Regional Director of Regulatory & Quality Services (Corporate)

Based out of our beautiful corporate headquarters in Plano, this leadership role offers an outstanding work environment and a vibrant company culture.

About the role

Under the supervision of the VP, Clinical & Quality Services, the Regional Director of Regulatory & Quality Services will:

• Support quality, efficient, safe, and regulatory compliant healthcare services
• Serve as the primary oversight of facility Quality, Regulatory Preparedness, and Excellence in hospitals
• Oversee and serve as team lead for regulatory preparation and mock surveys for STAC facilities related to TJC, CMS, CAH CMS, CIHQ, DNV, and HFAP
• Assist hospitals with post-survey action plans, including triennial, state, and mock surveys
• Conduct and arrange post mock survey 60-90 day validation surveys
• Present mock survey findings to the hospitals Governing Board - 90 days post survey
• Provide information to the QSR subcommittee of the CHC Board of Trustees quarterly and present the data as requested and directed
• Serve as Quality Representative during Operations Assessments
• Assist in providing support to field CNO's, Nursing Directors, Quality and Case Management Leaders in their daily operations, quality initiatives, constituent engagement/satisfaction, patient safety, productivity management, and direction of clinical/quality services
• Develop and monitor the facility quality scorecards with VP of Clinical and Regulatory Support, and report quarterly in the MOR reviews
• Provide leadership support and be a resource for quality and performance improvement at CHC facilities
• Develop and maintain mock survey master yearly schedule (with approval by VP Clinical Services), each facility's schedule with surveyor assignment, and coordinate the final report writing
• Maintain constituent satisfaction process, including patient engagement, physician engagement, and the culture of safety surveys
• Assist facilities in developing processes to address identified issues
• Research answers to regulatory questions or seek other expert advice when unable to discern difficult regulatory questions
• Identify and effectively promote the resolution of difficult operational and clinical care issues
• Provide support to facility CEO's and CFO's as requested
• Provide leadership education, direction and support to facility Nursing and Quality leaders
• May occasionally serve in short-term interim executive CHC field based roles as requested by the VP Clinical Services
• Perform miscellaneous duties as assigned
• May oversee PRN employees involved in mock surveys, regulatory preparedness, patient safety initiatives, and constituent satisfaction initiatives (patient, physician, and employee engagement)
• Support and apply CHC's core values of Respect, Integrity, Stewardship and Excellence in the performance of job functions
• Uphold and support the company's mission, vision, goals, and objectives
• Comply with CHC policies and procedures as they relate to the performance of job functions
• Actively commit to quality of patient care, treatment, and services, measure and report quality results to hospital and corporate teams, and foster continuous quality improvement
• Participate in corporate-wide and hospital-based performance improvement activities
• Actively commit to providing excellent customer service and strive to meet or exceed expectations/satisfaction in the performance of job functions
• Actively commit to meeting and/or exceeding physician expectations/satisfaction in the performance of job functions
• Retain all regulatory related hospital accreditations, licensures and designations in good standing
• Maintain compliance with all laws and applicable regulatory requirements and act promptly to comply with required changes

Requirements

• Bachelor's degree in Nursing or related clinical field
• Master's in Nursing or related field is highly preferred
• Must hold current Texas RN license or have the ability to be licensed in the State of Texas
• Will require obtaining HACP certification within the first year of employment
• Plano based position
• Ability to travel 75% of the time

Experience

• Minimum seven years hospital clinical practice experience plus three to five years in a senior nursing or quality leadership position (would consider equivalent years of multi-department nursing oversight)
• Previous consulting experience helpful
• Multi-hospital leadership preferred
• Required familiarity with Quality management, Regulatory Reporting Requirements, Patient Safety, Regulatory Preparedness, Case Management, and Process Improvement Programs
• Rural or small hospital experience desirable

Skills

• Ability to assist hospitals in enhancing a quality care environment, positive clinical outcomes, and a high level of patient, physician, and employee satisfaction
• Ability to read, analyze and interpret quality, clinical, financial and other data
• Proficient in providing leadership, guidance, direction and oversight of quality leaders at the hospital level
• Knowledge to support the basic implementation of case management operations
• Excellent verbal communication skills in both formal and informal formats
• Ability to effectively present information and respond to questions from CHC corporate staff members, clinical and medical staff, Board members, hospital leaders, and co-workers
• Ability to participate in hospital administrative teams, quality management directors, case management directors, clinical leaders, and fiscal leaders in decision making structures and processes
• Ability to work with people in such a manner as to build cooperation and group commitments to goals and objectives
• Ability to work independently and manage multiple projects simultaneously
• Ability to respectfully work with all levels of CHC corporate staff, administration, management, staff, and medical staff
• Ability to communicate and relate well with others
• Proficient PC skills
• Advanced knowledge of regulatory agency standards and the ability to assist hospitals in meeting standards and prepare for surveys and inspections
• Awareness of hospital productivity standards and how to apply them within hospitals
• Excellent project management, time management and planning skills
• Effective organizational skills, attention to detail, and effective follow-through on responsibilities and requests
• Ability to identify, investigate and resolve issues
• Possess a high degree of political savvy
• Ability to travel up to 70% of the time
• Current driver's license and good driving record

Benefits

• A comprehensive health and welfare benefits package is offered as part of total compensation
• Health Care Plan (Medical, Dental & Vision)
• Retirement Plan (401k, IRA)
• Life Insurance (Basic, Voluntary & AD&D)
• Paid Time Off (Vacation, Sick & Public Holidays)
• Wellness Resources and other benefits
• Paid fitness memberships
• Tuition reimbursement
• Generous PTO allowance
• Free covered parking