Manager Accreditation

Karmanos Cancer Institute; Grand Blanc, Northern (MI, KY); Hybrid; USD 70,000 - 100,000; Full time

Job summary

Karmanos Cancer Institute, part of McLaren Health Care, seeks a regulatory accreditation leader to ensure ongoing survey readiness across the facility and affiliated sites.

You will develop systems, educate staff, monitor compliance, and coordinate mock surveys, including leadership of the command center during surveys.

Required: associate degree in nursing, business or related field and 1 year healthcare regulatory experience; preferred: bachelor's degree and 1 year of management experience.

Qualifications

• Requires associate degree and 1 year of healthcare regulatory experience.
• Bachelor's degree and 1 year of management experience preferred.

Responsibilities

• Oversee regulatory and accreditation compliance with local, state, and federal agencies.
• Design systems to maintain continual survey readiness across the facility and sites.
• Lead education and monitoring of departments to support regulatory compliance and survey readiness.

Skills

Regulatory compliance

Education

Associate Degree in nursing, business or related field

Bachelor's degree in nursing, business or related field

Job description

McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $7.3 billion, fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 12 hospitals in Michigan, ambulatory surgery centers, imaging centers, a 640-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 732,838 lives in Michigan and Indiana, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer centers. McLaren has 20,000 full-, part-time and contracted employees and more than 113,000 network providers throughout Michigan, Indiana and Ohio.

Responsible foroverall accountability for the assigned facility’s accreditation and regulatoryrequirements including active involvement with all survey activity. Leads facility and associated on andoff-campus site activities to achieve a constant state of surveyreadiness. Develops ongoing educationand monitoring of all departments in support of regulatory compliance. Attends appropriate meetings for disseminationof information and consultative input. Serves as assigned on quality committeesand participates, chairs and oversees performance improvement activities withinthe accreditation and regulatory arenas. Assists the department administrationin managing system accreditation and survey activities.

Essential Functions and Responsibilities:

• Provides direction and oversight forregulatory and accreditation compliance including all local, state, and federalagencies.
• Develops systems to ensure continualorganizational readiness.
• Functionsas a resource and educator to support management, medical and hospital staff onaccreditation and other applicable regulatory requirements to the assignedfacility
• Oversees,within scope of accountability, the regulatory agencies database and inputsdata for the application process and monitors the data input for citationclearance. Collaborates with applicablereimbursement team members to ensure regulatory and cost reports/filingsare consistent.
• Participatesand/or coordinates in unannounced regulatory agency surveys including mocksurveys. Designs, implements and takesleadership as directed of the command center during any survey activity.
• Routinely monitors corrective measuresto ensure ongoing compliance.

Qualifications:

Required:

• Associate Degree in nursing, business or related field
• One year of healthcare regulatory experience

Preferred:

Bachelors degree in nursing, business or related field

1 year of management experience

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

Additional Information

• Schedule: Full-time
• Requisition ID: 26010327
• Daily Work Times: 8am - 4:30pm
• On Call: No

McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.