Mount Sinai Medical Center Of Miami Beach Miami Beach , FL 33109

Posted 3 weeks ago


As Mount Sinai continues to grow, so does our legacy of caring.

Mount Sinai Medical Center is proud to be South Florida's hospital of choice for great medicine. With more than 4000 employees, 500 volunteers, 670 beds, 26 operating suites and more than 650 physicians and 950 nurses, Mount Sinai is South Florida's largest private independent not-for-profit teaching hospital.

It takes the contribution of many individuals to make Mount Sinai the world-class institution it is today. As a team, we have focused our efforts on assuring that our patients receive high quality medical care. We're looking for motivated professionals who seek the challenge and stimulation of working in an academic medical center with an international reputation.


The Accreditation Manager will coordinate the Quality Management and Performance Improvement Program for MSMC consistent with the facilities strategic plan. Facilitates Performance Improvement projects following the PDSA methodology, analyzes outcomes and develops action plans.

Coordinates all aspects of the performance improvement program to include all standards required under the Joint Commission (TJC) accreditation for hospital, Promary Stroke and Heart Failure. Serves as the Performance Improvement liaison for nursing and other clinically based departments. Prepares summary reports of quality and performance improvement with action taken for appropriate committees.

The individual will be closely involved in survey presentation and maintains compliance with regulatory requirements. Plans, coordinates and provides for in-service education related to Quality, accreditation and performance improvement as needed for all hospital personnel in accordance with identified needs and state guidelines. Collects and reviews hospital-wide quality monitoring reports on a quarterly basis and follows up on identified opportunities for improvement. Ensures that an action plan is performed and implemented for trends/patterns identified.

Minimum Qualifications:

Bachelor's Degree. State of Florida RN License is preferred.

Detail oriented. Excellent verbal and written communication skills. Must have the ability to work with all levels of staff inclusive of physicians, health care providers and high-level executives.

Good public speaker. Strong analytical skills including a working knowledge of basic stastical analysis methodologies. Must be proficient with Microsoft Excel.

Ability to work independently. Experienced in dealing with CMS and AHCA regulations.

We offer:

  • An excellent, team focused work environment with opportunity for professional growth

  • Competitive salary with bonus potential

  • Savings plan with company match

  • A variety of health, dental and vision plans

  • On-site childcare, tuition reimbursement, and much more!


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Mount Sinai Medical Center Of Miami Beach