Director of Quality, Regulation, Accreditation & Patient Experience

UHS • Washington, DC

92d

About The Position

Cedar Hill Regional Medical Center GW Health is the first new full-service hospital in Washington, DC in more than 20 years, integrating clinical care with existing community providers, Federally Qualified Health Centers (FQHC’s), The George Washington University Hospital, and our Urgent Care Center in Ward 8. This integrated delivery system is a robust network of care for all District residents, but more importantly, it ensures that residents of Wards 7 and 8 have access to high quality care in their community. This full-service hospital includes 136 beds (with the ability to expand to 184 beds), a verified trauma center, adult and pediatric emergency departments, maternal health and newborn delivery, an ambulatory pavilion for clinic visits and other outpatient services, a 500-car garage, and a helipad for emergency transport. We are seeking an experienced Director of Quality, Regulatory, Accreditation & Patient Experience. Our ideal candidate will provide leadership and assume ultimate accountability for department, implementation, and coordination of hospital clinical and operational quality improvement programs. Ensures compliance with all regulatory guidelines and monitors quality improvement programs throughout the Hospital. Oversee the implementation of the accreditation plan to ensure a state of continuous survey readiness and compliance with district and federal regulatory requirements. In addition, have knowledge or ability to ascertain, hospital requirements for accreditations at an academic teaching hospital. Ensure an ongoing mechanism for proactive monitoring and auditing is developed, continually updated, and executed on a regular schedule and the results of any monitoring or auditing are made available to appropriate leadership.

Requirements

• Current license to practice as a Registered Nurse in the District of Columbia required.
• Bachelor’s degree in nursing, public health or related program from an accredited educational institution required.
• MBA or MS degree in related healthcare field from an accredited educational institution preferred.
• 5 - 8 years quality or related health care experience required; 10 years preferred.
• Experienced in the use of statistical, security adjustment and benchmarking software and databases.
• Expert knowledge of health and safety management strategies, quality assurance, quality improvement and continuous improvement methodologies and tools.
• Expert working knowledge of systems theory and statistics.
• Expert knowledge of healthcare regulations, guidelines and standards.
• Knowledge of licensure regulations, Joint Commission on Accreditation of Healthcare Organization and state/federal standards.
• Knowledge of Performance Improvement methodology and Outcomes Management.

Nice To Haves

• Experience with management of Regulatory and Accreditation preparedness preferred.
• Expertise in CPI & operational/process improvement.
• Highly developed organizational and interpersonal skills required.
• Ability to maintain confidentiality.
• Superior leadership and teaching abilities.
• Positive and effective interpersonal and written and verbal communication skills.
• Ability to work effectively with various levels of management personnel, physicians, board members, and other community members.
• Ability to lead and facilitate group decision-making and conflict resolution.
• Excellent analytical and problem-solving skills.
• Ability to manage multiple priority projects simultaneously.
• Ability to access input and retrieve information from a computer.
• Able to work flexible hours as needed.
• Ability to make quality, independent decisions.
• Ability to adapt to multiple and changing priorities.
• Strong analytical and problem-solving skills.
• Statistical analysis skills.
• Demonstrated problem solving, data assembly and action planning ability leading to the development of actions plans that will prove helpful in achieving measurable objectives.
• Ability to organize, formulate, educate and facilitate problem solving teams.
• Demonstrative ability to work without supervision toward a desired outcome.
• Expertise in Microsoft Office and Database management.

Responsibilities

• Provide leadership and accountability for department implementation and coordination of hospital clinical and operational quality improvement programs.
• Ensure compliance with all regulatory guidelines and monitor quality improvement programs throughout the Hospital.
• Oversee the implementation of the accreditation plan to ensure continuous survey readiness and compliance with district and federal regulatory requirements.
• Develop and execute a proactive monitoring and auditing mechanism, ensuring results are available to appropriate leadership.

Benefits

• Challenging and rewarding work environment.
• Competitive Compensation & Generous Paid Time Off.
• Excellent Medical, Dental, Vision and Prescription Drug Plans.
• 401(K) with company match and discounted stock plan.
• SoFi Student Loan Refinancing Program.
• Career development opportunities within UHS and its 300+ Subsidiaries.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees