ED Pain and Addiction Management Accreditation Manager


Clinical Affairs


Manage and promote the ED Pain and Addiction Management Accreditation program; develop, implement, and maintain efficient processes and procedures for managing applications, reviews, and approvals in a way that is consistent with and supportive of a highly respected accreditation program. Initiate marketing programs to attract and enlist emergency department participation in the accreditation program; oversee and ensure maintenance and ongoing availability of a user-friendly web site/portal for applicant and reviewer use; work with Senior Accreditation Program Manager, ACEP leaders and other collaborating organizations such as the Emergency Nurses Association (ENA), American Hospital Association (AHA) Substance Abuse and Mental Health Services (SAMSHA), the National Institute on Drug Abuse (NIDA) and the American Society of Hospital Pharmacists (ASHP) to develop and pursue a strategic plan that ensures the success of the accreditation program.

Characteristic Duties and Responsibilities

1. Manage the accreditation application and review process:

  • Support applicant organizations at every stage of the application process
  • Coordinate with IT to update and refine the application process
  • Coordinate with multi-site organizations during the accreditation process
  • Facilitate the process of annual updating of application criteria
  • Work with Senior Accreditation Manager to develop a plan for renewal applications
  • Coordinate website and application portal updates
  • Document and conduct appropriate follow-up of relevant changes reported by accredited organizations as outlined in the terms and conditions
  • Review applications for accuracy and completeness of required information
  • Provide support to reviewers, including recruiting, training, and assigning reviewers to applications, maintaining, and updating reviewer guidelines

2. Marketing Program:

  • Collaborate on outreach activities with ACEP marketing staff and Senior Accreditation Manager to raise awareness about the accreditation program, including representing the program(s) at conferences, targeted marketing efforts in popular ED forums (e.g., podcasts, news outlets, etc.)
  • Coordinate with accreditation managers, attendance at national meetings to include ACEP Scientific Assembly, the Society for Academic Emergency Medicine, and other strategic meetings to market ACEP accreditation programs
  • Manage media inquiries to appropriate contacts in ACEP
  • Create and update advertisements as well as maintain program website
  • Develop recognition programs for accredited sites
  • Develop patient impact stories for potential applicants

3. Develop and maintain resources specific for the accreditation program.:

  • Maintain application guides and resources, including example documentation, FAQs, etc. 
  • Work with stakeholders to develop guides, webinars, cheat sheets on how to become accredited and maintain accreditation.
  • Develop an annual networking meeting at ACEP Scientific Assembly to disseminate best practices and promote advancement of the accreditation program.

4. Manage stakeholder communications and activities:

  • Facilitate monthly Board of Governors (BoG) meetings and record meeting minutes
  • Create and schedule workgroups as needed
  • Maintain communication tools for newly accredited sites.
  • Provide regular updates and reports to funders on progress towards deliverables as applicable
  • Coordinate communications between stakeholders, including applicants, ACEP, and the BoG
  • Develop processes to integrate advocacy groups and patients into the accreditation process.
  • In collaboration with stakeholders, develop research opportunities

5. Track program performance:

  • Ensure deliverables fall within the applicable scope and budget.
  • Extract summary statistics from accreditation applications and synthesize findings and reporting to the BoG and stakeholders on program impact. 

6. Perform other duties as assigned by supervisor.

Relationships and Contacts

Reports to:

Senior Accreditation Program Manager

Internal Contacts:

All staff

External Contacts:

Hospital leadership, stakeholder organizations, ACEP members, emergency department and hospital staff, staff from other associations and organizations working in the pain and addiction fields.

Required Education and Experience

  1.  Bachelor's degree with major in public health, nursing, community health sciences, health policy and management, or other social sciences preferred.

  2. Five years of comparable experience in a project management role

  3. Organized, attention to detail, highly self-motivated, with the ability to work independently and as part of a multi-disciplinary team.

  4. Strong written, verbal, and presentation skills

Other Desired Qualifications 

  1. Experience with accreditation programs.

  2. Experience with marketing and meeting planning

  3. Familiarity with spreadsheet software and other IT tools

  4. Experience in the health care field.

  5. Experience in an emergency department

We offer competitive salary, excellent benefits package, retirement plan and more.

If you have any questions, please contact us.

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