Responsibilities

Cedar Hill Regional Medical Center 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.

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 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 an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. During the year, UHS was again 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 has approximately 96,700 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.  www.uhs.com.

Qualifications

Experience 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. 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 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. Skills 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 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 as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals 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.

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