Director Of Accreditation And Public Reporting

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POST DATE 8/26/2016
END DATE 12/19/2016

El Camino Hospital Mountain View, CA

Mountain View, CA
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Management Recruiters of Berkeley has been retained by El Camino Hospital to conduct a search for a Director of Accreditation and Public Reporting located in Mountain View, CA. This role will be accountable for leading, facilitating, and supporting actives relating to licensing, accrediting, and regulatory for all El Camino Hospital sites. This will include preparation for, compliance with, and follow up for all surveys such as Joint Commission, CMS, MCQA, CAP, DHAS, OSHA. The role will also work closely with the Medical Director and Manager of Infection Prevention to ensure that infection prevention standards are met and develop programs to reduce the risk of hospital acquired infections. Reporting to the Senior Director for Quality Improvement and Patient Safety, the Director of Accreditation and Public Reporting will need to be a collaborative and resourceful leader who mentors, challenges, and guides the staff towards accomplishing goals.


With its two campuses in Mountain View and Los Gatos, El Camino Hospital is a 443 bed acute care organization that is locally governed by the El Camino Healthcare District. The hospital is a national leader in the use of health information technology and wireless communication. They have also been awarded the Gold Seal of Approval from the Joint Commission as a Primary Stroke Center and three consecutive ANCC Magnet Recognitions for Nursing Care. They are passionate about being a publicly accountable and locally controlled comprehensive healthcare organization that cares for the sick, relieve suffering and provides quality, cost-competitive services to improve the health and well-being of the community.


The successful candidate will have a background in Accreditation, Risk & Licensure and strong knowledge of Title 22. A hands on leader with a proven history of educating staff and leading change in designing and improving workflow processes. Must have experience with licensure, patient and regulatory complaints. A critical thinker with strong analytical skills and recent experience with CMS, State and Joint Commission Surveys, including survey prep, continuous readiness, and command center experience. An effective communicator who has extensive knowledge of accreditation standards applicable to Hospital, Long Term care, and Behavior Health. CPHQ experience highly preferred.

Qualified candidates should have a Master's degree in Nursing or a healthcare related field. A minimum of 5years clinical and/or clinical operations management experience and at least 3years recent experience with Joint Commission Survey preparation and continuous survey readiness activities is also required. This is a great opportunity for someone who is interested in advancing their career by joining an innovative, transforming organization that strives to be a positive impact on the community. FACHE preferred.