Posted Date 3 weeks ago(11/29/2018 5:21 PM)
    Requisition ID
    # of Openings
    Location Name
    Baptist Hospital
    Category (Portal Searching)
    Position Type
    Day Shift
    Schedule Details
    M-F, 8a-5p
  • Overview

    The Accreditation Manager oversees compliance with all regulatory standards.   This includes education, planning, and conducting systematic, ongoing individual patient tracers as well as formal and informal system/ process audits in order to assess and provide feedback, education and consultation regarding CMS and other Accreditation/Certification standards compliance to all entities within the organization. The Accreditation Manager facilitates the planning, achievement, and maintenance of a continuous state of survey readiness within the organization. The Accreditation Manager also oversees the duties of the Accreditation Consultant(s).


    The person in this position works under general supervision, is responsible for various shifts, may be subject to over 40 hours per week and/or callback as required, and may also be required to remain on campus immediately before, during, and after severe weather and/or disasters.  



    • Bachelor’s Degree in Nursing required
    • Minimum of 5 years acute care/ clinical nursing experience.
    • Minimum of 2 years in supervisory role within acute care setting.
    • Current Florida RN license required
    • Certification in Nursing Specialty or Healthcare Quality a plus.
    • Experience/ knowledge of Process Improvement fundamentals, CMS and NIAHO standards, healthcare quality required. Supervisory experience required.
    • Competent in use of Excel, Word, PowerPoint
    • Demonstrated ability to communicate effectively and facilitate process improvements
    • Demonstrated ability to teach 1:1 and in small groups.
    • Knowledge of organization’s policies, procedures and practices a plus.


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