Program Manager Accreditation - Cancer Center

Cleveland Clinic

22h • Onsite

About The Position

Join Cleveland Clinic’s Main Campus where research and surgery are advanced, technology is leading-edge, patient care is world class and caregivers are family. Here, you will work alongside a passionate and dedicated team, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. The Accreditation Program Manager leads and coordinates all hospital accreditation activities, ensuring continuous survey readiness and compliance with regulatory standards. This role partners closely with senior leadership, physicians, nurses, and interdisciplinary teams to promote a culture of quality, safety, and continuous improvement. The ideal candidate is highly organized, adept at managing multiple priorities, and experienced in accreditation standards, quality processes, and regulatory requirements. Strong communication skills are essential, including the ability to present complex information to diverse audiences. The role also requires analytical expertise, including the ability to analyze data, develop dashboards, and identify trends to support performance improvement. A caregiver in this position works 8:00am—4:00pm.

Requirements

• Bachelor’s Degree in Nursing, Healthcare Administration, Business, engineering or a related field
• 5 years of experience with quality management, risk management/patient safety and performance improvement programs or related healthcare experience OR Associate’s Degree and 7 years of experience OR Master’s Degree and 4 years of experience
• Healthcare Accreditation Certification Program (HACP) or Certified Joint Commission Professional (CJCP) Certifications (within two years of hire)
• Demonstrated knowledge in principles of risk management, quality and performance improvement methods
• Working knowledge of accreditation and regulatory standards

Nice To Haves

• Master’s Degree

Responsibilities

• Develop, manage and maintain programs designed to ensure Cleveland Clinic compliance with accreditation and regulatory standards, including The Joint Commission (TJC), Ohio Department of Health (ODH) and Center for Medicare and Medicaid Services (CMS).
• Act as the primary resource for caregivers to facilitate overall operations of programs.
• Act as a consultant to departments/institutes for all aspects of TJC and other regulatory agencies.
• Educate and disseminate accurate information to clinical and nonclinical departments pertaining to certifications and standard interpretations.
• Participate in the preparation and support of onsite survey activities.
• Collaborate with all departments within the Quality and Patient Safety Institute to ensure safe high-quality care.
• Develop and manage varied projects.
• Participate in committees and meetings.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level