Join our Talent Network
Skip to main content

*Important Notice:

Thank you for your continued interest in career opportunities with UNC Health! Please note the following:

  • Positions are only open current UNC Health employees.
  • Please be sure to have your employee ID number and UNC Health email address available.

Current UNC Health employees, please log-in to Employee Self Service to view open jobs and apply. We invite all current UNC Health employees to fill out their Talent Profile. From Employee Self Service, as an Employee user, go to My Profile, then Talent Profile. Create your Credentials, Education and Employment History to complete your Talent Profile. Your Talent Profile can be used for current and future job applications.

Need further assistance? Please submit a request through the myHR Portal.

*Please note: The Discovery Employee Referral Program is temporarily unavailable. Due to the recent switch in our HR and application systems, our HR team is working hard towards implementing a new and improved, mobile friendly Employee Referral solution. More details are to come soon! Thank you for your patience.

Manager Accreditation

This job posting is no longer active.

Job ID: 2199
Location: Chapel Hill, NC
Facility/Division: UNC Medical Center
Status: Full Time
Shift: Day Job

Job Description

Description

Become part of an inclusive organization with over 30,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:
This position is responsible for accreditation and regulatory compliance preparation activities for UNC Medical Center in Chapel Hill. The Accreditation Manager coordinates multi-disciplinary team participation in Joint Commission, state and federal surveys. The position also provides technical assistance to stakeholders on matters pertaining to the application of Joint Commission standards, CMS regulations and North Carolina Division of Health Service Regulation requirements.


Responsibilities:
1. Accreditation Knowledge- Maintains extensive knowledge of the most current accreditation standards and related state and federal regulations.
2. Investigations- Coordinates investigations and responses to complaints received from The Joint Commission. Participates in root cause analysis review of sentinel events. Assists with development and monitoring of corrective action plans.
3. Regulatory Standards- Provides guidance on the interpretation and application of Joint Commission standards, state and federal regulations for the organization's stakeholders. Prepares policies and educational materials required for accreditation and regulatory compliance.
4. Survey Management - Effectively manages Joint commission, CMS and Division of Health Services Regulation (DHSR) surveys. Prepares and coordinates written responses and follow-up.
5. Survey Readiness and Ongoing Compliance- Ensures organizational readiness and ongoing compliance with standards and regulations across UNC Medical Center. Leads activities designed to monitor and improve compliance with standards, including focused tracers, mock surveys and educational sessions.


Other Information

Other information:
Education Requirements:
● Bachelor's degree in Nursing (BSN) or related field.
Licensure/Certification Requirements:
● No licensure or certification required.
Professional Experience Requirements:
● Four (4) years of experience in administration or patient care in a hospital setting.
Knowledge/Skills/and Abilities Requirements:
● Position requires strong written and verbal communication skills. Experience with Microsoft Office and electronic medical record systems desired.


Job Details

Legal Employer:STATE

Entity: UNC Medical Center

Organization Unit: Risk Management 

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Schedule: Day Job

Location of Job: US:NC:Chapel Hill

Exempt From Overtime: Exempt: Yes



This is a State position employed by UNC Health Care System.
Share: mail
Recent Job Searches
Recently Viewed Jobs

Diversity Statement

The UNC Health System and the UNC School of Medicine are committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our patients, are essential to fulfilling our UNC Health vision of improving the health of all North Carolinians.

Equal Employment Opportunity

UNC Health is an equal opportunity employer. As such, UNC Health offers equal employment opportunities to applicants and employees without regard to race, color, religion, sex, national origin, age, genetic information, disability, sexual orientation, gender identity or political affiliation.

To verify employment eligibility, UNC Health is committed to Form I-9 and the E-Verify process. Learn further E-Verify details in English or Spanish.

UNC Health supports your right to work. View the Right to Work Statement in English or Spanish.