GENERAL SUMMARY

Provides clinical direction and leadership to international accreditation staff and surveyors along with the Executive Director and Director, International Accreditation Operations and Support. Participates in review and analysis of international accreditation survey reports, scoping of surveys, preparation of accreditation review panel materials and Board committee reports. Assists in international surveyor management, training, and evaluation, as assigned. Manages the accreditation follow-up survey and monitoring process for incident reports with accredited organizations. In conjunction with the JCI Executive Director and Director, International Accreditation Operations and Support, ensures that surveyed organizations receive excellent customer service and that their accreditation needs are met.  Provides program specific knowledge and information to internal and external customers and fellow staff.

PRINCIPAL DUTIES AND RESPONSIBILITIES 

1. Assists the Executive Director to develop long and short-term goals and plans for ensuring that surveyed organizations receive the full continuum of accreditation service.   Coordinates goal setting and achievement with others.
    
2. Validates international accreditation survey reports to assure appropriate scoring, interpretation of standards, suggest appropriate follow-up activities and edit reports for clarity and consistency from the clinical perspective.
    
3. Provides clinical analysis of strategic improvement plans submitted by international health care organizations to assess reported compliance progress and develop written response to the progress reports. 
    
4. Assists in resolving on-site clinical issues as requested by the team leader in conjunction with the Executive Director, as needed.
    
5. Key JCIA Central Office contact for field staff, central office respecting survey process, documentation, survey findings, decision rules, accreditation policies. Advises on standards interpretation with guidance from the Director of Standards as appropriate. 
    
6. Provides direct management and support to surveyors including serving as a key central office contact for standards interpretation, and survey process.
    
7. Participates in drafting memorandums, preparing and presenting cases for review by the Accreditation Committee, Standards Subcommittee meetings, Appeal Review Committee and other Board meetings as requested.
    
8. Supports the development and revision of the standards, survey process, scoring guidelines, and aggregation and decision rules for all accreditation programs. 
    
9. Participates in the development of policies and procedures related to the accreditation decision making process. Assists in acting as a resource to internal and external audiences for information concerning international accreditation policies.
    
10. Acts as a role model for staff in interacting with individuals from surveyed organizations and in providing excellent customer service. 
     
11. Supports ISQua accreditation for JCI Accreditation. 
     
12. Represents the Joint Commission International to customers as well as public and professional organizations. Participates in committees, task forces, and special projects as assigned.

KNOWLEDGE, EXPERIENCE, AND SPECIAL SKILLS REQUIRED 

1. A health care professional with a clinical background, nursing degree preferred, and a minimum of a master’s degree in clinical discipline, management or a related field.
    
2. At least five years of managerial experience.
    
3. Knowledge of Joint Commission International policies, standards, survey, and accreditation processes.
    
4. Managerial ability to plan, organize, and implement activities for a diverse staff. 
    
5. Interpersonal skills to interact effectively with individuals at various levels both inside and outside of the organization, sometimes in sensitive situations.
    
6. Ability to travel as requested to observe surveyors or participate in selected conference activities.
    
7. Organized and detailed oriented, capable of handling multiple priorities, and working independently. 
    
8. Excellent computer skills in word processing, spreadsheets, database, and presentation software. Familiarity with web based and video communication capability preferred.
    
9. Foreign language skills are an asset. 

This job description is intended to describe the general nature and level of work performed by an employee assigned to this position.  The description is not an exhaustive list of all duties, responsibilities, knowledge, skills and abilities, and working conditions associated with this position.  All requirements are subject to possible modification due to business needs and/or reasonable accommodations for individuals with disabilities.