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Under the direction of the Accreditation Program Manager and in collaboration with department members and key stakeholders, the Accreditation Program Specialist assists the Director and Manager with the regulatory compliance program for assigned areas. These areas may include any of the Jefferson center city hospitals, surgical centers and/or hospital-based physician practices. The duties include, but are not limited to, assisting with the completion of survey applications, survey preparation activities, on-site surveys, ongoing compliance with all regulations, response to complaints submitted to regulatory bodies, developing corrective action plans and recommended improvements, decreasing duplicative and non-productive efforts, and working to ensure compliance with The Joint Commission (TJC), CARF, the Department of Health of the Commonwealth of Pennsylvania, and other regulatory bodies and requirements that may present themselves from time to time. |
Essential Functions
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Jefferson includes Thomas Jefferson University and Jefferson Health, a dynamic university and health system with broad reach across the Delaware Valley. Jefferson is the second largest employer in Philadelphia and the largest health system in Philadelphia based on total licensed beds.
Through the merger of Thomas Jefferson University and Philadelphia University in 2017, our University includes ten colleges and four schools. We are an NCAA Division II university and an R2 national doctoral university offering undergraduate and graduate-level programs that provide students with a forward-thinking education in architecture, business, design, engineering, fashion and textiles, health, medicine and social science.
Jefferson Health, the clinical arm of Thomas Jefferson University, has grown from a three-hospital academic health center in 2015, to an 18-hospital health system through mergers and combinations that include hospitals at Abington Health, Aria Health, Kennedy Health, Magee Rehabilitation and Einstein Healthcare Network. We have over 50 outpatient and urgent care centers; ten Magnetreg;-designated hospitals (recognized by the ANCC for nursing excellence); the NCI-designated Sidney Kimmel Cancer Center (one of only 70 in the country and one of only two in the region); and one of the largest faculty-based telehealth networks in the country. In 2021, Jefferson Health became the sole owner of HealthPartners Plan, a not-for-profit health maintenance organization in Southeastern Pennsylvania. We are the first health system regionally to create an aligned payer-provider partnership.
Jeffersonrsquo;s mission, vision and values create an organization that attracts the best and the brightest students, faculty, staff, and healthcare professionals, as well as the most visionary leaders to drive exceptional results.
- OUR MISSION: We improve lives.
- OUR VISION: Reimagining health, education and discovery to create unparalleled value
- OUR VALUES: Put People First, Be Bold amp; Think Differently and Do the Right Thing
As an employer, Jeffersonmaintains a commitment to provide equal access to employment. Jefferson values diversity and encourages applications from women, members of minority groups, LGBTQ individuals, disabled individuals, and veterans.
Education: |
Associatersquo;s degree required. Bachelorrsquo;s Degree strongly preferred. |
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Experience: |
Must have at least 2 years of experience in hospital operations with some knowledge and experience working with accreditation and regulatory affairs. This may include working in an administrative role. |
As an employer, the Jefferson Enterprise maintains a commitment to provide equal access to employment. Jefferson values diversity and encourages applications from women, members of minority groups, LGBTQ individuals, disabled individuals, and veterans.