Program Manager, Regulatory Surveys and Accreditation

Methodist Hospital is looking to hire a Program Manager, Regulatory Surveys and Accreditation to join our Quality Patient Safety team!  Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day. 

Position Summary:

This role is responsible for leading and coordinating all Park Nicollet Methodist Hospital (PNMH) regulatory and accreditation activities related to the Centers for Medicare & Medicaid Services Conditions of Participation, The Joint Commission (TJC) survey, and hospital-based specialty accreditations. This includes continuous readiness activities, and for supporting and managing regulatory survey activities when they occur for all Methodist Hospital affiliated entities, including Methodist Hospital, Melrose Institute, and Methodist Hospital homecare, hospice, home infusion, and DME. This position will lead and facilitate all survey visits by accrediting and regulatory agencies according to the PNMH survey process protocol, including but not limited to The Joint Commission, Minnesota Department of Health, Centers for Medicare & Medicaid Services, National Government Services, and other regulators. This position supports PNMH’s commitment to high reliability and patient safety through proactive regulatory related risk reduction strategies. 

Work Schedule:

• Monday – Friday 
• Primarily daytime hours with occasional flexibility needed

Required Qualifications:

• Bachelor’s Degree in related discipline.
• 5 or more years of experience related to leading or supporting TJC or other significant accreditation processes and regulatory surveys.
• Operates personal computer utilizing spreadsheet and word processing applications.

Preferred Qualifications:

• BSN or other advanced degree in a clinical specialty
• Compliance work experience in a healthcare setting and demonstrated experience regularly interacting with other healthcare regulatory agencies.

Benefits:

Park Nicollet offers a competitive benefits package (for eligible positions) that includes medical insurance, dental insurance, a retirement program, time away from work, insurance options, tuition reimbursement, an employee assistance program, onsite clinic and much more!

At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you’ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.
We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.
At HealthPartners, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.
Join us and become a partner for good, helping to improve the health and well-being of our patients, members and the communities we serve.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.