Sutter Health Manager - Accreditation and Licensure in Modesto, California

Serving the greater Stanislaus County with 423 plus acute care beds, Memorial Medical Center provides a full continuum of care including 24-hour emergency care, inpatient and outpatient surgery, obstetrics, pediatrics, nuclear medicine, dialysis therapy, diagnostic imaging, intensive care, physical therapy, and home health. Specialized care includes Memorial Regional Cancer Center and Memorial Heart Institute.

The Manager of Accreditation & Licensure is responsible and accountable to develop and coordinate components of the Memorial Medical Center's Performance Improvement (PI) Program and ensure MMC is in compliance with the Joint Commission accreditation standards, state and federal regulations and other identified standards. The responsibility/accountability includes resource management, regulatory compliance and participation in quality improvement activities. To facilitate improvement activities utilizing PI methodologies, and to serve as a resource to assist and train others on performance improvement methodologies and evidence-based patient safety and quality initiatives. To coordinate activities related to licensing and accreditation compliance and continuous survey readiness. The position provides guidance, team facilitation and training and support for performance improvement and special projects within the organization. Act as the primary point of contact for affiliates' survey readiness improvement needs and facilitates communications appropriately.

Minimum Requirements:

Bachelor's degree in a healthcare related field

A minimum of 3 years recent experience in healthcare outcomes and performance improvement initiatives and/or experience in licensing/accreditation compliance and survey preparation.

Experience in leading safety/quality/clinical effectiveness initiatives.

Driver license, valid in the state of California

Must be able to travel in and out of Stanislaus County, including transcontinental travel.

Preferred Requirements:

  • Bachelor's degree in nursing (BSN)

  • Registered Nurse with a California state licensure upon hire

  • Master's degree in a healthcare related field

  • Certified Professional Healthcare Quality RN (CN-PH QUAL)

  • Lean Certified

MMCM Affiliate Summary

Serving the greater Stanislaus County with 423 acute care beds, Memorial Medical Center MMC provides a full continuum of care, including:

  • 24-hour emergency care

  • inpatient and outpatient surgery

  • specialty services in obstetrics, pediatrics, nuclear medicine, dialysis therapy, diagnostic imaging, intensive care, sleep disorders and physical therapy

  • a Level II Trauma Center

Memorial Medical Center is an accredited Chest Pain Center and STEMI (heart attack) Receiving Center.

MMC is part of Sutter Health , one of the nation’s top five large health systems thanks to its integrated network of physician, employee and volunteer pioneers—more than 60,000 people strong. Rooted in Sutter Health’s not-for-profit mission, these team members partner to deliver exceptional care that feels personal. From physician offices to hospitals to outpatient care centers and home services, they proudly support and learn from the more than 3 million people in their care—nearly 1 percent of the U.S. population, in one of the most diverse and innovative regions in the world.

Organization: *Memorial Medical Center, Modesto

Title: Manager - Accreditation and Licensure

Location: California-Central Valley-Modesto

Requisition ID: MMCM-1716426

All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state, or federal law, ordinance or regulation. External hires must pass a background check/drug screening. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state, and local laws, including but not limited to the San Francisco Fair Chance Ordinance.