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Hospital Accreditation Manager Jobs (NOW HIRING)

Karmanos Cancer Institute

The McLaren system includes 12 hospitals in Michigan, ambulatory surgery centers, imaging centers ... Assists the department administrationin managing system accreditation and survey activities.

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Hospital Accreditation Manager information

What does a hospital accreditation manager do?

A Hospital Accreditation Manager oversees a healthcare facility’s compliance with accreditation standards set by regulatory bodies such as The Joint Commission or other accrediting organizations. They coordinate preparation for surveys, conduct internal audits, and educate staff on best practices to ensure high-quality patient care. Their role is crucial in maintaining accreditation status, which impacts hospital reputation, funding, and ability to operate. They also stay updated on changing regulations and implement necessary policy updates throughout the hospital.

What are some common challenges faced by hospital accreditation managers during the accreditation process?

Hospital Accreditation Managers often face the challenge of aligning diverse departments with complex regulatory standards and ensuring timely documentation. Coordinating multidisciplinary teams to address compliance gaps and prepare for surveys requires strong organizational and communication skills. Additionally, adapting to evolving accreditation standards and maintaining staff engagement throughout the process can be demanding. However, these challenges also present opportunities to foster a culture of continuous improvement within the hospital.

What are the key skills and qualifications needed to thrive as a hospital accreditation manager, and why are they important?

To thrive as a Hospital Accreditation Manager, you need a strong background in healthcare administration, regulatory compliance, and quality management, often supported by a bachelor's or master's degree in a related field. Familiarity with accreditation standards (such as Joint Commission or DNV), quality improvement tools, and data management systems is essential. Exceptional organizational, analytical, and communication skills help in leading audits, training staff, and ensuring ongoing compliance. These competencies are crucial for maintaining hospital accreditation status, improving patient safety, and supporting institutional excellence.

What is the difference between Hospital Accreditation Manager vs Hospital Quality Coordinator?

AspectHospital Accreditation ManagerHospital Quality Coordinator
Required CredentialsBachelor's degree, certifications in healthcare quality or accreditationBachelor's degree, certifications in healthcare quality or patient safety
Work EnvironmentAdministrative offices, hospital management teamsClinical departments, quality improvement teams
Employer & Industry UsageHospitals, healthcare organizations focusing on accreditationHospitals, clinics, healthcare facilities focusing on quality improvement
Common Search & ComparisonYesYes

The Hospital Accreditation Manager primarily oversees hospital compliance with accreditation standards, managing documentation and liaising with accrediting bodies. The Hospital Quality Coordinator focuses on implementing quality improvement initiatives and monitoring patient safety. While both roles require similar credentials and work within healthcare settings, the Accreditation Manager has a broader administrative focus, whereas the Quality Coordinator emphasizes clinical quality projects.

What are popular job titles related to Hospital Accreditation Manager jobs?

For Hospital Accreditation Manager jobs, the most frequently searched job titles are:

Infographic showing various Hospital Accreditation Manager job openings in the United States as of September 2026, with employment types broken down into 87% Full Time, 12% Part Time, and 1% Contract. Highlights an 79% Physical, 2% Hybrid, and 19% Remote job distribution.

Manager, Radiology and Imaging - Silverdale WA

Silverdale, WA • On-site

Kaiser Permanente
Health Care and Social Assistance • 10K+ employees
Learn more about Kaiser Permanenteexternal

$38.75 - $52.75/hr

Other

PTO

Re-posted 29 days ago

Kaiser Permanente rating

8.2

Company rating: 8.2 out of 10

Based on 930 frontline employees who took The Breakroom Quiz

Job description

OPTION OF EITHER $10,000 SIGN-ON BONUS OR $10,000 IN RELOCATION ASSISTANCE AVAILABLE FOR ELIGIBLE EXTERNAL HIRES! EXCITING OPPORTUNITY - MANAGER, RADIOLOGY AND IMAGING - SILVERDALE WAAPPROX. 25 - 28 DIRECT REPORTS - MANAGERIAL EXPERIENCE LEVEL NEEDED FOR THIS ROLE/LOCATION Kaiser Permanente Washington is offering an opportunity that blends purpose, innovation, and community impact-right in the heart of Silverdale. As the Radiology/Imaging Manager, you step into a role where advanced technology meets compassionate care, leading teams who are deeply committed to improving patient outcomes every day. This is a place where your expertise shapes the future of imaging services, your leadership strengthens a collaborative clinical environment, and your work directly supports a mission-driven organization known for redefining what integrated care can be. Job Summary: The Imaging Manager is leadership for a large multidisciplinary department (typically CT, MRI, Nuclear Medicine, Ultrasound, Mammography, X-ray; often Dexa or Fluoroscopy; potentially Interventional and other applicable imaging modalities) with > 35 headcount in a Level III Medical Office Building. The Imaging Manager is responsible for all operations. Greater than 60% of employees will report to the Imaging Manager.
Essential Responsibilities:
  • Manages operations: Responsible for FTE and NPE Budgets, responsible for approving PTO through TORT, responsible for securing backfill through Stafferlink, responsible for approving and/or entering supply orders in OneLink, manages unsigned studies report, manages PACS exceptions, manages unended exams, conducts monthly staff meetings. Cascades regional and departmental messages to employees. Responsible for researching and resolving member concerns. Partners with internal customers (Ambulatory, Pediatrics, ACC, Specialties, Pain Clinic, Orthopedics) to improve workflows/resolve issues.
  • Manages employees: Responsible for 60-75% of departments employees, responsible for total performance reviews.
  • Manages performance in partnership. Responsible for development of employees. Responsible for submitting FMLA for impacted employees. Partners with IDM for impacted employees
  • Manages equipment: Oversees equipment failures. Messages leadership/call center of equipment failures impacting patient care. Manages appropriate documentation of equipment failures.
  • Manages resources/access: Identifies trends in exam/patient needs by monitoring volumes and access reports. Drafts and submits business cases to Director and drafts and submits capital cases.

Basic Qualifications:Experience
  • Minimum five (5) years of experience as a radiologic technologist, sonographer/ultrasound technologist, mammographer, or nuclear medicine technologist.
  • Minimum three (3) years of experience as a radiology supervisor (having had direct reports, responsible for annual reviews, responsible for hiring and terminating employees).
Education
  • Graduate of an accredited diagnostic imaging program or Bachelors Degree or four (4) years of experience in a directly related field.
  • High School Diploma or General Education Development (GED) required.
License, Certification, Registration
  • Nuclear Medicine Technologist Certificate (Washington) OR Registered Diagnostic Medical Sonographer Certificate OR Radiologic Technologist Certification OR Nuclear Medicine Technologist Certificate from Nuclear Medicine Technology Certification Board
Additional Requirements:
  • Work experience demonstrating knowledge of hospital regulatory requirements, hospital accreditation and imaging accreditations, managed care and health care delivery systems.
  • Demonstrated ability to recruit, mentor, develop and engage staff, monitor performance standards, deliver results, and hold staff accountable.
  • Demonstrated ability to manage multiple tasks simultaneously.
  • Able to prioritize and effectively anticipate and respond to issues as they arise.
  • Effective communication, collaboration and change management skills.
  • Financial management skills.
Preferred Qualifications:
  • Medical Office Buildings may be open 24 hours a day and/or 7 days per week.
  • Employees call in to their manager 2 hours before the beginning of shift requiring managers to be available by phone currently as early as 5a.m. Evening shift & overnight shift can call into on call supervisor/manager beginning at 5p.m.
  • Managers are required to participate in on call rotation. The frequency is determined by the number of managers in therotation. The rotation requires 24 hrs/7 days per week regionwide support.
  • Computer Skills; Microsoft Office.
  • Registration in multiple disciplines.
  • Masters Degree or six (6) years of experience in a directly related field.

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