Market Director of Accreditation & Regulatory

Conifer Health Solutions • Modesto, CA

5d

About The Position

The Market Director, Quality provides strategic leadership and oversight for regulatory requirements and accreditation standards, goals, and targets across multiple hospitals, ambulatory facilities, or healthcare entities within a defined market. This role collaborates with executive leadership, physicians, nursing leaders, and operational teams for regulatory and accreditation preparedness and sustainment. and to ensure compliance with federal, state, and accreditation requirements.

Requirements

• Registered Nurse with Master's Degree in Nursing, Healthcare Administration, Business Administration, or other relevant healthcare field plus five years of regulatory, accreditation, and performance improvement experience
• 7 years of progressive healthcare leadership experience with 5 years of experience leading hospital regulatory compliance, accreditation, quality, patient safety, or healthcare operations.
• CPHQ, CPPS, or CPHRM within 12 months of hire.

Responsibilities

• Develops, educates, implements, monitors, and leads, Tenet and USPI, regulatory requirements and accreditation standards, goals, and targets through collaboration with hospital, corporate departments and the Sr. Director, Regulatory and Accreditation.
• Leader in the formulation of Tenet regulatory and accreditation related goals and targets.
• Assists with the development of the Tenet strategy and tactics for regulatory and accreditation preparation and successful surveys.
• Conducts on-site facility surveys.
• Provides leadership and expertise in methods of performance improvement.
• Coordinates and collaborates with organizational leaders on activities related to the development, implementation, improvement of and adherence to the organization’s policies and procedures covering the scope of regulatory requirements and accreditation standards.
• Supports preparation for surveys (i.e., CMS, TJC, State,).
• Supports the formulation of responses [plans of correction] from surveyors, electronic communication, or third-party payers under the direction of the Sr. Director of Regulatory and Accreditation.
• Remains current concerning industry-wide, leading practices.
• Demonstrates ethical behavior in decision-making, performance of job responsibilities while maintaining confidentiality regarding patient information, quality, performance, and peer review information.
• Develops policies and procedures for areas of responsibility.
• Develops methods, tools, and other resources for regulatory and accreditation preparedness and sustainment.
• Develops and presents educational material to various audiences based on identified or trending regulatory and accreditation issues.

What This Job Offers

• Job Type: Full-time
• Career Level: Director