Responsibilities Cedar Hill Regional Medical Center – Opening in 2025! When open in early 2025, Cedar Hill Regional Medical Center GW Health will be the first new full-service hospital in Washington, DC in more than 20 years! This teaching hospital will integrate clinical care with existing providers, The George Washington University Hospital, and the Urgent Care Center in Ward 8. This clinical integration will establish a robust system of care for all District residents, but more importantly, it will ensure residents of Wards 7 and 8 have access to high quality care in their community. This full-service hospital will include 136 beds (with the ability to expand to 184 beds), a verified trauma center, adult and pediatric emergency departments, maternal health and delivery, an ambulatory pavilion for physician offices, clinics, a community space, a 500-car garage and a helipad for emergency transports. We are seeking a Director of Quality, Regulatory, Accreditation & Patient Experience The Director will pprovide leadership and assumes 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. To learn more visit https://cedarhillregional.com or https://jobs.uhsinc.com/cedar-hill-regional-medical-center. Qualifications Qualifications Education Requirements: 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. Experience: 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 towards a desired outcome Expertise in Microsoft Office and Database management License / Certification: Current license to practice as a Registered Nurse in the District of Columbia or eligible to obtain preferred. 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. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters. Pay Transparency: To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. Salary offers may be based on key factors such as education and related experience.