Regulatory and Accreditation Manager – Quality Assurance – Washington, DC

Responsibilities

THE GEORGE WASHINGTON UNIVERSITY HOSPITAL DESIGNATED A ‘BEST REGIONAL HOSPITAL’ BY U.S. NEWS & WORLD REPORT

Washington, D.C. — July 16, 2024 — The George Washington University Hospital (GW Hospital) continues to be a leader in providing the highest level of quality and compassionate healthcare for the D.C. Region. U.S. News & World Report has just released the 2024-2025 ratings and rankings, in which GW Hospital is recognized as a Best Regional Hospital. GW Hospital ranks 4th in the region, which includes hospitals in D.C. and parts of Maryland, Virginia, and West Virginia.

GW Hospital achieved “high performing” status in six specialty areas: Neurology and Neurosurgery; Orthopedics and Lung Surgery; Gastroenterology and Gastrointestinal Surgery; Urology and Geriatrics, along with receiving “high performing” designations for the following eight common procedures and condition areas: Heart Failure; Heart Attack; Kidney Failure; Leukemia, Lymphoma, and Myeloma; Prostate Cancer Surgery; Stroke; Hip Fracture; and Diabetes.

Additionally, in 2024, GW Hospital received the American College of Cardiology’s National Cardiovascular Data Registry (NCDR) Platinum Performance Achievement Award.

About GW Hospital:

GW Hospital is an academic medical center located in the heart of Washington, DC. We are committed to providing top-quality patient care, advancing medical education, and conducting groundbreaking research. Join our team and be part of an environment where innovation, excellence, and compassionate care come together.

Position Overview:

We are seeking a highly skilled Regulatory and Accreditation Manager to lead our Quality Assurance initiatives. This role will be critical in ensuring that GW Hospital meets or exceeds compliance standards and maintains accreditation from relevant regulatory bodies. The successful candidate will be proactive, detail-oriented, and passionate about quality care and patient safety.

Key Responsibilities:

• Lead regulatory and accreditation processes, including preparation, implementation, and follow-up for surveys and inspections.
• Monitor compliance with Joint Commission, CMS, and other regulatory agency standards.
• Develop, implement, and evaluate quality assurance initiatives to maintain high standards of patient safety and care.
• Collaborate with clinical and administrative leaders to ensure quality improvement efforts align with accreditation requirements.
• Serve as a liaison to regulatory agencies and provide education to staff on regulatory compliance and standards.
• Conduct internal audits and gap analyses to identify areas for improvement and develop actionable plans.

Main Benefits:

• Challenging and rewarding work environment
• Growth and Development Opportunities within UHS and its Subsidiaries
• Competitive Compensation
• Excellent Medical, Dental, Vision, and Prescription Drug Plan
• 401k plan with company match
• Educational support and tuition reimbursement

Qualifications

• Bachelor’s degree in Nursing, Healthcare Administration, or a related field. Master’s degree preferred.
• Minimum of 3 years of experience in healthcare quality assurance, accreditation, or regulatory compliance.
• Strong knowledge of Joint Commission and CMS regulations.
• Proven leadership abilities and experience managing accreditation surveys and quality improvement projects.
• Excellent interpersonal and communication skills, with the ability to effectively educate and influence staff at all levels.

About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

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We believe that diversity and inclusion among our teammates is critical to our success.

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