Job Description

Responsibilities

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 (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 Experience

The 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 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
• More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services

One of the nations 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 Worlds Most Admired Companies by Fortune and listed in Forbes ranking of Americas 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 site

Qualifications

Experience

• Current license to practice as a Registered Nurse in the District of Columbia required
• Bachelors 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 preferred
• 5 - 8 years of quality or related healthcare experience required; 10 years preferred
• Experience with statistical, benchmarking software and databases
• Experience with management of Regulatory and Accreditation preparedness preferred
• Expert knowledge of health and safety management strategies, quality assurance, quality improvement and continuous improvement methodologies and tools
• Expert knowledge of systems theory and statistics; expert knowledge of healthcare regulations, guidelines and standards
• Knowledge of licensure regulations, Joint Commission standards and state/federal requirements
• Knowledge of Performance Improvement methodology and Outcomes Management

Skills

• Expertise in CPI and operational/process improvement
• Strong organizational and interpersonal skills; ability to maintain confidentiality
• Superior leadership and teaching abilities
• Excellent written and verbal communication; ability to work with management, physicians, board members, and community partners
• Ability to lead group decision-making and conflict resolution
• Analytical and problem-solving skills; ability to manage multiple projects
• Proficiency with computer systems and Microsoft Office
• Ability to adapt to changing priorities and work flexible hours as needed
• Ability to make independent quality decisions
• Demonstrated ability to facilitate problem-solving teams

EEO Statement

All 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 Scams

At 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.

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