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Medical University of South Carolina MUHA DC57 - Director Accreditation (Health System Wide) in Charleston, South Carolina

Entity/Organization: MUHA (Medical University Hospital Authority/Medical Center)

Hours per week: 40

Scheduled Work Hours/Shift: Day

Fair Labor Standards Act Status: Salaried

Job Summary/Purpose : The Accreditation Director is responsible for oversite and operations of MUSC's (Health System Wide) regulatory and accreditation program. Oversite is provided to all areas within MUSC. The Senior Director is responsible for ensuring compliance with the Joint Commission (TJC), Centers for Medicare and Medicaid (CMS), SC Department of Health and Environmental Control (DHEC) and other regulatory bodies standards and rules.

Minimum Training and Education: Bachelor's Degree in Nursing or related healthcare field required. Master's Degree (nursing, law, health administration, etc.) preferred. Minimum of three (7) years of professional leadership experience working in a healthcare setting with a focus on regulatory compliance or quality. Academic healthcare setting experience preferred.

Superior organizational and interpersonal skills with ability to work independently as well as with a team.

Excellent interpersonal and written communication skills.

High degree of professionalism, discretion, and confidentiality.

Demonstrated ability to manage both people and processes.

Demonstrated competency to build relationships and foster communication among care team members in clinical and non-clinical settings.

Demonstrated ability to learn and utilize new software and web applications for data entry and report generation.

Required Licensure, Certifications, Registrations:

Additional Duties and Responsibilities:

Why Join the Medical University of South Carolina?

  • MUSC is the oldest medical school in the South.

  • U.S. News & World Report named MUSC Health the No. 1 hospital in South Carolina.

  • MUSC is comprised of 1,600 beds and more than 100 outreach sites between 8 hospitals. MUSC’s flagship hospital, Health University Medical Center, is comprised of 865 beds.

  • MUSC has a collective annual budget of $3.2 billion and more than 17,000 team members.

Recent Accolades:

  • MUSC Shawn Jenkins Children’s Hospital’s Pediatric Critical Care Unit Awarded the Society of Critical Care Medicine 2021 ICU Design Citation Award.

  • MUSC ranked state’s No. 1 hospital sixth year in a row.

  • Becker's Hospital Review: 100 Great Hospitals in America, 2020.

  • MUSC Health becomes first ALS Certified Treatment Center of Excellence in South Carolina.

Physical Requirements: Ability to perform job functions while standing. (Frequent) Ability to perform job functions while sitting. (Frequent) Ability to perform job functions while walking. (Frequent) Ability to climb stairs. (Infrequent) Ability to work indoors. (Continuous) Ability to work outdoors in all weather and temperature extremes. (Infrequent) Ability to work in confined/cramped spaces. (Infrequent) Ability to perform job functions from kneeling positions. (Infrequent) Ability to bend at the waist. (Infrequent) Ability to squat and perform job functions. (Infrequent) Ability to perform ‘pinching’ operations. (Infrequent) Ability to fully use both hands/arms. (Continuous) Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Continuous) Ability to fully use both legs. (Continuous) Ability to reach in all directions. (Frequent) Possess good finger dexterity. (Continuous) Ability to lift and carry 15 lbs. unassisted. (Infrequent) Ability to lift/lower objects 15 lbs. from/to floor from/to 36 inches unassisted. (Infrequent) Ability to lift from 36 inches to overhead 15 lbs. (Infrequent) Ability to maintain 20/40 vision, corrected, in one eye or with both eyes. (Continuous) Ability to see and recognize objects close at hand. (Continuous) Ability to match or discriminate between colors. (Continuous) Ability to determine distance/relationship between objects; depth perception. (Continuous) Good peripheral vision capabilities. (Continuous) Ability to maintain hearing acuity, with correction. (Continuous) Ability to perform gross motor functions with frequent fine motor movements. (Continuous) Ability to work in a latex safe environment. (Continuous) Ability to deal effectively with stressful situations. (Frequent) Ability to maintain tactile sensory functions. (Continuous) *(Selected Positions) *Ability to maintain good olfactory sensory function. (Continuous) *(Selected Position) *Ability to be qualified physically for respirator use, initially and as required. (Continuous) (Selected Positions)