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GBMC HealthCare

GBMC HealthCare

Not-for-profit health system operating hospitals

Accreditation Program Manager

Full-Time
$79.5k - $143.1k/yr
Mid, Senior
Bachelor's, Master's
Baltimore, MD, USA
In Person

About the job

Requirements
  • A bachelor's degree in nursing or another clinical field is required.
  • Four to six years of recent experience in a healthcare regulatory or compliance environment is required.
  • A professional clinical license is required.
  • The role requires extensive knowledge of healthcare regulatory and accreditation standards, including Conditions of Participation.
  • The role requires the ability to interpret and translate complex regulations.
  • The role requires proficiency in managing compliance documentation and audits.
  • The role requires experience developing plans of correction, managing follow-up actions, and submitting evidence of compliance.
  • The role requires skill in facilitating trainings, leading and coordinating mock surveys and tracers, and presenting leadership updates.
  • The role requires the ability to remain calm and effective during survey activities and time-sensitive situations.
  • The role requires experience in policy management.
  • The role requires experience facilitating interdisciplinary teams and working with clinical and operational leaders.
  • The role requires strong organizational skills and attention to detail.
Responsibilities
  • Ensure the hospital is survey-ready and that care is provided in accordance with regulatory and accreditation standards.
  • Maintain continuous survey readiness through proactive audits, tracers, mock surveys, and monitoring.
  • Track and trend regulatory and accreditation findings to identify patient safety and system issues.
  • Manage and develop the hospital's triennial survey preparation plan, including mock surveys, documentation review, and education.
  • Monitor changes in regulatory and accreditation standards and communicate them to stakeholders in a timely manner.
  • Serve as the point of contact during announced and unannounced regulatory and accreditation surveys and coordinate logistics and support, including surveyor escorts and document gathering.
  • Maintain required regulatory and accreditation documentation.
  • Lead post-survey follow-up, including plan of correction development, evidence of compliance submission, and reporting.
  • Facilitate corrective action planning with department leaders and ensure actions are measurable, meaningful, and sustainable.
  • Serve as the hospital's subject matter expert on regulatory and accreditation standards and provide interpretation, guidance, and education.
  • Develop and deliver educational resources, training sessions, and communication tools for current and new-hire staff.
  • Collaborate with clinical and operational leaders and teams to align regulatory and accreditation requirements with hospital goals and priorities.
  • Integrate regulatory and accreditation requirements into Quality, Patient Safety, Performance Improvement, and Risk initiatives.
  • Prepare for and facilitate the Accreditation Readiness Committee, including agenda and minutes.
  • Provide leadership updates regarding accreditation readiness status, risks, and post-survey results.
  • Maintain oversight of the policy management system and ensure policies meet regulatory and accreditation requirements.
  • Prepare for and facilitate the Policy Advisory Committee, including agenda and minutes.
  • Oversee the Accreditation Specialist.
  • Complete payroll, time, and attendance activities.
  • Implement corrective actions as needed.
  • Complete and administer performance evaluations.
  • Track employee position requirements and ensure employee files are complete.
  • Conduct and evaluate candidate interviews when recruiting for a new position.
  • Oversee and administer orientations and competencies as needed.
  • Coach and mentor staff.
Desired Qualifications
  • A master's degree is preferred.
  • A background in healthcare compliance, quality, patient safety, or performance improvement is preferred.
  • A clinical background is preferred.

About the company

GBMC HealthCare owns and operates Greater Baltimore Medical Center (GBMC), a regional community hospital in Towson, Maryland. It also includes GBMC Health Partners, a network of more than 300 primary care providers and specialists; Greater Baltimore Health Alliance; the GBMC Foundation; and Gilchrist, Maryland’s leading nonprofit provider of serious illness and end-of-life care. The organization coordinates hospital care, outpatient services, and support through its network to deliver medical services to the community. It aims to educate the next generation of clinicians while pursuing high-quality, patient-centered care for every patient and family, aligning care with what the patient would want for their loved ones. Its goal is to improve health outcomes for the community by providing comprehensive medical care, education, and support across its facilities and programs.

Company Size

N/A

Company Stage

N/A

Total Funding

N/A

Headquarters

Baltimore, Maryland

Founded

1960

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Simplify's Take

What believers are saying

  • Paari Gopalakrishnan started September 2025 and added CFO and quality leaders in January 2026.
  • GBMC began a $6 million radiation oncology renovation in January 2026, finishing spring 2027.
  • A June 2026 anonymous $6 million gift accelerated pediatric emergency and inpatient expansion goals.

What critics are saying

  • The EEOC disability-bias lawsuit against GBMC heads toward trial in August 2026.
  • GBMC’s $20 million pediatric expansion still depends on fundraising after June 2026’s $6 million gift.
  • Gilchrist Inova awaits final CMS certification in August 2026, delaying full revenue realization.

What makes GBMC HealthCare unique

  • GBMC remains Maryland’s only independent community health system, pairing hospital and hospice care.
  • Gilchrist extends GBMC into serious illness, palliative, and hospice care across multiple Maryland counties.
  • March 2026 NCMEC designation made GBMC the nation’s first hospital community education partner.

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Company News

Maryland Volunteer Lawyers Service
Aug 24th, 2026
GBMC and Gilchrist | Community Partner of the Month.

GBMC and Gilchrist | Community Partner of the Month. By Chandler Walters August 24, 2026 Community Partner of the Month GBMC Health Partners and Gilchrist. Advancing Health Equity Through Care, Partnership, and Legal Support About GBMC and Gilchrist. MVLS is proud to recognize GBMC and Gilchrist as its Community Partner of the Month. Together, GBMC Health Partners and Gilchrist expand access to care across Maryland. Their work includes primary care, geriatric medicine, hospice, palliative care, and community-based support. Community Partner of the Month Marcinah Carter, RN Health Coach; Councilwoman Ramos; and Lakisha Roberts, Community Outreach Coordinator Rooted in community care. GBMC has served the community for more than 60 years. It is Maryland's only independent community health system. GBMC was founded in 1965. It was created through the merger of Presbyterian Eye, Ear and Throat Charity Hospital and the Hospital for Women of Maryland. In 2019, GBMC Health Partners expanded its Baltimore City presence. The organization opened its Jonestown Primary Care office at the original Presbyterian Eye, Ear and Throat Charity Hospital site. Gilchrist is the serious illness and hospice care organization within the GBMC HealthCare system. It was established in 1994 and opened Gilchrist Center Baltimore in 2021. Together, GBMC and Gilchrist advance health equity. They do this by expanding access to primary care, geriatric medicine, hospice, palliative care, and specialty services. Advancing Health, healing, and hope. GBMC's mission is to provide high-quality medical care and service to each patient. It also educates clinicians and promotes community health. Gilchrist's mission is to provide compassionate care and support at every stage of serious illness. These missions grow stronger when health equity is centered. They also grow stronger when social drivers of health are addressed directly. Serving patients and families across the region. GBMC Hospital is located in Towson and serves patients throughout the region. GBMC Health Partners operates practices in Baltimore City, Baltimore County, and Harford County. Gilchrist serves Baltimore City and several Maryland counties. These include Baltimore, Carroll, Harford, Howard, Frederick, Anne Arundel, Prince George's, and Washington counties. Gilchrist also serves parts of Southern Pennsylvania and Northern Virginia. Their support extends beyond clinical care. GBMC and Gilchrist connect families with community resources, health education, outreach, and caregiver support. They also support mental and behavioral health needs, food security, advance care planning, and advance directives. Why partnership with MVLS matters. Health is shaped by more than medical care alone. Housing, benefits, estate planning, guardianship, and financial stability can all affect health. Legal support can help address these issues. That is why partnerships with organizations like Maryland Volunteer Lawyers Service are so important. Gilchrist and MVLS have collaborated through health equity initiatives and grant-funded programs. These efforts address both legal and social needs. GBMC and Gilchrist also refer patients and families to MVLS. Legal assistance can help people remain safely in their homes and age in place with dignity. Connecting healthcare and Legal Support. GBMC, Gilchrist, and MVLS work together to provide community education on advance directives and estate planning. This education helps individuals make their wishes clear. It also helps ensure those wishes are understood and respected. By connecting healthcare and legal support, this partnership helps serve the whole person. Upcoming: GEDCO Stadium Place Community Festival. GBMC and Gilchrist are excited to support the GEDCO Stadium Place Community Festival. The event celebrates GEDCO's 35th anniversary on September 26. The festival will bring together residents, community organizations, and local resources. It will be a day of connection, celebration, and engagement. Community members can also learn more about GBMC and Gilchrist services. These include primary care, geriatric medicine, hospice care, palliative care, caregiver support, and advance care planning. GEDCO Stadium Place Community Festival flyer. Advancing Health Equity Through partnership. MVLS is proud to partner with GBMC Health Partners and Gilchrist. Together, Maryland Volunteer Lawyers Service, Inc. help patients, families, and older adults access legal resources that support health, stability, dignity, and peace of mind.

Gobel Group
Jul 31st, 2026
Healthcare principal gifts monthly report: June 2026.

Healthcare principal gifts monthly report: June 2026. GOBEL July 31, 2026 Replacing the Daily Digest, GOBEL identified all publicly announced healthcare gifts in the $1M-$9.9M range. Below find a list of principal gifts that were announced in June 2026. Did Gobel Group miss a healthcare gift at your organization or somewhere else? Send the information to [email protected]! $1M-$9.9M healthcare gifts in June 2026: * Tampa General Hospital Foundation received a $1M gift from Cliff and Linda Levy and their family. The gift supports the rising Taneja Surgical, Neuroscience & Transplant Tower on Tampa General's Davis Islands campus and will name a patient and family waiting room in the tower. * Cambridge Health Alliance raised more than $1M at its annual Art of Healing Gala on June 5 at Encore Boston Harbor. The event honored Epic founder and CEO Judy Faulkner for two decades of philanthropic support, including funding for CHA's newly renovated Birth Center. * Wolfson Children's Hospital Foundation received a $5.5M gift from the Terry Family Foundation, announced June 5. The gift supports the pediatric emergency center within Baptist Health's planned McGehee Family Tower, plus equipment upgrades at the C. Herman & Mary Virginia Terry Heart Institute. Baptist Health matched the commitment at 150%, creating a combined $10M investment. * MUHC Foundation raised $2,223,306 CAD at its 9th annual Le Bal Rouge Gala on June 9 in Montreal. The funds support transformative innovation in health care at the McGill University Health Centre's Glen site, including women's health, precision medicine, and cancer care. * Incline Village Community Hospital Foundation received a $1M gift from the Offerdahl Family Foundation. The gift, made through Richard and Linda Offerdahl, supports the Surgery Enhancement Project at Incline Village Community Hospital and helped the foundation reach its $10M fundraising goal; the hospital's new patient registration area will be named for the Offerdahl family. * UH Samaritan Medical Center received a $1M gift from Bob and Jan Archer, establishing the UH Samaritan Medical Center Fund for Hospital Operations. The fund supports healthcare provider recognition, engagement, and career advancement programs; the hospital's main reception area has been named the Robert M. and Janet L. Archer Lobby. * Intermountain Health St. Vincent Regional Hospital received a $5M gift from The Fortin Family Foundation. The leadership gift, announced June 23, will expand access to advanced pediatric services for children and families across Montana, Wyoming, and the western Dakotas as part of the Campaign for St. Vincent Regional Hospital. * GBMC HealthCare received an anonymous $6M gift toward the expansion and renovation of its Pediatric Emergency and Inpatient Departments in Baltimore County. The gift moves GBMC closer to its $20M fundraising goal for the project, which includes dedicated behavioral health space for children in crisis. GOBEL will release the 2025 Review of Transformational Giving this spring. Sign up here to receive an advanced copy of the report. GOBEL partners exclusively with hospitals and health systems to help strengthen and scale their philanthropy programs, from grateful patient fundraising and gift officer coaching to campaign planning, leadership engagement, and data-driven strategy. If your team is exploring ways to strengthen your fundraising program, Gobel Group would welcome the opportunity to connect, schedule a time with GOBEL. Recent comments. No comments to show. * Previous PostGrateful Patient Philanthropy Was Never Really About the Patient's Husband * Next PostTransformational Gift Tracker: June 2026

MHA
Jul 14th, 2025
Top MHA News Roundup Stories - July 11, 2025

GBMC HealthCare has tapped Dr. Paari Gopalakrishnan, an executive with experience turning around a struggling New England hospital, as its next CEO.

AFRO News
Oct 17th, 2024
Greater Baltimore Medical Center receives grant to continue fight against human trafficking

The Greater Baltimore Medical Center (GBMC) recently received a $50,000 grant from the U.S. Department of Health and Family Services to expand anti-human trafficking efforts.

The Daily Record
Oct 11th, 2024
GBMC HealthCare president, CEO Chessare to retire next year

GBMC HealthCare announced its president and CEO, Dr. John B. Chessare, will retire on June 30, 2025, after 15 years of leadership at the Baltimore-based health care organization.