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Manager, Cancer Accreditation and Education

Sinai Chicago · Melrose Park, IL

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FULL-TIME Posted Jun 27, 2026

Job Description

The Manager, Cancer Accreditation and Education is responsible for leading oncology accreditation efforts and designing, implementing, and evaluating educational programs that support a high-performing learning environment. This role ensures compliance with regulatory standards, oversees tumor registry operations, and manages accreditation processes across both North and South campuses.The Manager collaborates with interdisciplinary teams to maintain accreditation readiness, enhance clinical quality, and promote continuous learning aligned with organizational goals.Key ResponsibilitiesAccreditation & Regulatory ComplianceLead all activities related to ACS Commission on Cancer (CoC) accreditation for North and South campuses.Ensure compliance with Joint Commission (TJC), HFAP, and IDPH standards.Prepare, compile, and submit required data for accreditation surveys.Serve as the primary liaison and point of contact for surveyors and regulatory bodies.Develop, maintain, and monitor regulatory work plans, identifying risks and mitigation strategies.Lead survey preparation efforts, including logistics and cross-functional coordination.Tumor Registry & Program OversightManage the tumor registry team, including staffing, performance management, audits, and payroll.Ensure accurate and timely collection, reporting, and analysis of oncology data.Oversee tumor board operations across campuses, including:Scheduling and coordinationDocumentation and meeting minutesData integrity and compliance with CoC standardsEducation & Staff DevelopmentAssess learning needs and develop education strategies for oncology and infusion staff.Design and deliver training programs, including:Instructor-led trainingBlended learning solutionsCompetency assessmentsProvide annual competencies and ongoing education to ensure high-quality oncology care.Conduct monthly educational sessions and seminars for staff.Develop user-friendly training materials and resources.Promote a culture of continuous learning and professional development.Quality, Compliance & Performance ImprovementPerform regular audits and rounding to ensure compliance with regulatory standards.Use data and outcomes to inform education and performance improvement initiatives.Collaborate with leadership to align education programs with organizational goals.Monitor program effectiveness and recommend improvements.Leadership & CollaborationPartner with the System Oncology Manager, providing backup support as needed.Communicate accreditation status, risks, and compliance updates to leadership.Lead interdisciplinary teams, committees, and workgroups.Foster strong relationships across departments to support operational and clinical excellence.Minimum QualificationsEducationMaster's degree in Healthcare, Education, Nursing, or related field (or equivalent experience)ExperienceMinimum 10 years of experience in:Training and developmentInstructional designHealthcare educationExperience with oncology programs and accreditation standards preferredKnowledge, Skills & AbilitiesStrong expertise in:Adult learning principlesCurriculum design and instructional methodsPerformance improvement and change managementKnowledge of ACS CoC, TJC, HFAP, and IDPH standardsExcellent communication, presentation, and facilitation skillsStrong organizational and project management abilitiesDemonstrated leadership and team management experienceAbility to manage multiple priorities and work independently or collaborativelyAdvanced proficiency with Microsoft Office and related tools

Additional Details

City
Melrose Park
State
Illinois
Country
US
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