Regional Manager Accreditation Regulatory

                    

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

                        

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

                                    

Job Title

Regional Manager Accreditation Regulatory

                        

Location

Weston

                    

Facility

Florida Weston Hospital

                     

Department

CRP Quality Assessment-Clinical and Operational Improvement

                      

Job Code

T99282

                     

Shift

Days

                       

Schedule

8:00am-5:00pm

                       

Job Summary

                         

Job Details

Join Cleveland Clinic Weston Hospital’s team of caregivers that remain on the leading edge of technology and education, all while consistently providing patient-centered healthcare. As part of Cleveland Clinic’s Florida region, Weston Hospital is recognized as one of the top hospitals in the Miami-Fort Lauderdale and Florida regions. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world.   

As a Regional Manager of Accreditation and Regulatory, you will lead and coordinate accreditation and regulatory readiness efforts across multiple hospitals and care locations within your assigned region. In this pivotal role, you’ll ensure effective processes are in place to evaluate regulatory compliance, sustain continual survey readiness and advance the delivery of high-quality care. You’ll monitor regulatory outcomes, identify opportunities for improvement and drive initiatives that strengthen organizational performance while maintaining full compliance with federal, state and local standards. Through strong documentation, oversight and collaboration, you will help each location uphold a robust and reliable accreditation and regulatory program.

A caregiver in this position works 8:00am to 5:00pm or 7:30am to 4:30pm. No weekend or holidays are required.

A caregiver who excels in this role will:

• Provide consultation and direction to ensure programs and services are implemented at the highest standards and patients receive the highest level of care consistent with regulatory standards.
• Facilitate regulatory compliance by facilitating teams, evaluating practices, assisting in development of new processes and monitoring variances throughout the system.
• Assist in ensuring that daily hospital operations are conducted in accordance with hospital and departmental policies and procedures, safety guidelines, federal, state and local laws and regulations.
• Facilitate professional development and provide coaching to accreditation regulatory team members.

• Partner with stakeholders and ensures that accreditation and the local hospital leadership teams are effective.
• Assist in preparations for Joint Commission surveys.
• Assist to formulate a response to survey activity findings and to quality of care/clinical inquiries from regulatory agencies.
• Ensure accreditation rounding data is trended and made available for review.
• Ensure coordination of survey preparation activities and serves as a liaison with regulatory agencies.
• Ensure all required corrective actions are collected, and reported to appropriate regulatory bodies, as required.
• Ensure staff development, counseling, performance evaluations, and hiring of positions for all direct reporting areas.
• Develop and maintain policies and procedures for areas of responsibility.
• Ensure results of regulatory compliance activities are integrated.
• Facilitate, support, and organize accreditation teams and provides staff support services to such teams.
• Remain current concerning industry-wide, clinical care best practices and evaluates for implementation.
• Educate Governing Board and administrative staff concerning current trends in accreditation and regulatory standards.
• Maintain and regularly update accreditation/regulatory review plans and strategies.
• Work with appropriate education staff to ensure that education activities reflect recommendations formulated by regulatory readiness work teams.
• Develop and track productivity standards for all direct reports.
• Ensure education of regulatory standards and compliance by all direct report departments.

Minimum qualifications f