Regional Director, Regulatory & Quality Services, Healthcare Leadership
Overview
Leads Quality, Regulatory Preparedness, and Excellence across CHC facilities at scale. Owns mock surveys, action plans, and facility scorecards to drive patient safety and regulatory readiness. Partners with hospital leadership to support quality and performance improvement initiatives. This role blends strategic oversight with hands-on coaching and compliance execution in multi-hospital settings.
What You'll Do10
- 1Build and oversee regulatory preparation and mock surveys across STAC facilities for TJC CMS CAH CMS CIHQ DNV HFAP
- 2Lead post survey action plans and 60-90 day validations to close gaps and present findings to hospital Governing Boards
- 3Develop and monitor facility quality scorecards and report quarterly MOR metrics
- 4Provide leadership support to CNOs Nursing Directors Quality and Case Management Leaders in daily operations and quality initiatives
- 5Coordinate mock survey master schedule, surveyor assignments, and final report writing with VP Clinical Services
- 6Maintain constituent satisfaction processes including patient physician and safety culture surveys and drive improvements
- 7Research regulatory questions and coordinate expert guidance to resolve difficult compliance issues
- 8Support facility CEOs and CFOs and contribute to performance improvement activities across CHC facilities
- 9Deliver leadership education to nursing and quality leaders and occasionally serve in interim executive CHC field roles
- 10Foster CHC core values and ensure compliance with policies while maintaining accreditation and regulatory standards
Requirements10
- 1Bachelor's degree in Nursing or related clinical field
- 2Master's in Nursing or related field is highly preferred
- 3Current Texas RN license or eligibility to be licensed in Texas
- 4Must obtain HACP certification within the first year of employment
- 5Plano based position and travel up to 75% of the time
- 6Minimum seven years hospital clinical practice experience plus three to five years in senior nursing or quality leadership
- 7Experience with Quality management Regulatory Reporting Requirements Patient Safety Regulatory Preparedness Case Management and Process Improvement
- 8Rural or small hospital experience desirable
- 9Excellent communication and leadership skills with ability to present to CHC staff boards and executives
- 10Proficiency in regulatory standards and ability to assist hospitals in surveys and inspections
Salary Insight
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