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Director of Quality and Regulatory, Downers Grove, IL

Organization: Advocate Aurora Health
Category: Director
Location: Downers Grove, IL
Date Job Posted: December 14, 2020
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Director of Quality and Regulatory

Job ID: 176383SF
Shift: Day
Full/Part Time: Full Time
Location: Good Samaritan Hospital – Downers Grove, IL 60516
Benefits Eligible: Yes
Hours / bi-weekly pay period: 80

Position Requirements:

  • Masters Degree in a related field
  • Three or more years of managerial experience
  • Computer knowledge
  • Working knowledge of Quality Management
  • Excellent written and verbal communication skills required. CPHQ, Certification in Six Sigma, Lean, or Lean Six Sigma Willing to attend onsite and offsite department meetings and educational activities. Must be able to perform basic administrative director functions, participation in outside professional activities and maintain proficiency in department's software computer program
  • Ability to perform various physical tasks with a high degree of proficiency, such as articulating, hearing, viewing, and walking throughout the hospital
  • Available on a 24 hour basis and able to travel to corporate and community functions as appropriate
  • Flexible hours according to customer needs
  • Ability to work under stressful and difficult conditions


Leads and directs process and overall quality improvement activities that produce better patient outcomes and more efficient operations. Develops programs to review and evaluate patient care and outcomes. Implements a quality management system strategy and plans for a quality improvement function within the facility in collaboration with the administrative and clinical leaders of the organization. Tracks and presents results of improvement efforts and ongoing measures of clinical processes to management. Develops and implements organizational initiatives to support accreditation and regulatory readiness. Responsible for developing, deploying, maintaining and improving a well~developed regulatory program including: all elements of a fully functional quality management system interpreting all regulatory standards promoting continuous readiness and coordinate all survey operations. Leads patient experience measurement and analytical assessments that support an organization~wide focus on providing an exceptional patient experience. Evaluates and implements strategies and initiatives that support the organizational focus on patient experience. Facilitates consistent messaging, training and measurement to create a patient~centered culture. Serves as a leader for Lean Strategy development the deployment of Lean methodology change management and problem solving. Provides input to strategic decisions that affect the functional area of responsibility. Develops budgets and is a good steward of resources. Capable of resolving escalated issues arising from operations and requiring coordination with other departments.


  1. Leads organization Regulatory and Accreditation processes
  2. Directs the activities of the Quality Improvement Department
  3. Advocate Aurora Patient Experience Site Champion
  4. Directs house~wide Operations Improvement initiatives

Advocate Aurora Health is committed to diversity and inclusion every single day and in everything we do. Diversity lives in the differences, great and small, that matter to us and make each of us unique – from our age and the color of our skin, to our abilities and the things we believe in. We know that empowering our differences inspires creativity that leads to innovative solutions – for our team members, consumers and communities. And because health care is built upon relationships, it’s important for the people we serve to be able to trust us to meet their unique needs. By cultivating an atmosphere of acceptance and compassion, we create a welcoming environment where our patients can heal, our team members can thrive and our business can grow. As a team member, working in a diverse setting allows you the chance to grow in ways that will broaden your perspective to deliver the best possible patient care.

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