Accreditation & Licensure Manager, Home Health & Hospice - Sutter Health
Concord, CA
About the Job
We are so glad you are interested in joining Sutter Health!
Organization:
SCAH-Sutter Care at Home - Bay
Position Overview:
Responsible and accountable to develop and coordinate components of performance improvement programs and ensure entity is in compliance with accreditation standards, state and federal regulations and other identified standards. The responsibility/accountability includes resource management, regulatory compliance and participation in quality improvement activities. To facilitate improvement activities, and to serve as a resource to assist and train others on performance improvement methodologies and evidence-based patient safety and quality initiatives. To coordinate activities related to licensing and accreditation compliance and continuous survey readiness. The position provides guidance, team facilitation, training & support for performance improvement and special projects within the organization. Act as the primary point of contact for entities’ survey readiness improvement needs and facilitates communications.
Job Description :
EDUCATION :
+ Bachelor's: Management, public health, nursing, business administration, organizational leadership or related field
CERTIFICATION & LICENSURE:
+ Valid California Drivers License
+ Proof of Valid Auto Insurance
TYPICAL EXPERIENCE:
+ 8 years recent relevant experience
+ Travel Required
SKILLS AND KNOWLEDGE:
+ Operations, leadership, critical thinking, analysis, teaching, facilitation, coaching, mentoring and project management skills required. Knowledge of population health management practices, policy, programs, initiatives and functions.
+ Ability to train staff in various quality improvement and performance improvement methodologies.
+ Exemplary written and oral communication skills; to include presentations and comprehensive analysis reporting on performance improvement issues.
+ Ability to partner and collaborate with physician leadership and work effectively with providers and physician site leadership. Ability to analyze problems, to reach practical conclusions, and institute effective changes.
+ Ability to evaluate the performance of staff, identify behavior and performance problems, and staff development needs, and take appropriate actions as necessary.
+ Advanced computer skills in Microsoft Office: [Word, Excel, Outlook and PowerPoint] EPIC, Midas. Ability to implement department policies and procedures and ensure adherence.
+ Must have organizational skills and the ability to balance numerous priorities at the same time, be detail-oriented, self-directed and able to work with minimal supervision.
+ Customer service skills.
+ Ability to compile, organize, summarize, prepare in text or graphic form and proofread extensive spreadsheets and data from a variety of sources. Ability to write executive summaries.
+ Must be able to deal appropriately with confidential and sensitive information and to demonstrate diplomacy, tact and a high level of professionalism.
+ Organizational skills, ability to work on multiple projects under multiple deadlines; must be highly energetic, and able to embrace challenges and change. must be a team player and work well with a variety of people in all levels of the organization.
+ Experience leading safety/quality/clinical effectiveness initiatives with high level of independence.
+ Experience in successfully facilitating collaborative, cross-functional projects, including the ability to define program project or process objective, identify stakeholders and their interests, plan steps, coordinate and allocate human, technological, and fiscal resources to accomplish goals and objectives in a resourceful and timely manner.
+ An in-depth knowledge of regulations and guidelines for governing areas of responsibility.
Job Shift:
Days
Schedule:
Full Time
Days of the Week:
Monday - Friday
Weekend Requirements:
None
Benefits:
Yes
Unions:
No
Position Status:
Exempt
Weekly Hours:
40
Employee Status:
Regular
Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines.
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $61.63 to $92.45 / hour
_The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package._
Organization:
SCAH-Sutter Care at Home - Bay
Position Overview:
Responsible and accountable to develop and coordinate components of performance improvement programs and ensure entity is in compliance with accreditation standards, state and federal regulations and other identified standards. The responsibility/accountability includes resource management, regulatory compliance and participation in quality improvement activities. To facilitate improvement activities, and to serve as a resource to assist and train others on performance improvement methodologies and evidence-based patient safety and quality initiatives. To coordinate activities related to licensing and accreditation compliance and continuous survey readiness. The position provides guidance, team facilitation, training & support for performance improvement and special projects within the organization. Act as the primary point of contact for entities’ survey readiness improvement needs and facilitates communications.
Job Description :
EDUCATION :
+ Bachelor's: Management, public health, nursing, business administration, organizational leadership or related field
CERTIFICATION & LICENSURE:
+ Valid California Drivers License
+ Proof of Valid Auto Insurance
TYPICAL EXPERIENCE:
+ 8 years recent relevant experience
+ Travel Required
SKILLS AND KNOWLEDGE:
+ Operations, leadership, critical thinking, analysis, teaching, facilitation, coaching, mentoring and project management skills required. Knowledge of population health management practices, policy, programs, initiatives and functions.
+ Ability to train staff in various quality improvement and performance improvement methodologies.
+ Exemplary written and oral communication skills; to include presentations and comprehensive analysis reporting on performance improvement issues.
+ Ability to partner and collaborate with physician leadership and work effectively with providers and physician site leadership. Ability to analyze problems, to reach practical conclusions, and institute effective changes.
+ Ability to evaluate the performance of staff, identify behavior and performance problems, and staff development needs, and take appropriate actions as necessary.
+ Advanced computer skills in Microsoft Office: [Word, Excel, Outlook and PowerPoint] EPIC, Midas. Ability to implement department policies and procedures and ensure adherence.
+ Must have organizational skills and the ability to balance numerous priorities at the same time, be detail-oriented, self-directed and able to work with minimal supervision.
+ Customer service skills.
+ Ability to compile, organize, summarize, prepare in text or graphic form and proofread extensive spreadsheets and data from a variety of sources. Ability to write executive summaries.
+ Must be able to deal appropriately with confidential and sensitive information and to demonstrate diplomacy, tact and a high level of professionalism.
+ Organizational skills, ability to work on multiple projects under multiple deadlines; must be highly energetic, and able to embrace challenges and change. must be a team player and work well with a variety of people in all levels of the organization.
+ Experience leading safety/quality/clinical effectiveness initiatives with high level of independence.
+ Experience in successfully facilitating collaborative, cross-functional projects, including the ability to define program project or process objective, identify stakeholders and their interests, plan steps, coordinate and allocate human, technological, and fiscal resources to accomplish goals and objectives in a resourceful and timely manner.
+ An in-depth knowledge of regulations and guidelines for governing areas of responsibility.
Job Shift:
Days
Schedule:
Full Time
Days of the Week:
Monday - Friday
Weekend Requirements:
None
Benefits:
Yes
Unions:
No
Position Status:
Exempt
Weekly Hours:
40
Employee Status:
Regular
Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines.
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $61.63 to $92.45 / hour
_The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package._
Source : Sutter Health