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Market Director of Accreditation & Regulatory

Modesto, California Doctors Medical Center of Modesto
Category Business & Operations, Leadership Job ID 2603016772
Facility Doctors Medical Center Status Full Time Shift Day
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Overview




Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your passion for nursing to a place where it truly matters!

At Doctors Medical Center of Modesto, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

  • Medical, dental, vision, and life insurance
  • 401(k) retirement savings plan with employer match
  • Generous paid time off
  • Career development and continuing education opportunities
  • Health savings accounts, healthcare & dependent flexible spending accounts
  • Employee Assistance program, Employee discount program
  • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status

Job Summary

Job Type: Full Time

Job Shift: Day

Holiday Rotation:

Department: Quality Risk Management

The Market Director, Quality provides strategic leadership and oversight for regulatory requirements and accreditation standards, goals, and targets across multiple hospitals, ambulatory facilities, or healthcare entities within a defined market. This role collaborates with executive leadership, physicians, nursing leaders, and operational teams for regulatory and accreditation preparedness and sustainment. and to ensure compliance with federal, state, and accreditation requirements.

Responsibilities

Develops, educates, implements, monitors, and leads, Tenet and USPI, regulatory requirements and accreditation standards, goals, and targets through collaboration with hospital, corporate departments and the Sr. Director, Regulatory and Accreditation. Leader in the formulation of Tenet regulatory and accreditation related goals and targets. Assists with the development of the Tenet strategy and tactics for regulatory and accreditation preparation and successful surveys. Conducts on-site facility surveys. Provides leadership and expertise in methods of performance improvement. Coordinates and collaborates with organizational leaders on activities related to the development, implementation, improvement of and adherence to the organization’s policies and procedures covering the scope of regulatory requirements and accreditation standards. Supports preparation for surveys (i.e., CMS, TJC, State,). Supports the formulation of responses [plans of correction] from surveyors, electronic communication, or third-party payers under the direction of the Sr. Director of Regulatory and Accreditation. Remains current concerning industry-wide, leading practices. Demonstrates ethical behavior in decision-making, performance of job responsibilities while maintaining confidentiality regarding patient information, quality, performance, and peer review information. Develops policies and procedures for areas of responsibility. Develops methods, tools, and other resources for regulatory and accreditation preparedness and sustainment. Develops and presents educational material to various audiences based on identified or trending regulatory and accreditation issues.

Qualifications

Education
Required: Registered Nurse with Master's Degree in Nursing, Healthcare Administration, Business Administration, or other relevant healthcare field plus five years of regulatory, accreditation, and performance improvement experience 

Experience
Required: 7 years of progressive healthcare leadership experience with 5 years of experience leading hospital regulatory compliance, accreditation, quality, patient safety, or healthcare operations.

Certifications
Required: CPHQ, CPPS, or CPHRM within 12 months of hire. 

Organization Description

Doctors Medical Center (DMC), part of the Central Valley Doctors Health System, is the largest full-care hospital between Stockton and Fresno, and from the Sierras to the San Francisco Bay Area, with a 394-bed general acute care and a 67-bed inpatient psychiatric capacity. DMC is known for providing comprehensive inpatient, outpatient and emergency care. Doctors Medical Center offers a wide range of services including cardiology, neurosurgery, orthopedics, emergency and trauma services, minimally-invasive and robotic surgery, women and childrens services, medical/surgical, behavioral health, oncology and critical/intensive care. Join our team!

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: http://www.uscis.gov/e-verify
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.

2603016772

Salary: $149,760 - $239,200 **Individual wages are determined based upon a number of factors including, but not limited to, an individual’s qualifications and experience ***Calculated based on a full time position

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