RN Director of Quality & Regulatory Compliance

Job Description

Facilitates ongoing and special committees/task forces, providing consultative support to clinical committees, PI teams, and other departments related to quality, regulatory concerns, and policies/procedures. Serves as a resource for hospital departments regarding professional standards of practice and requirements of accreditation and regulatory agencies. Coordinates and directs activities, tracers, and education to prepare the organization to meet the requirements of Joint Commission, AHCA, and CMS. Communicates with courtesy and respect when interacting with internal or external customers, in person or on the telephone, maintaining a professional appearance and manner. Coordinates the improvement work of teams, oversees the execution of improvement plans, assists teams in using improvement tools, and evaluates team leadership on progress. Identifies deficient practice patterns, participates in Root Cause Analysis and FMEA teams, and provides recommendations for improvement and/or correction. Serves as a resource on regulatory issues to leaders, facilitating the education of staff about changes in regulations that impact care delivery or other work practices.

Knowledge, Skills, and Abilities

• Excellent verbal and written communication skills.
• Ability to work independently or in a team environment.
• Good math skills with ability to understand and work with spreadsheets.
• Ability to handle data that is sensitive and confidential.
• Proficiency with Microsoft Excel, PowerPoint, Word, Trove or similar database.
• Proficiency in database management and Electronic Medical Record navigation.
• Working knowledge of Joint Commission standards and AHCA/CMS regulations (or ability to learn).
• Strong organizational skills, attention to detail, and willingness to multitask.
• Education in Performance Improvement such as Team Leader, Facilitator experience, Malcolm Baldrige, and/or LEAN Six Sigma.

Education

• Bachelor’s degree (required).
• Master’s degree (preferred).
• Bachelor’s in Nursing (preferred).
• Field of study in a healthcare‑related field.

Work Experience

• 3+ years in a leadership role (required).
• 1+ year in human factor analysis (preferred).
• 3+ years in quality and regulatory reporting, performance improvement management, patient safety, and statistical data analysis (required).
• 3+ years in a healthcare setting (preferred).

Licenses and Certifications

• Certified Professional in Healthcare Quality (CPHQ) (preferred).
• Registered Nurse (RN) (preferred).
• Enhanced Nurse Licensure Compact – RN (ENLC‑RN) (preferred).

Benefits

• Medical, Dental, and Vision Insurance (from Day One)
• Life Insurance
• Disability Insurance
• Paid Time Off (from Day One)
• 403‑B Retirement Plan
• 4 weeks 100% paid parental leave
• Career development opportunities
• Whole person well‑being resources
• Mental health resources and support
• Pet benefits

Schedule

Full‑time, Day shift. Monday – Friday, 8:00 am – 5:00 pm.

Location: 2201 S Clear Creek Rd, Killeen, TX 76549, United States of America.

Pay Range

$100,360.00 – $186,638.40