UT Southwestern Medical Center · 8 hours ago
Director of Behavioral Health Accreditation
Dallas, TX
Full-time
Onsite
Lead/Staff, Director/Executive
5+ years expUT Southwestern Medical Center is launching the first state psychiatric hospital in Dallas-Fort Worth, aiming to make a significant impact on behavioral health in Texas. The Director of Behavioral Health Accreditation will ensure compliance with accreditation standards and regulatory frameworks while leading initiatives for quality improvement and patient care excellence.
Clinical TrialsHealth CareHospitalMedicalNon ProfitOncologyOutpatient Care
Hiring Manager
Yeturde' Broomfield-Figueroa, MBA
Responsibilities
Leads hospital-wide accreditation initiatives in partnership with senior leadership to ensure alignment with organizational goals and regulatory standards
Manages all aspects of accreditation and regulatory readiness, serving as the primary liaison to accrediting bodies and overseeing survey preparation, execution, and follow-up
Continuously monitors changes in federal, state, and local regulations impacting behavioral health services, ensuring proactive compliance and sustained survey readiness
Identifies regulatory risk areas and collaborates with clinical and operational leaders to implement effective corrective actions that drive continuous improvement
Serves as a subject matter expert on accreditation standards, providing guidance on interpretation, application, and ongoing monitoring across departments
Supports the development and analysis of performance metrics, data collection systems, and quality outcomes to inform accreditation strategy and operational excellence
Performs other related duties assigned to support departmental and organizational objectives
Qualification
Required
Bachelor's Degree in healthcare administration, nursing, public health, or a related field
5 years of experience in healthcare accreditation, regulatory affairs, or quality management, preferably in behavioral health
Deep knowledge of TJC Behavioral Health Care & Human Services standards, CMS Conditions of Participation, and state licensing regulations
Preferred
Master's Degree in healthcare administration, nursing, public health, or a related field
Certification in Healthcare Compliance (CHC), accreditation (HACP), or quality (CPHQ) is preferred
Benefits
PPO medical plan, available day one at no cost for full-time employee-only coverage
100% coverage for preventive healthcare-no copay
Paid Time Off, available day one
Retirement Programs through the Teacher Retirement System of Texas (TRS)
Paid Parental Leave Benefit
Wellness programs
Tuition Reimbursement
Public Service Loan Forgiveness (PSLF) Qualified Employer
Company
UT Southwestern Medical Center
UT Southwestern Medical Center offers clinical care, education, and scientific research.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$22MKey Investors
The Dallas FoundationPatient-Centered Outcomes Research Institute
2023-06-20Grant
2023-04-20Grant· $4M
2023-03-28Grant· $18M
Leadership Team
Chris Rubio
Interim Chief Executive Officer, Clements University Hospital
Dennis Pfeifer
AVP & CTO University Health System
Recent News
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