MUSC Health · 4 weeks ago
UNIV- GME Accreditation Manager- COM Dean's Office: GME
Charleston, SC
Full-time
Onsite
Mid, Senior Level
$57K/yr - $106K/yr
3+ years expMedical University of South Carolina (MUSC) is seeking an Accreditation Manager for their Graduate Medical Education (GME) Office. The Accreditation Manager will oversee and manage accreditation activities for GME residency and fellowship programs, ensuring compliance and fostering a culture of quality improvement.
Health CareHospitalMedical
Responsibilities
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
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
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
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
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
GME Accreditation Staff Supervisor. Supervises accreditation staff, including performance evaluations, development, planning new positions, and additional training initiatives
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
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
Qualification
Required
A bachelor's degree and three years relevant program experience
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
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
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
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
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
Supervises accreditation staff, including performance evaluations, development, planning new positions, and additional training initiatives
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
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
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
Company
MUSC Health
MUSC Health provides health-care services through its patient- and family-centered care, education, research, and various partnerships. It is a sub-organization of Medical University of South Carolina.
Founded in 1824Charleston, South Carolina, USA
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$133MKey Investors
Armadale Capital
2019-12-19Debt Financing· $133M
Leadership Team
Erik Summers
Chief Medical Officer
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