5 days old

Regulatory and Accreditation Services Director

HCA Healthcare
Nashville, TN 37201



Do you want to join an organization that invests in you as a(an) Director Regulatory and Accreditation Services? At HCA Healthcare, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years.


At HCA Healthcare, we want to ensure your needs are met. We offer eligible colleagues an attractive benefit package that includes medical, wellbeing, dental and vision benefits along with some unique benefits including:

  • Medical, Dental, Vision, Life Insurance and Flexible Spending
  • Paid Time Off (PTO) and Personal Leave
  • 401K (100% annual match - 3% to 9% of pay based on years of service)
  • Academic Assistance and Reimbursements for Tuition and Student Loans
  • Employee Discounts including Tickets, Retail, Mental Health Apps, Education Apps, Identity Theft Protection etc.
  • HomeAuto, and Pet Insurance
  • Employee Stock Purchase Program (ESPP)
  • Short Term Long Term Disability coverage
  • Adoption Assistance
  • Legal Benefits and lots more!

Learn more about Employee Benefits

You contribute to our success. Every role has an impact on our patients lives and you have the opportunity to make a difference. We are looking for a dedicated Director Regulatory and Accreditation Services like you to be a part of our team.

Job Summary and Qualifications

The primary purpose of the Regulatory and Accreditation Services Department is to promote safe, high quality and effective patient care through maintaining accreditation, certification and licensure compliance of all facilities. HCA Healthcare clinical strategies and regulatory compliance are foundational to the work of the department. 

Travel to provide onsite expert consultation and survey for HCA Healthcare Continual Survey Readiness Evaluation (CSRE) to HCA Healthcare hospital and ambulatory surgery center (ASC) administrator/chief executive officers (CEO), chief nursing officers (CNO) and other hospital/ASC, board of trustee and medical staff leaders regarding clinical performance improvement and foundational operational standards requiring facility compliance. Role is critical to HCA Healthcare strategy of quality and patient safety as a differentiator of hospital and ASC operational performance. Role complements and provides guidance to division vice president, quality or director, quality and risk management. 

Up to 75% Travel Required

Major Responsibilities: 

Individual serves as the expert consultant to hospital and ASC clinical performance improvement. Position requires expertise to guide hospital/ASC quality and risk directors in their position requirements and to counsel CEO/Administrator, CNO, COO, medical staff and board leaders in continuous patient care improvement in a foundationally compliant manner. With increasing HCA Healthcare clinical improvement patient quality agenda, this position is critical to HCA Healthcare mission and strategies.

  Position requires competencies for performance with senior department member for training and assurance of knowledge acceptable for a level of director. Incumbent travels and provides consultation but always with a subject matter expert with a history of demonstrated competence, senior director, or higher level department member until expert knowledge is demonstrated. Designs and presents educational programs for HCA Healthcare hospital/ASC and medical staff leaders regarding requirements of clinical performance improvement for operational compliance to public reporting including the hospital quality alliance, external quality agencies including The Joint Commission (TJC)/Accreditation Association for Ambulatory Health Care (AAAHC), Centers for Medicare and Medicaid Services (CMS), state survey agencies, etc. 

Conducts onsite assessments of focused topics within HCA Healthcare hospitals/ASCs including credentialing, utilization management, peer review, medical staff and board bylaws, etc. 

Position demands a total command of clinical performance improvement, clinical excellence, HCA Healthcare clinical agenda, TJC and AAAHC standards, healthcare licensure regulations and CMS Conditions of Participation/Conditions for Coverage. Position is critical to advancement of HCA Healthcare facility delivery of safe, effective, efficient, compassionate and satisfying patient care as defined by the HCA Healthcare clinical improvement strategies. 

 Education & Experience

Bachelors degree Required 

Masters degree Preferred 

7+ years of experience in a relevant work experience (hospital department manager or director experience and success) 

Registered nurse, registered pharmacist, a laboratory specialist to include a medical technologist licensed as a medical technologist by the American Society of Clinical Pathology (MT ASCP), registered or accredited health information administrator, healthcare administrator or other healthcare professional. Required

  Consulting and educational program delivery skills and expertise. Required 

Computer knowledge and competency for presentation design and report delivery. Required

  Expert speaking and presentation skills and competency. Required 

Must be a team participant focused toward HCA Healthcare clinical improvement strategies. Long-term position commitment required. 

HCA Healthcare (Corporate), based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled resources and opportunities to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and career advancement opportunities, every person has a solid foundation for success. Nashville is also home to our Executive Development Program, where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.

HCA Healthcare has been named one of the Worlds Most Ethical Companies by Ethisphere Institute for over a decade.  In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Director Regulatory and Accreditation Services opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

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.



Posted: 2022-05-10 Expires: 2022-06-09

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Regulatory and Accreditation Services Director

HCA Healthcare
Nashville, TN 37201

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