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Johns Hopkins Medicine Manager of Joint Commission Readiness/Accreditation and Regulatory Affairs in Columbia, Maryland

Manager of Joint Commission Readiness/Accreditation and Regulatory Affairs

Howard County General Hospital,
Columbia, MD
Requisition # 154874
Day Shift
Full Time (40 hours)
Weekend Work Required

Johns Hopkins Health System employs more than 20,000 people annually. Upon joining Johns Hopkins Health System, you become part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees. Career opportunities are available in academic and community hospital settings, home care services, physician practices, international affiliate locations and in the health insurance industry. If you share in our vision, mission and values and also have exceptional customer service and technical skills, we invite you to join those who are leaders and innovators in the healthcare field.

The Regulatory Manager is responsible for the coordination of continual survey readiness across the hospital. The position encompasses various roles (e.g., coordinator, educator, facilitator) and requires effective interpersonal and management skills to motivate staff to embrace a continual state of accreditation/survey readiness. In addition, the individual will assist with the overall management of the Hospital's Event Reporting System and will provide support to select committees that come under the Regulatory Compliance Program and/or the Hospital's Performance Improvement Program. Duties include working with hospital departments on conducting, assisting, and following up on tracers, assisting with and managing mock surveys and follow up, managing the Joint Commission survey, and assisting with other regulatory surveys as designated by he Director of Risk Management and/or the Senior Director of Quality. Responsible for effectively facilitating tracer and other organization wide performance improvement teams.

40 hours per week

Day Shift

8:00 AM - 4:30 PM

The position will require occasional weekend work to educate on and touch base with the weekend team.


Demonstrated experience in regulatory compliance, performance improvement, patient safety and data management required.

Graduate of an accredited program of nursing or related clinical discipline preferred.

Bachelor's degree in a health care related field and Master's degree preferred with a minimum of 7-10 years of nursing and health care.

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.