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Manager Accreditation and Licensure

Company: WellStar Health System
Location: Marietta
Posted on: June 2, 2021

Job Description:


How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.


Wellstar Kennestone Hospital


As one of the Top 100 hospitals, Wellstar Kennestone offers the most advanced care available for all your surgical, medical, rehabilitative and emergency care needs. In addition to a highly qualified team of physicians, nurses and clinical staff, we offer the very latest in technology and diagnostic imaging capabilities. We also know every person is unique, and make sure your treatment is individualized for you. Designated Level I Emergency Cardiac Care Center and  Joint Commission Comprehensive Stroke Center.


Wellstar Kennestone Hospital has an exciting opportunity for a Manager Accreditation and Licensure.


Under the leadership of the Director of Quality and Safety this leader is an expert on The Joint Commission (TJC), CMS and other pertinent accreditation standards and must be able to independently lead all accreditation and licensure efforts.


The leader is also responsible for continuous survey readiness including establishing mechanisms for proactive identification and correction of regulatory issues for hospital, outpatient departments, home care, and hospice (as applicable). In addition, this role develops and delivers educational training and coaching to facilitate the understanding of accreditation standards and requirements.


Full-Time Days


Required Minimum Education

  • Bachelor’s Degree required. (Nursing or healthcare-related field required)

Preferred Minimum Education

  • MBA or Master’s Degree in healthcare-related field preferred

Required Minimum Experience

  • Two (2) experience in healthcare, nursing or clinical practice
  • Two (2) years of experience with hospital accreditation and licensure programs (e.g. The Joint Commission, CMS) required.


Required Minimum Certification

  • Certified Joint Commission Professional (CJCP) preferred or CJCP certification required within 24 months from date of hire.


Required Minimum Skills

  • Proven ability to analyze, interpret, and display data; strong attention to detail; meticulous accuracy and thoroughness.
  • Superior organizational and interpersonal skills with ability to work independently as well as with a team.
  • Demonstrated excellence in interpersonal and written communication skills required. High degree of professionalism, discretion, and confidentiality.
  • Strong computer skills, including but not limited to Microsoft Office and accreditation software. Proficiency in problem solving and negotiating teams to reach consensus. Ability to build relationships and foster communication among stakeholders in clinical and non-clinical settings.

We’d like to invite you on a career journey like no other! In return for your contributions, we’ll help you make the most of all life’s moments – on and off the job. Wellstar Total Rewards is designed to provide for your total well-being, including: Your Wellness, Your Pay, Your Future, Your Joy.  We think it’s pretty simple – we care for our team members and our team members care for the community.

Make a difference in patients’ lives… and your own! Here, it’s more than healthcare – it’s CareerCare!

Keywords: WellStar Health System, Marietta , Manager Accreditation and Licensure, Other , Marietta, Georgia

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