Director of Quality, Regulation, Accreditation & ...

ResponsibilitiesCedar 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 (FQHCs), 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, with emphasis on serving residents of Wards 7 and 8.This full-service hospital includes 136 beds (expandable 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 ExperienceThe candidate will provide leadership and accountability for the department, implementation, and coordination of hospital clinical and operational quality improvement programs. Responsibilities include ensuring compliance with regulatory guidelines, monitoring quality improvement programs, overseeing the accreditation plan to maintain continuous survey readiness, and ensuring compliance with district and federal regulatory requirements. The role includes understanding accreditation requirements for an academic teaching hospital and developing an ongoing mechanism for proactive monitoring and auditing, with results shared to appropriate leadership.As a Cedar Hill Regional Medical Center employee, you will be part of an exceptional team with the following benefit offerings:Challenging and rewarding work environmentCompetitive Compensation & Generous Paid Time OffExcellent Medical, Dental, Vision and Prescription Drug Plans401(K) with company match and discounted stock planSoFi Student Loan Refinancing ProgramCareer development opportunities within UHS and its 300+ SubsidiariesMore information is available on our Benefits Guest Website: About Universal Health ServicesOne of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into a Fortune 500 corporation, annual revenues were $14.3 billion in 2023. UHS has been recognized as one of the World’s Most Admired Companies by Fortune and listed in Forbes ranking of America’s Largest Public Companies.Headquartered in King of Prussia, PA, UHS employs approximately 96,700 people and operates hospitals, behavioral health facilities, outpatient facilities, ambulatory care access points, an insurance offering, a physician network, and related services across the U.S., Washington, DC, Puerto Rico, and the United Kingdom.More information: UHS official siteQualificationsExperienceCurrent license to practice as a Registered Nurse in the District of Columbia requiredBachelor’s degree in nursing, public health or related program from an accredited institution required. MBA or MS degree in a related healthcare field from an accredited institution preferred5 - 8 years of quality or related healthcare experience required; 10 years preferredExperience with statistical, benchmarking software and databasesExperience with management of Regulatory and Accreditation preparedness preferredExpert knowledge of health and safety management strategies, quality assurance, quality improvement and continuous improvement methodologies and toolsExpert knowledge of systems theory and statistics; expert knowledge of healthcare regulations, guidelines and standardsKnowledge of licensure regulations, Joint Commission standards and state/federal requirementsKnowledge of Performance Improvement methodology and Outcomes ManagementSkillsExpertise in CPI and operational/process improvementStrong organizational and interpersonal skills; ability to maintain confidentialitySuperior leadership and teaching abilitiesExcellent written and verbal communication; ability to work with management, physicians, board members, and community partnersAbility to lead group decision-making and conflict resolutionAnalytical and problem-solving skills; ability to manage multiple projectsProficiency with computer systems and Microsoft OfficeAbility to adapt to changing priorities and work flexible hours as neededAbility to make independent quality decisionsDemonstrated ability to facilitate problem-solving teamsEEO StatementAll UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and support recruitment, selection, placement, promotion and compensation without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.We believe that diversity and inclusion among our teammates is critical to our success.Avoid and Report Recruitment ScamsAt UHS and its subsidiaries, our Human Resources departments and recruiters help prospective candidates by matching skill set and experience with the best possible career path. During recruitment, no recruiter or employee will request financial or personal information via email, and recruiters will not contact candidates from public webmail services.If you suspect a fraudulent job posting or email, report concerns to appropriate authorities and verify opportunities on legitimate UHS career sites. #J-18808-Ljbffr

Created: 2025-10-06