Job Description

All the benefits and perks you need for you and your family:

• Benefits from Day One
• Paid Days Off from Day OneCareer Development
• Whole Person Wellbeing Resources
• Mental Health Resources and Support

Our promise to you:

Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full Time - *This position requires travel to sites in our market

Shift : Day

Location: 50 HOSPITAL DRIVE, Hendersonville, 28792

The community you'll be caring for: AdventHealth Hendersonville

The role you'll contribute:

The Quality and Accreditation Manager works collaboratively with all department leaders to ensure continuous readiness and compliance with all accrediting bodies and regulatory agencies, across the organization. This includes Joint Commission standards and CMS Conditions of Participation.

The value you'll bring to the team:

• Responsible for investigating reports of serious events involving actual or potential injury to patients or visitors to assess liability and probability of legal action.
• This position conducts proactive and reactive safety analyses, including root cause analysis and failure mode and effect analysis to develop a process and plan for change that can be constantly monitored and evaluated for effectiveness.
• Additionally, this role works collaboratively with all department leaders to ensure continuous readiness and compliance with all accrediting bodies and regulatory agencies across the organization.
• In addition, this position ensures adherence to Joint Commission standards and CMS Conditions of Participation. Contributes to the overall improvement of patient safety and regulatory compliance within the organization.

Qualifications

The expertise and experience you'll need to succeed:

• Masters of Science in Nursing, Healthcare Administration, Healthcare Policy, or a related field Required
• 3 years of experience in one or more of the following fields: patient care, public policy, health care administration, business administration, quality improvement, safety systems, legal support or insurance claims investigation and settlement required Preferred:
• 3 years of healthcare accreditation or risk management experience Preferred
• Certified Professional in Healthcare Risk Management (CPHRM) Preferred
• Strong Microsoft excel skills

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Category: Risk Management

Organization: AdventHealth Hendersonville

Schedule: Full-time

Shift: 1 - Day

Req ID: 25036017

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.

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