Division Director of Regulatory Compliance

• Introduction

Do you have the career opportunities as a(an) Division Director of Regulatory Compliance you want with your current employer? We have an exciting opportunity for you to join Methodist Healthcare which is part of the nation's leading provider of healthcare services, HCA Healthcare.

Benefits

Methodist Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Division Director of Regulatory Compliance where your passion for creating positive patient interactions are valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!

Job Summary and Qualifications

Seeking a Division Director of Regulatory Compliance for Methodist Healthcare System who is responsible for administration and oversight of all activities concerning the achievement of continuous regulatory and accreditation readiness, quality excellence, and corporate safety compliance for the organization. The role provides oversight for matters including the Centers for Medicare and Medicaid Services (CMS), The Joint Commission (TJC), and other external agencies for regulatory compliance. This position works closely with the quality and safety department, facility leadership, and department leaders across the organization to support facilitation, development, and implementation of systems to ensure compliance with external accrediting and regulatory bodies, while driving process improvement and safety across the facility. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you. We want you to apply now!

What You Will Do In Your Role:

• Provides administration and oversight of all activities concerning the achievement of continuous regulatory and survey readiness. Ensures strategic and operational implementation of regulatory requirements, guidelines, and standards of federal, state, and local licensing agencies, accrediting and certifying organizations.
• Directs strategic and operational implementation of regulatory requirements, guidelines, and standards of federal, state, and local licensing agencies, accrediting and certifying organizations, along with safety policies and procedures and professional standards of the organization.
• Assists in the establishment of operational performance measurements and the monitoring of trends in key performance indicators to evaluate effectiveness, reliability, and efficiency
• Maintains knowledge of current accreditation and regulatory trends, guidance, standards, and requirements to ensure facility survey readiness and compliance.
• Establishes and maintains proactive system for continual survey readiness with key stakeholders and department leaders. Manages the system’s tracer process and audits where appropriate. Recommends monitoring activities and determines effectiveness of interventions to meet desired outcomes.
• Develops and leads CMS, TJC, and state hospital licensure regulatory and quality compliance plan for the organization.
• Manages post-survey activities. Works with key stakeholders to identify and address areas of non-compliance and to develop, submit, and implement plans of correction. Oversees post-survey compliance activities to ensure successful implementation of process changes. Monitors re-evaluation results to ensure performance improvement. Develops and maintains strong, collaborative relationships with other key stakeholders, including infection prevention, nursing, patient safety, facilities, etc.
• Performs other duties as assigned.
• Practices and adheres to the “Code of Conduct” and “Mission and Value Statement.”

What qualifications you will need:

• Bachelor’s degree in nursing or healthcare required.
• Minimum of three years of managing regulatory compliance programs in a complex, multi-campus healthcare environment.
• Employee completes initial and ongoing training and competencies as defined by service line, facility and department/unit which are specific to the needs of the patient population served (if applicable).

Preferred:

• Master’s Degree in nursing or a healthcare field. Certified Professional in Healthcare Quality (CPHQ).

Minimum License, Certificates, or Registrations Required:

• If RN, must have a valid, active unencumbered Nursing license or temporary permit approved by the Texas Licensing Board.
• Certified Professional in Healthcare Quality (CPHQ) required within 12 months of hire
• Preferred: Certified Professional in Healthcare Quality (CPHQ).
• Must have CPHQ within 1 year of hire into the position.

Methodist Healthcare is recognized as the most respected and preferred healthcare provider in the South Texas region. As San Antonio’s second largest private employer, we employ more than 11,000 individuals, including 2,700 physicians in all specialties. Methodist Healthcare is a 50-50 co-ownership between Methodist Healthcare Ministries of South Texas, Inc. and HCA Healthcare. Since 1963, our commitment has never wavered in consistently improving the health and wellness of our community by “Serving Humanity to Honor God.”

Our network of greater San Antonio hospitals includes nine acute care facilities: Methodist Hospital, Methodist Children's Hospital, Methodist Hospital Ambulatory Surgery, Methodist Hospital Metropolitan, Methodist Hospital Northeast, Methodist Hospital South, Methodist Hospital Specialty and Transplant, Methodist Hospital Stone Oak and Methodist Hospital Texsan. We also offer 4 freestanding emergency centers in Boerne, Converse, Westover Hills, and the Quarry. At each of our facilities, we offer an outstanding selection of doctors, healthcare professionals, equipment and health services from wellness events to transplant services, pediatrics, dermatology, cardiology, oncology and a complete range of other medical services. For more information, please visit our website at www.sahealth.com.

"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Division Director of Regulatory Compliance opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.