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Job Description Summary

The Graduate Medical Education (GME) Office is seeking an Accreditation Manager who is responsible for the oversight, coordination, and continuous management of accreditation activities for GME residency and fellowship programs within the institution. The Accreditation Manager serves as the subject matter expert on accreditation processes, policies, and systems, fostering a culture of quality improvement and compliance.

Entity

Medical University of South Carolina (MUSC - Univ)

Worker Type

Employee

Worker Sub-Type​

Classified

Cost Center

CC001325 Graduate Medical Education

Pay Rate Type

Salary

Pay Grade

University-07

Pay Range

57,334.00 - 81,707.00 - 106,080.000

Scheduled Weekly Hours

40

Work Shift

Job Description

25% Serves as an Institutional Coordinator for ACGME. Non-ACGME and Non-Standard Training (NST) Oversight. Co-chairs the Program Quality and Compliance Subcommittee (Q&C), ensuring that GMEC requirements are met. Oversee systems use of ADS. Maintains updated schedules of ACGME requested progress report due dates, corrective actions, and other related materials that are related to Special Reviews and Program Notices of Concerns. Creates evaluative reports needed to identify program areas of improvement for submission to various MUSC committees and to other educational leaders responsible for accreditation. Develops processes for program director changes and facilitates approvals by Program Quality and Compliance Subcommittee. Manages new program director orientations and classes. Works with Non-ACGME and NST accreditation coordinator to develop processes and educational oversight.

20% GME Committee (GMEC) oversight. In coordination with the DIO, sets the agenda, coordinates quarterly GMEC logistics, and manages the outcomes of the initiatives ensuring that the GMEC meets its responsibilities, pursuant to ACGME institutional requirements and institutional policies and procedures. Distributes the GMEC agenda and supporting materials to GMEC members. Works with the Accreditation Coordinator to ensure accurate meeting minutes are kept. Ensure follow-through of GMEC Action Items.

15%- Program Coordinator (PC) Training and Mentoring. Organizes and runs monthly PC meetings. Manages training/orientations for new PCs, including teaching ACGME systems and other accreditation processes. Serves as the staff liaison for the PC Executive Leadership Committee. Provides feedback to departments on Program Coordinator compliance with GME requirements.

10% Resident and Fellow Academic Deficiencies and Corrective Actions. Collaborates with the DIO on resident and fellow Performance Improvement Plans (PIPs), grievance meetings and processes, and tracks progress. Advises Program Directors on Notices of Concern (NOCs). Maintains list of resources available to those needing/requesting additional help. Maintains legal files concerning PIPs, updating policies as required. Ensures compliance with GMEC policy of USMLE and COMLEX step 3 examinations.

10% Institutional Affiliation Agreements and Program Letters of Agreements. Counsel programs on ACGME required PLAs between programs and participating sites. Review and ensure PLAs meet ACGME requirements and institutional policies and procedures. Track Affiliation Agreements and PLAs in contract processing software program. Ensure that Affiliation Agreements and PLAs are complete and up to date. Monitor agreement expiration dates and proactively work with programs to renew agreements. Ensure that the ACGME Accreditation Data System (ADS) participating site list is up to date and accurate.

10% GME Accreditation Staff Supervisor. Supervises accreditation staff, including performance evaluations, development, planning new positions, and additional training initiatives.

5% Resident Groups. Manages House Staff Council (HSC) and Spouses and Significant Other (SASO) groups. Works with executive leadership of both groups to ensure events are carried out within budget and according to MUSC policies. In coordination with the DIO, sets the Chief and Resident Representative meeting agendas and facilitates meetings. Oversees the GME Coordinator’s running of the resident election process.

5% Special Projects as assigned by the DIO, including policies and processes for the GME Office. Recognizes potential policy/process additions and changes so that all affected parties are involved and projects are completed on time and within scope while ensuring that accreditation standards are consistently met.

Preferred Requirements (Education, Work, Experience, Licensure, Registry and/or Certifications):

• Bachelors Degree plus 10 years of Graduate Medical Education experience at a managerial level preferred.

• Proficiency with Microsoft Office and Office 365 applications, including Word, Excel and PowerPoint, OneDrive for Business, SharePoint and Teams. Familiarity with MedHub and the ACGME ADS system is preferred.

• Demonstrated ability to work both independently and collaboratively as a member of a team, including managing multiple tasks and priorities.

• Ability to communicate effectively and professionally with colleagues and external stakeholders both verbally and in writing.

Additional Job Description

Minimum Requirements: A bachelor's degree and three years relevant program experience. Physical Requirements: (Note: The following descriptions are applicable to this section: Continuous - 6-8 hours per shift; Frequent - 2-6 hours per shift; Infrequent - 0-2 hours per shift) Ability to perform job functions in an upright position. (Frequent) Ability to perform job functions in a seated position. (Frequent) Ability to perform job functions while walking/mobile. (Frequent) 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 squat and perform job functions. (Infrequent) Ability to perform 'pinching' operations. (Infrequent) Ability to fully use both hands/arms. (Frequent) Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Frequent) Ability to reach in all directions. (Frequent) Possess good finger dexterity. (Continuous) Ability to maintain tactile sensory functions. (Continuous) Ability to lift and carry 15 lbs., unassisted. (Infrequent) Ability to lift objects, up to 15 lbs., from floor level to height of 36 inches, unassisted. (Infrequent) Ability to push/pull objects, up to 15 lbs., unassisted. (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. (Frequent) Ability to see and recognize objects at a distance. (Frequent) Ability to match or discriminate between colors. (Frequent) Ability to determine distance/relationship between objects; depth perception. (Frequent) Good peripheral vision capabilities. (Continuous) Ability to maintain hearing acuity, with correction. (Continuous) Ability to hear and/or understand whispered conversations at a distance of 3 feet. (Frequent) Ability to perform gross motor functions with frequent fine motor movements. (Frequent) Ability to work in dusty areas. (Infrequent)

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

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