Accreditation Manager

Job description

Job Title: Accreditation Manager
Location: Tallahassee, FL
Regular/Temporary: Regular
Full/Part Time: Full-Time
Job ID: 48846

University Health Services (UHS)

Equal Employment Opportunity

An Equal Opportunity/Access/Affirmative Action/Pro Disabled & Veteran Employer.

FSU's Equal Opportunity Statement can be accessed at:


Serves as the UHS Accreditation Manager, responsible for directing all Accreditation activities to include managing policy review and procedure development. Ensure policies are updated annually when each year's AAAHC Standards are released and as appropriate.

Responsible for directing all Quality Improvement activities, to include chairing meetings, identification of areas of needed improvement and QI project selection. Directs and completes project development, initiation, evaluation, data analysis and reporting.

Serves as the UHS Risk Manager and directs risk management activities. Chairs the Risk Management Committee and monitors essential items related to this function. Records, monitors and tracks incident reports including cause analysis, implementing interventions and staff education to reduce risk of repeat incidents.

Conduct statistical research and reporting to assist with data driven decision making, analyses and trends. Collect and manage healthcare data to include Quality Improvement studies, Incident reports, medical visit data, and Patient Satisfaction data. Create routine summary progress reports on health center goals and indicators and provide recommendations for future metrics and assessment efforts. Responsible for supervising, directing and overseeing staff activities.


Bachelor's degree and four years of experience related to the duties of this position; or a high school diploma/equivalency and eight years of experience related to the duties of this position.

(Note: or a combination of post high school education and experience equal to eight years.)

Knowledge of reporting techniques and exposure to reporting tools

Ability to compile, review, and reconcile data for accuracy, completeness, and compliance.

Knowledge of the concepts, principles, and practices of data collection.

Skill in preparing clear and concise reports, policies, procedures, correspondences, and other written materials

Ability to identify trends, predict impact of actions on system operations, detect discrepancies in the function of an organization, and take necessary action to correct performance.

Position requires pre-employment PPD (TB) and requires successful completion of post hire OSHA/HIPAA training.

University Information

One of the nation's elite research universities, Florida State University preserves, expands, and disseminates knowledge in the sciences, technology, arts, humanities, and professions, while embracing a philosophy of learning strongly rooted in the traditions of the liberal arts and critical thinking. Founded in 1851, Florida State University is the oldest continuous site of higher education in Florida. FSU is a community steeped in tradition that fosters research, encourages creativity, and embraces diversity. At FSU, there’s the excitement of being part of a vibrant academic and professional community, surrounded by people whose ideas are shaping tomorrow’s news!

Learn more about our university and campuses.

Pay Plan

This is an A&P (Administrative and Professional) position.

FSU Total Rewards

FSU offers a robust Total Rewards package. Visit our website to learn more about our Compensation, Benefits, Wellness, Recognition, and Employee Development programs.

Use our interactive tool to calculate Total Compensation options based on potential salary, benefits and retirement contributions, earned leave, and other employment-related perks.

Criminal Background Check

This position requires successful completion of a criminal history background check. The background check will be conducted as authorized and in accordance with University Policy 4-OP-C-7-B11.

How To Apply

If qualified and interested in a specific job opening as advertised, apply to Florida State University at If you are a current FSU employee, apply via myFSU > Self Service.

Applicants are required to complete the online application with all applicable information. Applications must include all work history up to ten years, and education details even if attaching a resume.

Tobacco Free Campus

Effective January 1, 2014, tobacco use, including simulated tobacco use, is prohibited on property, interior and exterior, owned or managed by Florida State University. This policy applies to all Florida State University students, employees, consultants, contractors, visitors, and external individuals.




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Job No:
Posted: 6/5/2021
Application Due: 6/16/2021
Work Type: Full Time