Manager, Accreditation & ISO, Piedmont Macon/Piedmont Macon North

Description

JOB PURPOSE:

Responsible for leading and driving safety and quality performance improvement initiatives and action

plans primarily related to hospital accreditation and ISO certification as identified by the internal audit

process, accreditation survey results and /or determined by Quality, Safety and Service (QSS)

Committee. Manages continuous survey readiness for assigned Piedmont entities accredited by DNV.

Promotes a culture of continuous improvement through use of Lean methodology, coaching, tools, data

analysis, reliability, sustainability and spread. Responsible for educating staff and physicians on

accreditation survey process, ISO and regulatory standard related information. Manages and supports a

portfolio of strategic projects using the performance improvement mode. Ensures all performance

improvement activities are in compliance with regulatory and accreditation bodies.

Qualifications

MINIMUM EDUCATION REQUIRED:

Bachelors Degree or graduate from a recognized accredited school of nursing.

Minimum Experience Required

Five years previous hospital experience in healthcare, information management or quality services.

Previous Leadership Experience Required. Experience In Healthcare Accreditation Required.

MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:

None

Additional Qualifications

Current RN license preferred

Additional Preferred Qualifications

Experience with accreditation and regulatory agency requirements (CMS. DHR, OSHA etc.)

Healthcare Quality Certification (CPHQ) And/or ISO 9001 Experience Preferred

Lean, QPI preferred