuous learner regarding accreditation standards, Fed, state, local laws, regulations, compliance program, code of conduct as well as other p/p's in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.
Develops and provides formal and informal education to all members of the health care team and support staff, to support continuous regulatory readiness and safe practices; shares best practices.
Demonstrate knowledge and understanding of the science of process improvement and provide formal and informal consultation to all members of the health care team and support staff, external customers (including students), and administrative staff in process improvement methodologies, performance measurement, sustain and spread methodologies. (PDCA; FMEA; etc)
Direct, facilitate and coordinate the design and implementation of business unit, regional and system wide clinical quality and patient safety initiatives, programs and projects; provide project management support to clinical improvement initiatives.
Possess strong analytical skills/problem solving techniques for conceptualizing, interpreting, developing, and implementing effective systems and processes.
Demonstrate innovation and forward thinking skills to promote positive outcomes.
Conducts self in a professional manner demonstrating leadership skills at all times/remains calm under pressure/stressful situations
Demonstrates excellent communication, discretion, and interpersonal skills for frequent contacts with internal customers and external stakeholders to persuade and negotiate results. Must possess strong teaching and counseling skills and the ability to inspire and build confidence in others to garner support.
Demonstrate effective leadership skills; acts as an ambassador of the organization with external agencies.
Demonstrates the ability to communicate, manage knowledge, mitigate error, and support decision making using information technology
EDUCATION/EXPERIENCE REQUIRED:
Bachelor's degree in Nursing or healthcare related field required , Master's degree in health care field preferred; RN preferred
Minimum 5 years hospital experience required; clinical/operational experience preferred
Demonstrated knowledge of TJC, DNV, CMS Conditions of Participation required and familiarity with other accrediting, licensing and regulatory standards desirable.
Evidence of continuing education in standards/regulations/training
QI/PI Team member, lead or facilitator 1 - 3 years required
Scope: Broad Business unit/multidisciplinary team experience (working with several departments, and//or "deep" experience within one service line, value stream, etc)
Experience presenting to departmental, product line, and business unit leadership
Knowledge of current healthcare issues and trends.
Must meet or exceed core customer service responsibilities, standards and behaviors as outlined in the HFHS' Customer Service Policy
Must practice the customer skills as provided through on-going training and in-services.
PHYSICAL DEMANDS/WORKING CONDITIONS:
Normal office environment with minimal exposure to noise, dust, or extreme temperatures.
What Henry Ford Health employees say
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About Henry Ford Health
Sourced by ZipRecruiter
Henry Ford Health provides a full continuum of services from Primary and Preventative care, to Complex and Cpecialty care, Health Insurance, a full suite of home health offerings, Virtual care, Pharmacy, Eye care and other Healthcare retail. It is one of the Nation’s leading Academic Medical Centers, recognized for Clinical excellence in Cancer care, Cardiology and Cardiovascular Surgery, Neurology and Neurosurgery, Orthopedics and Sports medicine, and Multi organ transplants. Consistently ranked among the top five NIH funded institutions in Michigan, Henry Ford Health engages in more than 2,000 research projects annually. Equally committed to educating the next generation of Health Professionals, Henry Ford Health trains more than 4,000 Medical students, Residents and fellows every year across 50+ accredited programs. With more than 33,000 valued team members, Henry Ford Health is also among Michigan’s largest and most Diverse employers, including nearly 6,000 physicians and researchers from the Henry Ford Medical Group, Henry Ford Physician Network and Jackson Health Network.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Detroit, MI, US
Year founded
1915