Illinois Bone & Joint Institute
ASC Accreditations & Quality Manager
Illinois Bone & Joint Institute, Chicago, Illinois, United States, 60290
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ASC Accreditations & Quality Manager
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Illinois Bone & Joint Institute . 2 days ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Description
ASC Ventures is currently seeking an ASC Accreditations & Quality Manager to oversee those aspects for our ambulatory surgery centers (ASCs). Summary
The ASC Accreditations & Quality Manager will ensure our ambulatory surgery centers meet the required standards of quality and safety, work in collaboration with site Administrators to implement standards from accreditation bodies including The Joint Commission, Accreditation Association for Ambulatory Health Care (AAAHC), and support Administrators in maintaining facility standards in accordance with all regulatory requirements and accreditation standards. This position will develop quality dashboards for both internal and external customers. The ASC Accreditations & Quality Manager will sit on MEC and quality committees for all of IBJI’s ASCs. Additional Responsibilities
Staying up to date on the latest standards and requirements from accreditation bodies including The Joint Commission and AAAHC. Lead the preparation process for accreditation surveys, ensuring the facility is ready to demonstrate compliance with standards. Maintain accurate records of policies, procedures and other documentation required for accreditation. Provide education and training to staff on accreditation standards and requirements. Serve as the point of contact for communication with accreditation bodies. Develop, implement, and oversee quality improvement programs to ensure the highest quality patient care. Collect, analyze, and interpret data from various sources (e.g., patient records, feedback, risk assessments) to identify areas for improvement. Prepare reports on quality improvement activities and organizational performance. Ensure adherence to regulatory standards (state, federal, and accreditation bodies like JCAHO), staying updated on changes and adapting practices accordingly. Identify and evaluate existing processes, develop recommendations to address concerns, and implement new initiatives to enhance patient safety and quality of care. Design and execute training programs for staff on quality improvement and risk management protocols. Work collaboratively with various departments, including nursing, physicians, and administrative teams, to establish facility-wide goals and promote quality improvement initiatives. Perform reviews of clinical care practices. Analyze patient feedback and healthcare facility records. Conduct risk assessments. Implement and promote new healthcare initiatives. Train staff in improved care protocols. Requirements
The ideal candidate will have proven progressive leadership experience in an ASC setting, possess expert-level knowledge of the accreditation standards, management of a multidisciplinary clinical team, and understanding of nursing practice and working with surgeon customers. Bachelors' degree in one of the health professions, business administration, public administration, or other suitable years of experience commensurate with management and operations of a surgery facility. BSN preferred. Certifications like Certified Professional in Healthcare Quality (CPHQ) are highly valued. Experience with national healthcare databases such as NSQIP, ASC QC, Leapfrog, etc. required. Experience in both Joint Commission and AAAHC standards. Minimum 10 years experience in the healthcare field. Experience in HST’s EMR. In-depth understanding of healthcare quality improvement tools, techniques, and methodologies. Knowledge of healthcare regulations and standards. Base salary offers for this position may vary based on factors such as location, skills and relevant experience. We offer the following benefits to those who are benefit eligible (30+ hours a week): medical, dental, vision, life and AD&D insurance, long and short term disability, 401k program with company match and profit sharing, wellness program, health savings accounts, flexible savings accounts, ID protection plan and accident, critical illness and hospital benefits. In addition, we offer paid holidays and paid time off. Salary Description: $120K-$140K/annually based on experience Seniority level
Director Employment type
Full-time Job function
Quality Assurance Industries: Hospitals and Health Care Referrals increase your chances of interviewing at Illinois Bone & Joint Institute by 2x. Sign in to set job alerts for “Quality Assurance Manager” roles.
Greater Chicago Area $130,000.00-$155,000.00 3 days ago
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ASC Accreditations & Quality Manager
role at
Illinois Bone & Joint Institute . 2 days ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Description
ASC Ventures is currently seeking an ASC Accreditations & Quality Manager to oversee those aspects for our ambulatory surgery centers (ASCs). Summary
The ASC Accreditations & Quality Manager will ensure our ambulatory surgery centers meet the required standards of quality and safety, work in collaboration with site Administrators to implement standards from accreditation bodies including The Joint Commission, Accreditation Association for Ambulatory Health Care (AAAHC), and support Administrators in maintaining facility standards in accordance with all regulatory requirements and accreditation standards. This position will develop quality dashboards for both internal and external customers. The ASC Accreditations & Quality Manager will sit on MEC and quality committees for all of IBJI’s ASCs. Additional Responsibilities
Staying up to date on the latest standards and requirements from accreditation bodies including The Joint Commission and AAAHC. Lead the preparation process for accreditation surveys, ensuring the facility is ready to demonstrate compliance with standards. Maintain accurate records of policies, procedures and other documentation required for accreditation. Provide education and training to staff on accreditation standards and requirements. Serve as the point of contact for communication with accreditation bodies. Develop, implement, and oversee quality improvement programs to ensure the highest quality patient care. Collect, analyze, and interpret data from various sources (e.g., patient records, feedback, risk assessments) to identify areas for improvement. Prepare reports on quality improvement activities and organizational performance. Ensure adherence to regulatory standards (state, federal, and accreditation bodies like JCAHO), staying updated on changes and adapting practices accordingly. Identify and evaluate existing processes, develop recommendations to address concerns, and implement new initiatives to enhance patient safety and quality of care. Design and execute training programs for staff on quality improvement and risk management protocols. Work collaboratively with various departments, including nursing, physicians, and administrative teams, to establish facility-wide goals and promote quality improvement initiatives. Perform reviews of clinical care practices. Analyze patient feedback and healthcare facility records. Conduct risk assessments. Implement and promote new healthcare initiatives. Train staff in improved care protocols. Requirements
The ideal candidate will have proven progressive leadership experience in an ASC setting, possess expert-level knowledge of the accreditation standards, management of a multidisciplinary clinical team, and understanding of nursing practice and working with surgeon customers. Bachelors' degree in one of the health professions, business administration, public administration, or other suitable years of experience commensurate with management and operations of a surgery facility. BSN preferred. Certifications like Certified Professional in Healthcare Quality (CPHQ) are highly valued. Experience with national healthcare databases such as NSQIP, ASC QC, Leapfrog, etc. required. Experience in both Joint Commission and AAAHC standards. Minimum 10 years experience in the healthcare field. Experience in HST’s EMR. In-depth understanding of healthcare quality improvement tools, techniques, and methodologies. Knowledge of healthcare regulations and standards. Base salary offers for this position may vary based on factors such as location, skills and relevant experience. We offer the following benefits to those who are benefit eligible (30+ hours a week): medical, dental, vision, life and AD&D insurance, long and short term disability, 401k program with company match and profit sharing, wellness program, health savings accounts, flexible savings accounts, ID protection plan and accident, critical illness and hospital benefits. In addition, we offer paid holidays and paid time off. Salary Description: $120K-$140K/annually based on experience Seniority level
Director Employment type
Full-time Job function
Quality Assurance Industries: Hospitals and Health Care Referrals increase your chances of interviewing at Illinois Bone & Joint Institute by 2x. Sign in to set job alerts for “Quality Assurance Manager” roles.
Greater Chicago Area $130,000.00-$155,000.00 3 days ago
#J-18808-Ljbffr