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Job Details

Director Regulatory Compliance/Quality

Company name
HCA Management Services, LP

Cartersville, GA, United States

Employment Type

Manager, Quality, Executive, Compliance, Nursing, Healthcare

Posted on
Jul 10,2019

Valid Through
Oct 23,2019

Apply for this job


Job Information

HCA, Hospital Corporation of America

Director Regulatory Compliance/Quality




_TriStar Cartersville Medical Center - Cartersville, GA_



Cartersville Medical *is seeking a *_Director, Regulatory Compliance/Quality_

to join their

Leadership Team

/We are a “Top Performer” on Joint Commission Key Quality Measures!/

Cartersville Medical Center is a Best in Value Hospital

Best in Value |

*Best in State | Best in Market

Quality •

Affordability • *



Nestled among beautiful mountains, the Etowah River, and Lake Allatoona, charming Cartersville, Georgia is the perfect place to call home and only minutes from vibrant Metro Atlanta. Home to

_Cartersville Medical Center_

, a growing acute care hospital and regional cancer center, you’ll love the family-oriented, patient-centered work environment with Health grades five-star rated service lines. Explore the history-rich Smithsonian affiliated museums; shop the unique downtown boutiques; play at Lakepoint Sports Complex; float the river in a kayak, canoe or tube; and enjoy the many community events and festivals year-round. Education options include top rated schools with championship athletic programs and Georgia Highlands College, a two-year institution of the University System of Georgia. Live, work and play in Cartersville, while being minutes away from Atlanta and Chattanooga. Visit the metro areas, then come home to Cartersville.

_Cartersville Medical Center_

is a 119-bed acute care hospital, Chest Pain Center, Certified Primary Stroke Center, Certified Total Joint program and Gold Seal Inpatient Diabetes program facility accredited by the Joint Commission. The Breast Imaging Center of Excellence at The Women’s Center provides mammography services that are gold seal accredited by the American College of Radiology. The Advanced Wound Healing Center provides specialized treatment for chronic or non-healing wounds. The Hope Center, a regional, Commission on Cancer approved cancer treatment facility, provides over 4,000 treatments with over 300 new patients per year from a ten county region.

_Cartersville Medical Center_

is located in Bartow County, Georgia * Population of more than 100,000 people (with a population of over 20,000 in Cartersville, the county seat) * Home to more than 166 diverse industries, including flooring giant Shaw Industries and Anheuser-Busch/InBev * Booth Western Art Museum and Tellus Science Museum, both Smithsonian Affiliate museums * Home of LakePoint Sporting Community, a thriving sports tournament and vacation destination * Median Age of 37.3 years * Nestled in the foothills of the Appalachian Mountains, offering a unique blend of country charm and international sophistication * Just 30 miles northwest of Greater Atlanta, along the I-75 corridor

Position Summary:

The goal of the Director, Regulatory Compliance/Quality is to serve as the hospital expert and leader in the development and coordination of regulatory and quality activities within the hospital and among the Medical Staff. The position responsibilities include: * Coordination of the continuous regulatory, licensure and accreditation compliance in accordance with all applicable regulations and standards. * Implements, coordinates and maintains a regulatory readiness program including identifying and scheduling appropriate tracer activities. * Continually analyzes and improves current regulatory compliance. * Updates leaders and the program on any changes in regulatory/accreditation regulations or standards. * Supports communication of regulatory standards to leadership, employees and medical staff with emphasis on the clinical and functional importance of regulatory compliance. * Coordinates and manages all regulatory, accreditation or certification preparation, performance reviews and all on-site/telephone survey processes, both announced and unannounced. * Coordinates and reviews, prior to submission, all facility corrective actions related to regulatory standards or surveys. Monitor and submits Measures of Success required in Action Plans. * Plans and leads mock surveys, QRS surveys, or any other preparation for upcoming accreditation surveys. * Meets all HCA regulatory reporting requirements. * Support quality improvement activities and reportable clinical measures. * Participates in performance improvement activities to assure continuous quality improvement including risk management, patient safety, infection prevention, medical staff and quality. * Supports other Quality/Patient Safety/Risk/Infection Prevention initiatives as assigned. * Promote a supportive, teamwork-oriented environment. * Understanding of corporate and healthcare environment * Fulfills departmental responsibilities with the long-range plan, mission, vision and values of CMC.


* Ask if you qualify for relocation assistance. * Competitive salary * Night and weekend shift differentials * Premium Pay for Weekend Only positions * Generous PTO Plan * Great medical plans, vision & dental benefits, life & disability benefits, etc. * 401(k) Plan with 100% match * Employee Stock Purchase Program * Tuition Reimbursement * Student Loan Assistance * Consumer discounts * And many, many more!


* Graduate of an accredited school of professional nursing. * BSN degree preferred.


* Current GA Registered Nurse license. * Basic Healthcare Provider (BLS) and ACLS required within 90 days of hire or promotion.


* Previous 5 years acute care nursing experience. * Previous management experience related to acute care Quality and Regulatory Compliance.

Apply Online Today to join this great Cartersville Leadership Team!


*Directors & Managers


Director Regulatory Compliance/Quality


Georgia-Cartersville-Cartersville Medical Center-Cartersville

Requisition ID:


Company info

HCA Management Services, LP
Website :

Company Profile
At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies. Today, we are the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes about 165 hospitals and 115 freestanding surgery centers in 20 states and England and employing approximately 204,000 people. Approximately four to five percent of all inpatient care delivered in the country today is provided by HCA facilities. Milton Johnson serves as Chairman and Chief Executive Officer of HCA. HCA is committed to the care and improvement of human life and strives to deliver high quality, cost effective healthcare in the communities we serve. Building on the foundation provided by our Mission & Values, HCA puts patients first and works to constantly improve the care we give them by implementing measures that support our caregivers, help ensure patient safety and provide the highest possible quality. Investing in our communities is important to us. HCA typically invests about $1.5 billion annually to keep our facilities modern and up-to-date technologically and to expand and add services where needed. Focusing primarily on communities where the company is a leading healthcare provider, HCA selectively adds new facilities in order to better serve our communities. And because two HCA founders were physicians, we value highly the strong relationships we've created with local physicians. We endeavor to provide them with a wide array of services and modern facilities in order to help them deliver the best possible care.

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