Penn State Health Milton S. Hershey Medical Center is engaging in a national search for our next Director of Regulatory, Accreditation and Infection Prevention.
Penn State Health Milton S. Hershey Medical Center is Central Pennsylvania’s only Academic Medical Center, Level 1 Regional Adult and Pediatric Trauma Center, and Tertiary Care Provider. We are committed to enhancing the quality of life through improved health, the professional preparation of those who will serve the health needs of others, and the discovery of knowledge that will benefit all.
This position is directly responsible for the strategic direction, development and implementation of the Regulatory & Accreditation and Infection Prevention programs.
Responsible for developing, coordinating, integrating, implementing, and maintaining the overall regulatory & accreditation program for Penn State Health Milton S. Hershey Medical Center hospital licensure (hospital & ambulatory practice sites of the academic practice division).
The Director’s primary goal is to ensure that the organization remains compliant with all Federal, State, and local regulatory requirements, and adheres to identified accreditation and certification program standards. Directs and oversees any on-site JC or PA DOH accreditation, verification, or complaint survey process.
This role will also direct the activities of the infection prevention program to prevent and control the spread of communicable and infectious diseases in patients, employees and visitors in collaboration with the Infectious Diseases medical staff, administration and employee health services.
As the subject matter expert for regulatory compliance and accreditation standards the Director will serve as a resource to the organization and ensure successful coordination of Joint Commission certification surveys for specialty programs (e.g. Stroke, Heart Failure, Transplant) as well as individual hospital services in collaboration with administrative and clinical leadership.
Penn State Health offers exceptional benefits, multiple time off programs to promote strong life/work balance, and access to tuition programs designed to help our employees develop.
Why Central PA?
We are proud to possess a vibrant downtown area which affords exceptional cultural opportunities including the Hershey and Harrisburg Orchestras, museums, a highly rated amusement park, the Hershey Theater, farmer’s markets and some of the finest dining in the region. We are an easy distance from the Fulton Theater, York Little Theater, Lancaster’s Amish country, and walkable towns like Hummelstown and Lititz. For the outdoors enthusiast, we have ample opportunities for hiking, biking, rowing, and hunting. For sports lovers, we are home to the American Hockey League’s Hershey Bears, the Minor League Baseball’s Harrisburg Senators, and the United Soccer League’s Penn FC. Central Pennsylvania is an exceptional combination of rural, suburban, and city living and is also within a day trip distance of some of the country’s most famous cities - New York, Washington DC, and Philadelphia.
Master's degree related to healthcare or MBA required.
Seven (7) years of experience directly related to Regulatory/Accreditation required.
Five (5) years of management experience required.
Certified Professional in Healthcare Quality (CPHQ), Healthcare Accreditation Certified Professional (HACP) or Joint Commission
Professional (CJCP) certificate preferred.
Previous experience in leading Regulatory/Accreditation programs in a large health systems or complex academic medical center preferred.
Previous experience managing a complex portfolio of program accreditations and certifications preferred.
Internal Number: 18819
About Penn State Health Milton S. Hershey Medical Center
At Penn State Hershey, our mission is to enhance the quality of life and serve our community through improved health, the education of health professionals, and the discovery of knowledge. For us, service excellence is not only for our patients but also our employees. It means valuing each and every employee.