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Accreditation Specialist

Job ID CPMC-2206495 Date Posted 03/28/2023 Location San Francisco, California Schedule/Shift/Weekly Hours Regular/Days/24


CPMC-California Pacific Med Center Van Ness

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Part Time

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Position Overview:

Works with affiliate leaders and staff, providing leadership, direction and guidance on strategies and methods to maintain continuous readiness for state, federal and accreditation inspections and surveys. Provides facility assessment and education, and program development and implementation. Serves as an on-site consultant and liaison during actual surveys, providing affiliate with meeting notes, survey trends and summary findings.

Job Description:


Bachelor's: Nursing, Business or Healthcare Administration or related field or; equivalent education/experience


8 years experience progressively responsible in healthcare accreditation and licensing, integrated quality services and/or clinical patient care.

8 years experience healthcare delivery in an acute and/or non-acute care setting.

8 years experience working with Centers for Medicare & Medicaid Services (CMS), California Department of Public Health (CDPH), and the Joint Commission (TJC).

8 years experience providing guidance and leadership for accreditation and licensure activities.


Working knowledge of cms, cdph, tjc and institute of medical quality (imq) accreditation standards and licensing requirements.

Working knowledge of healthcare delivery, clinical care coordination, and quality improvement/management methodologies.

Ability to define issues, collect data, establish facts and draw valid conclusions.

Critical thinking and analytical skills with a keen attention to details.

Demonstrates a proactive approach in identifying and addressing issues and concerns.

Ability to influence others by persuasion and problem solving to achieve desired outcome.

Collaboration skills to facilitate open sharing of information and cooperation with various stakeholders.

Displays a customer service focus in all decisions and actions.

Organization skills to effectively manage and/or re-prioritize activities and projects to meet deadlines wihle maintaining a high degree of responsiveness.

Ability to communicate through verbal and written means, and to present information to a variety of audiences.

Ability to interact and maintain effective working relationships with those contacted in the performance of required duties.

Demonstrates respect for cultural and linguistic differences and promotes an inclusive work environment.

Demonstrates initiative in providing feedback/input to improve workflow/processes.

Ability to work effectively in a dynamic and fast-paced environment with changing business priorities.

Ability to maintain and work discreetly with confidential information.

Ability to use essential applications and/or databases associated with the role’s duties and responsibilities.

Pay Range: $52.67-$79.01

The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.



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Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Qualified applicants with arrest and conviction records will be considered for employment. Applicants for specific positions are still required to disclose certain convictions during the application process, and those convictions may also be considered in determining eligibility for employment in accordance with applicable law.

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