What are the responsibilities and job description for the Manager, Accreditation - Unified Quality position at Wayne UNC Health Care?
Description
Position Title: Accreditation Manager - Unified Quality
Entity: Shared Services
Org Unit: Unified Quality
Location: US: NC: Morrisville
Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.
Job Summary:
The Accreditation Manager is a member of the UNC Health Unified Quality Accreditation team and reports to the System Director of Accreditation. Team members are assigned to support one or more healthcare system sites while contributing to enterprise priorities and may support other sites based on organizational need.
The position advances a consistent system approach to accreditation by helping translate CMS Conditions of Participation, Joint Commission and DNV standards, North Carolina regulatory requirements, and other applicable requirements into reliable daily practice. In partnership with clinical, operational, and quality leaders, the Accreditation Manager strengthens continuous readiness, coordinates surveys, identifies regulatory risks, and supports sustainable corrective action. Operational leaders remain accountable for compliance within their areas; Accreditation provides expertise, tools, monitoring, and escalation.
Description of Job Responsibilities:
People Leadership: Leads and develops assigned Accreditation team members. Establishes clear expectations, promotes teamwork, provides feedback, and supports accountability and professional development.
System and Site Support: Implements UNC Health accreditation strategy, standard work, tools, and governance processes at assigned sites. Serves as a trusted resource to site leaders and contributes to enterprise initiatives that strengthen consistency and reduce duplication.
Regulatory Expertise: Maintains current knowledge of CMS, Joint Commission, DNV, North Carolina Division of Health Service Regulation, and other applicable requirements. Interprets standards, communicates changes, and translates requirements into practical guidance.
Continuous Readiness and Survey Management: Leads and supports tracers, audits, rounding, mock surveys, and other readiness activities. Coordinates preparation and response for accreditation, certification, validation, complaint, and regulatory surveys, including immediate actions, written responses, and evidence of compliance.
Risk and Corrective Action Management: Uses survey findings, audit results, complaints, and other information to identify regulatory risks and recurring issues. Facilitates corrective action plans, monitors effectiveness and sustainability, and escalates significant or unresolved concerns. Uses influence, sound judgment, and change-management principles to help leaders address barriers and sustain corrective action.
Education and Policy Alignment: Develops education, tools, and resources that help leaders and teammates understand regulatory expectations and their responsibilities. Partners with policy owners and subject matter experts to align policies and operational practices with applicable requirements.
Collaboration and Shared Learning: Collaborates across Unified Quality and with clinical, operational, Risk Management, Environment of Care, Life Safety, Nursing, and Medical Staff leaders. Shares effective practices and lessons across UNC Health.
Travel: Travels within North Carolina to UNC Health sites as required. Overnight travel is estimated at up to five nights per month, although travel will not occur every month. Travel frequency is subject to change based on organizational needs.
WAYNE
Other information:
Education
Bachelor's Degree in Nursing (BSN) or related field.
Licensure/Certification
No licensure or certification required.
Experience
Seven (7) years of experience in administration or patient care in a hospital setting. One (1) year of managerial experience required.
Knowledge, Skills, and Abilities Requirements:
Position requires strong written and verbal communication skills. Experience with Microsoft Office and electronic medical record systems desired.
01.8760.NUR-860
Job Details
Legal Employer: Wayne Health
Entity: Wayne UNC Health Care
Organization Unit: Perf.Improvemnt
Work Type: Full Time
Standard Hours Per Week: 40.00
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: WAYNE MED
Exempt From Overtime: Exempt: Yes
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
Benefits:
- 403(b)
- AD&D insurance
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Work Location: In person
Salary : $60,051 - $94,127