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Boca Raton, FL

Posted: 02/27/2025 Employment Type: Direct Hire Industry: Healthcare Job Number: 12244

Job Description

Hospital Accreditation Manager CPHQ

The Manager of Regulatory Compliance is responsible for administration and oversight of all activities concerning the achievement of continuous regulatory, accreditation readiness, and quality excellence.
Hospital accreditation standards are a set of rigorous requirements that healthcare organizations must meet to demonstrate their commitment to providing high-quality, safe patient care. These standards are established by independent organizations, such as The Joint Commission, and serve as a framework for evaluating and improving hospital performance.
Key Features of Hospital Accreditation Standards:

Evidence-Based:

Standards are based on research, best practices, and clinical guidelines to ensure they reflect current healthcare knowledge.

Comprehensive:

They cover a wide range of areas, including patient safety, quality improvement, infection control, medication management, and leadership and governance.

Measurable:

Standards are specific and quantifiable, allowing hospitals to track their progress and identify areas for improvement.

Periodic Review:

Standards are regularly updated to reflect changes in healthcare and technology.

Third-Party Evaluation:

Accredited organizations undergo independent on-site surveys by trained surveyors who assess their compliance with the standards.
Examples of Hospital Accreditation Organizations and Their Standards:

The Joint Commission: National Hospital Accreditation Standards
American Hospital Association (AHA): Conditions of Participation for Medicare and Medicaid
National Accreditation Board for Hospitals (NABH): NABH Accreditation Standards

Benefits of Hospital Accreditation:

Improved Quality of Care:

Meeting accreditation standards helps hospitals focus on patient safety and quality improvement.

Enhanced Patient Confidence:

Accreditation demonstrates that a hospital is committed to providing reliable and safe care.

Regulatory Compliance:

Accreditation may be required by government agencies for hospitals to receive Medicare and Medicaid funding.

Competitive Advantage:

Accredited hospitals may attract more patients and healthcare professionals.
In conclusion, hospital accreditation standards provide a framework for healthcare organizations to improve their performance and ensure high-quality patient care. They are based on evidence, comprehensive, measurable, and regularly reviewed, making them an essential tool for maintaining and enhancing hospital quality.
The role provides oversight for matters including the Centers for Medicare and Medicaid Services (CMS), The Joint Commission (TJC), and other external agencies for regulatory compliance.

Requirements:

Bachelors Degree
CPHQ Certified
Healthcare Quality background
3 years Acute Care Experience with a Regulatory compliance position
At least 1 year managerial experience in accreditation
Additional experience preferred in: continuous regulatory, accreditation readiness, and quality excellence.

Schedule: Mon-Fri--On Site
$80-105K
Full Health Benefits, PTO, Matching 401K, Tuition reimbursement, growth opportunity

Send resume to:
Krisha Morander, VP Recruitment
KrishaM@jMorrissey.com

INDI

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For a hiring manager, the recruiting cycle can be daunting you never know what you can expect from a candidate pool. From the beginning, Jake/J. Morrissey has been incredibly professional and helpful. They took the time to understand our department and the type of candidates we wanted to engage and ultimately onboard. I am impressed with the agency s consistency in responsiveness and matching us with candidates with impressive skill sets. I am very happy with the candidates that we ve selected via J. Morrissey and ultimately chose to bring on full-time. Even after candidates are placed, I appreciate that Jake still follows up with me to ensure everything is going smoothly and all stakeholders are happy. Overall, my experience has been outstanding. J. Morrissey makes the staffing process less stressful and more efficient, and I highly recommend their services to anyone seeking professional, capable candidates.

Layla Nayar, Yale University Physics Department:

Absolutely enjoyed my time with J Morrisey. I worked one on one with Ally (a healthcare staffing specialist), and she was nothing less than excellent. I m very appreciative to have been a part of them.

Emily, A temporary associate placed as a medical assistant at a heart and vascular specialty medical office

Katrina was awesome at helping me find a job. She did an excellent job placing me and I am very pleased.

Connie, a temporary associate working as a medical receptionist for a cardiology office in Windham, Connecticut

Amazing company. Truly blessed to have worked with Katrina. Her communication is awesome. The whole staff was great!

A J. Morrissey temporary associate placed as a medical assistant at a primary care office at a large CT health system

It has been such a great experience working with Katrina Lazerow. She has been so attentive to my needs, moves really quickly, and made my transition back into work very pleasurable. I literally have never felt like I was waiting for a response. Thanks so much, Katrina. You have been nothing short of remarkable.

A satisfied J. Morrissey Recruiting and Staffing temporary associate placed in a healthcare environment

It has been a pleasure for me to meet Katrina Lazerow. She’s very diligent in what she does, and very professional. Katrina and J. Morrisey have been of great help to the community in general. I’m very grateful for the support you have given me. I’m happy and satisfied.

Vivian, a J. Morrissey temporary associate currently working with us as a phlebotomist at a healthcare facility in Connecticut

They contacted me immediately after I sent in my application. Katrina who worked with me was awesome and had wonderful communication! She, as well as the rest of the team, was wonderful.

Mike, a J. Morrissey temporary associate placed as a medical receptionist in the cardiology scheduling call center at a Connecticut healthcare medical group

I had the opportunity to work with this company and it was such a pleasure. Everyone is always so kind and helpful and I couldn t be happier. They respond so quickly and are on top of everything.

A temporary associate placed as a medical receptionist working at the front desk of a nationally ranked dental program in Connecticut

I was looking for a job quickly due to an assignment I was working on ending. I applied on indeed for about a week, got a phone call from J. Morrissey within minutes of applying, literally MINUTES! Katrina was amazing every step of the way! She made sure things went smooth with my hiring process, pushed me into my orientation hours before it would start the following morning, and gave me step-by-step directions on how to start my first day! I wasn t unemployed for a full week before I was working again! I HIGHLY RECOMMEND!

Denisha, A J. Morrissey temporary associate who landed a permanent position at a nationally ranked dental program in Connecticut

Thank you, Sue, for always keeping me up-to-date on my timesheets. It was great working with you. Truly, thank you for everything. It was an honor representing J. Morrissey. I have worked for several different agencies in the past, but never as professional as J. Morrissey. I want to also specially thank Jessica for reaching out to me, and offering me the temporary position at my current job. Thank you (J. Morrissey) for giving me the opportunity. Very much appreciated.

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