Manager, Graduate Medical Education (GME) and Accreditation Education, Training & Library - Madisonville, KY at Geebo

Manager, Graduate Medical Education (GME) and Accreditation

Madisonville, KY Madisonville, KY Full-time Full-time Estimated:
$45.
7K - $57.
9K a year Estimated:
$45.
7K - $57.
9K a year 8 days ago 8 days ago 8 days ago
Job Description:
Essential Duties and Responsibilities include the following.
Other duties may be assigned.
Leadership Leads, directs, trains, and coaches GME Accreditation and Education staff, ensuring work assignments align with skills and a balanced workload.
Administrative lead for Residency Orientation.
Provides counsel on various accreditation and education matters for GME Office staff and leadership, program coordinators and directors.
Continually works with GME Office staff and constituents in the assessment of current practices and processes to further goals for optimizing efficiency, service, and cost containment.
Models professionalism in work quality, actions, interpersonal skills, and communications with constituents and business partners.
Provides input on GME Office work product, staff hiring, performance, professional development, and training recommendations.
Stays abreast of regulatory (ACGME/Joint Commission) requirements and best practices through networking, professional organization membership, and attending national meetings.
Graduate Medical Education Committee (GMEC) Administration Manages the monthly GMEC agenda and meetings, ensuring coverage of all GMEC responsibilities, pursuant to ACGME requirements and institutional policies and procedures.
Maintains accurate and complete meeting minutes with annotations referencing specific ACGME institutional requirements for each GMEC action that fulfills that requirement and attendance of all GMEC meetings.
Oversees the administrative processes and provides counsel to faculty and staff related to GMEC responsibilities including new program requests, changes in resident/fellow complement, program structure/duration, new program directors, and participating sites, pursuant to ACGME requirements and institutional policies and procedures.
Ensures complete and accurate GMEC membership, pursuant to ACGME institutional requirements.
Coordinates ACGME Fair for residents and staff annually.
Clinical Learning Environment Review (CLER) Collaborate with GME Leadership to prepare Baptist Health Deaconess for the ACGME CLER visit and process.
Prepare documentation of Baptist Health Deaconess activities in the CLER six focus areas, communicate with and educate required participants (Baptist Health Deaconess Leadership, Program Directors, faculty, and residents), oversee scheduling of rooms and other resources.
Work with the Baptist Health Deaconess Senior Regulatory and Accreditation Coordinator and GME staff to organize and deliver a complete and effective review experience as required by ACGME field visitors.
Serve as liaison with Baptist Health Deaconess Leadership, Quality, IS, Risk Management and other departments needed for participation in the CLER visit.
Collect feedback from stakeholders and document findings for analysis and report of lessons learned to be used to prepare for subsequent CLER visits.
Develop system to maintain CLER reports and follow-up activities required of Baptist Health Deaconess to ensure compliance with ACGME institutional requirements.
Actively liaise with the ACGME and other relevant institutions to ensure institutional readiness for accreditation reviews.
Institutional Accreditation Provide oversight and expert consultation for ACGME Institutional Accreditation requirements and processes under the NAS.
Collaborate with Director, DIO and Chair of GMEC to facilitate the Annual Institutional Review process.
Oversee preparation of needed documentation for institutional Self-Study process, including review committee organization and creation of system for collection and analysis of information, and production of final reports.
Internal Focused and Special Review Administration Manages the administration of all internal special and focused reviews, pursuant to ACGME institutional requirements and protocols, as approved by the GMEC Program Review Subcommittee.
Counsels resident and staff reviewers on process for conducting program special reviews, pursuant to ACGME institutional requirements.
Performs administrative reviews to ensure programs are meeting ACGME, Joint Commission and institutional requirements.
Manages the schedule of all reviews and ensures timely communications to programs being reviewed and review team members.
Oversees the compilation of all internal review programs' documentation and facilitates dissemination to review team members.
Monitors corrective actions and any required review report follow-up, pursuant to GMEC direction.
Staffs the GMEC Program Review Subcommittee.
Program Letters of Agreement (PLAs) Counsels programs on ACGME required PLAs between programs and participating sites.
Reviews and ensures all PLAs meet ACGME requirements and institutional policies and procedures.
ACGME documentation and Annual Data System (ADS), milestones, surveys, and Annual Program Evaluations Oversees ACGME ADS system for the Institution and provides technical assistance to programs completing program and resident submissions and updates pursuant to ACGME requirements.
Maintains and updates GME office ACGME accreditation and GMEC records for accredited programs.
Maintains records of all accreditation communications and actions.
Provides counsel to programs and assures program compliance with ACGME annual ADS updates, ACGME resident faculty surveys, and Annual Program Evaluations (APEs) by required deadlines.
Analyzes and compiles institutional and program statistical data for the Annual Institutional Review (AIR).
Other responsibilities Establishes strong working relationships with Program Directors and Coordinators.
Review ACGME and GMEC documentation required for program accreditation and develop system for preparing for site visits and work with GME office and program staff to produce clear, accurate, and complete documents.
Present residents outside of match to the Credentials & Steering Committee.
(S.
O.
A.
P.
) Develops, implements and monitors goals of the Graduate Medical Education Office.
Facilitates completion of affiliation agreements for departments and institutions.
Serves as a resource and guide for new departmental residency coordinators hospital wide.
Participates in the new employee departmental orientation and completes record of activity.
Develop and manage GME databases.
Completes surveys for internal and external educational organizations.
Supervises GME support personnel.
Oversees and assists with Orientation for new residents.
Maintains alumni relations with graduates.
Monitor resident work hours for departments and the institution.
Keeps all GME information current; updates web sites, manuals, policies and other material as needed.
Performs data runs; writes reports as needed.
Follows the established GME time-line for annual activities.
Ensures compliance at the departmental and institutional level for all activities.
Monitors and recommends changes as necessary.
Prepares information on new educational programs, and planned expansion of existing programs as needed.
Assists with Residency graduation activities.
Other duties and projects as assigned.
If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Employees will be expected to comply with Baptist Health's infectious disease and vaccination policies, which include but may not be limited to compliance with BHS' mandatory vaccination policies for influenza and COVID unless reasonable accommodations are needed under applicable law Baptist Health is an Equal Employment Opportunity employer.
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Estimated Salary: $20 to $28 per hour based on qualifications.

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