Clinical Manager – Quality & Accreditations

Illinois Bone & Joint Institute

. Oversee quality and accreditations for ambulatory surgery centers .

Posted 9/18/2026full-timePark Ridge • Illinois • United StatesSeniorLead💰 $125,000 - $150,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expert-level knowledge of accreditation standards and quality improvement methodologies in healthcare settings, with a strong focus on compliance with regulatory requirements and effective communication with multidisciplinary teams.

Highest-signal resume keywords

Expert-Level Knowledge Of Accreditation StandardsExperience In Quality Improvement And Risk ManagementProgressive Leadership Experience In ASC Or Hospital SettingCurrent RN LicenseExperience With National Healthcare Databases

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Quality ImprovementAccreditation StandardsRisk ManagementData AnalysisHealthcare RegulationsClinical Record ManagementQuality Dashboard DevelopmentUtilization ReviewInfection ControlPatient Safety Initiatives

Soft Skills

Effective CommunicationProblem-SolvingTeam CollaborationPrioritizationStress Management

Tools & Technologies

Google SuiteMicrosoft OfficeHealthcare DatabasesProject Management SoftwareSpecialty Software Applications

Certifications & Qualifications

BS Degree In NursingCurrent RN License

Industry Keywords

Ambulatory Surgery CentersJoint CommissionAAAHCCMSJCAHOHealthcare Quality ImprovementMultidisciplinary Clinical TeamClinical NursingAccreditation SurveysPatient Care Protocols

About the role

Key responsibilities & impact

Oversee quality and accreditations for ambulatory surgery centers
Ensure ambulatory surgery centers meet required quality and safety standards
Collaborate with site Administrators to implement Joint Commission, AAAHC, and regulatory standards
Develop quality dashboards for internal and external customers
Serve on Medical Executive Committees and quality committees for all IBJI ambulatory surgery centers
Ensure adherence to state, federal, CMS, JCAHO, AAAHC, and other accreditation standards
Lead preparation for accreditation surveys
Communicate with accreditation bodies and maintain required policies, procedures, and documentation
Participate in ASC Medical Executive, Quality, and other relevant committees
Partner with the Corporate Manager of Payer Relations to provide timely quality data to third-party administrators
Develop, implement, evaluate, and enforce facility policies, procedures, goals, and objectives
Develop and oversee quality improvement, quality management, utilization review, discharge planning, infection control, and risk management programs
Direct preparation and maintenance of patients' clinical records
Collect, analyze, and interpret data from patient records, feedback, and risk assessments
Prepare reports on quality improvement activities and organizational performance
Consult with nurse managers and medical staff on patient care and nursing problems
Visit departments to observe procedures and recommend improvements
Participate in facility program development and modification
Educate and train staff on accreditation standards, quality improvement, risk management, and care protocols
Identify process improvements and implement initiatives to enhance patient safety and quality of care
Collaborate with nursing, physician, and administrative teams to establish facility-wide goals
Review clinical care practices, analyze patient feedback and facility records, and promote healthcare initiatives
Partner with Administrators to help direct care in nursing and clinical areas
Carry out supervisory responsibilities according to organizational policies and applicable laws
Perform other duties as assigned

Requirements

What you’ll need

BS degree in Nursing from an accredited nursing school
Current RN license
Minimum 10 years of experience in the healthcare field
Progressive leadership experience in an ASC or hospital setting
Expert-level knowledge of accreditation standards
Experience managing a multidisciplinary clinical team
Understanding of nursing practice and working with surgeon customers
Experience with national healthcare databases such as NSQIP, ASC QC, and Leapfrog
Experience in quality, accreditation, and risk management
Experience with both Joint Commission and AAAHC standards
Experience with Google Suite and Microsoft Office preferred
In-depth understanding of healthcare quality improvement tools, techniques, and methodologies
Knowledge of healthcare regulations and standards
Computer skills using database, spreadsheet, project management, graphics, word processing, email, and specialty software applications
Ability to define problems, collect data, establish facts, and draw valid conclusions
Evidence of continued education in clinical nursing and universal precautions
Ability to effectively communicate verbally and in writing and present information
Ability to set priorities and work effectively with physicians, employees, patients, and others
Ability to function effectively in stressful situations
Ability and willingness to adjust schedule to meet facility needs
Ability to work under supervision and oversee others

Benefits

Comp & perks

Medical insurance
Dental insurance
Vision insurance
Life and AD&D insurance
Long- and short-term disability
401(k) program with company match and profit sharing
Wellness program
Health savings accounts
Flexible savings accounts
ID protection plan
Accident benefits
Critical illness benefits
Hospital benefits
Paid holidays
Paid time off