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Req. No


Job Title

Program Manager Accreditation


CHRISTUS Trinity Mother Frances


Legal and Compliance


CHRISTUS Mother Frances Hospital Tyler


800 East Dawson Street
Tyler, TX  75701
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Apply Now Program Manager Accreditation Job in Tyler


Responsible for assisting in all activities pertaining to meeting and maintaining compliance with standards and regulations from regulatory bodies through a comprehensive interdisciplinary plan for constant regulatory readiness for all CHRISTUS facilities, units, departments, Associates, and medical staff. Assists with education and training of associates, leadership team, and medical staff as necessary regarding regulatory needs. Responsible for assisting with meeting annual goals and objectives for the department. Additional duties include, but are not limited to serving as the regulatory backup for the Director during survey needs, as required. Other duties as assigned based on regulatory and compliance needs


• Presents a professional image – Exhibits a manner that is cordial and respectful

• Conservative, appropriate dress, and good personal hygiene

• Communicates effectively – Timely, attentive, respectful, and clear communication whether verbal, written or body language

• Displays control and calmness in all situations

• Maintains privacy and confidentiality – Respects others’ rights, shares only what others need to know and in only appropriate places, not in public areas or near others without a need to know

• Anticipates needs, demonstrates initiative, and strive to exceed expectations – Empathizes with those who suffer or are in need

• Seeks ways to be helpful to patients, visitors, and the community

• Provides superior service by focusing on our customers

• Is a team player – Supports fellow employees; shares time and talents; is respectful and helpful

• Welcomes new members of the department/unit

• Assumes responsibility for cleanliness – Leaves all areas clean and neat and promotes safety

• Takes ownership of complaints – Listens with genuine sincerity, apologizes and resolves or reports complaints to someone who can resolve the complaints


A. Education/Skills

·Graduate of a State Board School of Nursing, BSN preferred, but not required

B. Experience

  • Minimum 2 years in Quality Management or Joint Commission survey readiness. Will consider a candidate with strong inpatient clinical background in lieu of quality experience.
  • Experience leading others, preferred
  • Experience with computer-based tools such as E-mail (Outlook), Excel, Word, Access.

C. Licenses, Registrations, or Certifications

·Current Texas RN License

·Certified Professional in Healthcare Quality or Certified Joint Commission Professional (CJCP) preferred

Work Type: 

Full Time

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Program Manager Accreditation