New

Accreditation Manager

Thomas Jefferson University & Jefferson Health
United States, Pennsylvania, Philadelphia
Jan 20, 2025
Job Details Job Description Job Summary:The Accreditation Manager manages program and institutional accreditation functions and processes related to accredited residency/fellowship training programs sponsored by the Einstein Healthcare Network. The functions and processes include but are not limited to: implementing ACGME, CODA, and CPME accreditation requirements; overseeing required accreditation activities; developing and implementing annual program and institutional quality and process review activities; developing and implementing corrective action plans related to accreditation; preparation of accreditation applications and inspections for new programs; managing web-based Accreditation Systems; maintaining continuous accreditation inspection readiness; preparing the GME programs and institution for regularly scheduled and periodically scheduled accreditation inspections; ensuring compliance with CMS finance reporting systems and monitoring of program compliance with Einstein Academic Affairs and accrediting entities policies. Responsbilities:The Accreditation Manager educates the GME leadership team and program coordinators on current and emerging accreditation standards and supervises accreditation workflow for all GME Administrators and Program Coordinators.During the period between program application and new coordinator onboarding, the Accreditation Manager will serve as the named program coordinator and fulfill the responsibilities of the program coordinator needed to support the program. The Accreditation Manager will also, when assigned, serve as a program coordinator when necessary.The Accreditation Manager will serve as an Ex-officio member and Recording Secretary of the Graduate Medical Education Committee. Responsible for Agenda preparation and minutes.The Accreditation Manager will serve as New Innovations Administrator and is responsible for implementing accreditation standards within this IT system across the networkManages centralized resident accreditation functions in support of Office of Academic Affairs mission and responsibilities. Centralized accreditation processes including but not limited to education, compliance, and on-boarding for Program Directors and GME Professional StaffMonitors program compliance with Einstein Office of Academic Affairs and accrediting agency policiesGMEC Recording Secretary and Voting Member. Works with Chair and DIO to set agenda and record minutes for GMEC meetings monthlyWorks collaboratively with DIO to prepare all documentation for institutional site visits and coordinates site visit days to include ACGME, ADA, CPME, and CLER site visits. Liaison to Site Visitors for documentation requirements and visits.Management, planning, and implementation of New Innovations Software. Serves as New Innovations IT System Administrator. Creates accreditation compliance standards in NI throughout the network for all programs.Serves as designated program coordinator for new programs during submission of accreditation application to new coordinator hire. Transitions program to new coordinatorDevelops and implements annual program and institutional quality and process review activities.Responsible for all institutional Accreditation reports and surveys:Annual GMEC SurveyACGME Resident and Faculty SurveysAPE SurveysBachelors degree required, Masters in healthcare area desired.Must have a minimum of 4 years experience as an ACGME program coordinator or institutional GME administrator with accreditation responsibility required.TAGME Certification strongly preferred OR obtained within 12 months of hire. Work Shift Rotating (United States of America) Worker Sub Type Regular Primary Location Address 5501 Old York Road, Philadelphia, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.