Demo

Associate Director, Accreditation

The Ohio State University Wexner Medical Center
Columbus, OH Full Time
POSTED ON 1/25/2025 CLOSED ON 2/23/2025

What are the responsibilities and job description for the Associate Director, Accreditation position at The Ohio State University Wexner Medical Center?

Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr-accessibleapplication@osu.edu. If you have questions while submitting an application, please review these frequently asked questions.

Current Employees And Students

If you are currently employed or enrolled as a student at The Ohio State University, please log in to Workday to use the internal application process.

Welcome To The Ohio State University's Career Site. We Invite You To Apply To Positions Of Interest. In Order To Ensure Your Application Is Complete, You Must Complete The Following

  • Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required.
  • Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application.

Job Title

Associate Director, Accreditation

Department

James | Accreditation and Compliance-Interim

Scope of Position

The Associate Director of Accreditation and Licensing will lead a team of highly skilled and motivated health care professionals. The Associate Director of Accreditation & Licensure will be a certified quality professional and have a strong understanding of Lean practices as well as an expert in rules & regulations. The Associate Director will serve as an expert resource and provide insight to assure compliance with regulatory bodies including JCAHO, state (ODH), and federal guidelines.

This position directs the hospital's operations & activities to comply with all accreditations, regulation, & licensing requirements for all health care sites & services across the continuum. Translates various accrediting, regulatory & licensing agency requirements into action plans to achieve positive survey/audit reviews and implements systems to effectively monitor compliance to standards & to implement new processes to meet new requirements. The Associate Director serves as a professional resource throughout the health system to interpret Joint Commission standards, Ohio Department of Health, Center for Medicare regulations and other accrediting agencies applicable to the hospital and ambulatory environment. In addition to these regulatory bodies, the leader will be involved in the Commission on Cancer, and the accrediting bodies such as the National Accreditation Program for Breast Centers (NAPBC) and other voluntary disease accreditation programs supported by The James.

The scope of regulatory oversight includes all current and planned inpatient hospital beds (~500 future), and all ambulatory sites including The James outpatient care, Stephanie Speilman Comprehensive Breast Center, Martha Morehouse Tower, New Albany, Dublin, Powell, all mammography regional sites, and all future provider-based locations.

Position Summary

The Associate Director of Accreditation and Licensing is responsible for management of departmental operations, evaluation of manager and employee performance, demonstrating customer satisfaction and strategic and operational planning and program development. The Associate Director serves as a leader and mentor both within the department and throughout the medical center. The Associate Director demonstrates knowledge of governmental & other regulatory standards, requirements, & guidelines related to quality improvement, such as The Joint Commission, NCQA, Federal HMO Act, CMS Conditions of Participation, OSHA, FDA, HIPAA & Medical & Medicare regulations & standards. Has a strong working knowledge of ongoing monitoring techniques (including criteria development & statistical analysis); medical care delivery in hospital & outpatient settings; total quality management principles, tools, & techniques. Must have effective communication, negotiation and leadership skills.

Minimum Qualifications

For Hire:

Master's Degree in Nursing or a Healthcare related field or equivalent combination of education and experience. 7 years of relevant experience required. 12 or more years of relevant experience preferred.

Required Qualifications

Master’s degree in health-related field or equivalent combination of education and experience. Clinical background highly desirable.

FUNCTION: Health Care Administration

SUB-FUNCTION: Accreditation

CAREER BAND: Managerial

CAREER LEVEL: M3

Additional Information

#Accreditation #Accreditation Officer #Compliance #Audit

Location:

Ackerman Rd, 660 (0242)

Position Type

Regular

Scheduled Hours

40

Shift

First Shift

Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.

Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions.

The Ohio State University is an equal opportunity employer.

All qualified applicants will receive consideration for employment without regard to age, ancestry, color, disability, ethnicity, gender identity or expression, genetic information, HIV/AIDS status, military status, national origin, race, religion, sex, gender, sexual orientation, pregnancy, protected veteran status, or any other basis under the law.

Applicants are encouraged to complete and submit the Equal Employment Identification form.
Cybersecurity Certification and Accreditation Analyst
Credence company -
Columbus, OH
Accreditation Senior Officer
Ohio State University Wexner Medical Center -
Columbus, OH
Surgical Neurophysiologist - Generous sign on bonus
SpecialtyCare Associate Referral Program -
Columbus, OH

If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

What is the career path for a Associate Director, Accreditation?

Sign up to receive alerts about other jobs on the Associate Director, Accreditation career path by checking the boxes next to the positions that interest you.
Income Estimation: 
$115,593 - $148,606
Income Estimation: 
$137,817 - $198,939
Income Estimation: 
$115,593 - $148,606
Income Estimation: 
$137,817 - $198,939
Income Estimation: 
$176,359 - $246,541
Income Estimation: 
$242,066 - $328,520
Income Estimation: 
$212,419 - $307,933
Income Estimation: 
$190,069 - $273,730
Income Estimation: 
$94,513 - $153,877
Income Estimation: 
$115,593 - $148,606
This job has expired.
View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

Job openings at The Ohio State University Wexner Medical Center

The Ohio State University Wexner Medical Center
Hired Organization Address Columbus, OH Full Time
The Ohio State University Wexner Medical Center is continuing to expand, providing world-class medical care to our diver...
The Ohio State University Wexner Medical Center
Hired Organization Address Columbus, OH Full Time
The Ohio State University College of Medicine and the Wexner Medical Center seek a Vice-Chair of Clinical Operations to ...
The Ohio State University Wexner Medical Center
Hired Organization Address Columbus, OH Full Time
The Ohio State University Wexner Medical Center is continuing to expand, providing world-class medical care to our diver...
The Ohio State University Wexner Medical Center
Hired Organization Address Columbus, OH Intern
Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr-accessiblea...

Not the job you're looking for? Here are some other Associate Director, Accreditation jobs in the Columbus, OH area that may be a better fit.

Associate Director, Accreditation

Ohio State University Wexner Medical Center, Columbus, OH

AI Assistant is available now!

Feel free to start your new journey!