General Summary

Works independently under the general to ensure compliance with accreditation and regulatory standards. Responsible for development, implementation, and evaluation of processes to support ongoing compliance with The Joint Commission, Maryland Department of Health, Centers for Medicare & Medicaid (CMS) and other regulatory bodies as required. Leads and works collaboratively with internal and external partners to achieve continuous regulatory and accreditation compliance, positive survey outcomes, and a safe environment for patients and staff.

Mission

All employees are responsible for extending the mission and values of Baltimore Washington Medical Center by dedicating oneself to providing the highest quality healthcare services to the communities we serve.

Reporting Relationships

Reports to the Director of Quality Management & Accreditation

Experience the highest level of appreciation at UM Baltimore Washington Medical Center — named Top Workplace in the Baltimore area by The Baltimore Sun two years in a row (2019 & 2020); Top Workplace in the USA for 2021! As part of the acclaimed University of Maryland Medical System, our facility is one of three ANCC Pathway to Excellence® designated hospitals in Maryland. UM BWMC features one of the state’s busiest emergency departments, as well as a team of experts who care for our community and one another. The University of Maryland Baltimore Washington Medical Center (UMBWMC) provides the highest quality health care services to the communities we serve. Our medical center is home to leading-edge technology, nationally recognized quality, personalized service and outstanding people. We have 285 licensed beds and we’re home to 3,200 employees and over 800 physicians. Our expert physicians and experienced, compassionate staff are connected to medical practices in the local community as well as at University of Maryland Medical Center in downtown Baltimore. For patients, this means access to high-quality care and research discoveries aimed at improving Maryland’s health. Our physicians and nursing staff specialize in emergency, acute, medical-surgical and critical care. In addition, our medical center is home to many Centers of Excellence, offering expert outpatient health care.

• Bachelors of Science in Nursing or equivalent Health Care Field (required)
• Masters of Science in Nursing or equivalent Health Care Field (preferred)
• Five (5) years’ of previous clinical experience in hospital including experience with facilitating and leading safety and quality improvement initiatives is required. Previous experience in quality or safety role preferred.

All your information will be kept confidential according to EEO guidelines.