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System Director of Regulatory Readiness

Requisition ID:


Business Unit:

Hartford HealthCare Corp.


Hartford, CT

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Job Schedule: Full Time
Standard Hours: 40
Job Shift: Shift 1
Shift Details:

Work where every moment matters.

Every day, over 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here.  We invite you to become part of Connecticut’s most comprehensive healthcare network. 

Hartford HealthCare (HHC), with a total operating revenue of $5B, leverages its unified culture to enhance access, affordability, equity and expertise. Its care-delivery system, with more than 400 locations serving 185 towns and cities, includes two tertiary-level teaching hospitals, an acute-care community teaching hospital, an acute-care hospital and trauma center, three community hospitals, the state’s most extensive behavioral health network, a large multispecialty physician group, a clinical care organization, a regional home care system, Connecticut’s largest array of senior care services, and a comprehensive physical therapy and rehabilitation network. On average, Hartford HealthCare touches more than 17,000 lives every single day. The unique, system-wide Institute Model offers a unified high standard of care in crucial specialties at hospital and ambulatory sites across Connecticut. The Institutes include Cancer, Heart and Vascular, Ayer Neuroscience, Orthopedics and Tallwood Urology.

Position Summary:

The System Director of Regulatory Readiness is an inspiring leader who provides strategic operational insight in regards to regulatory readiness throughout Hartford Healthcare.   Working collaboratively with senior leaders, clinical department chairs, risk management, employees and administrative leadership, the System Director ensures success in regulatory and accreditation compliance so that the highest standards of care are achieved across the entire Hartford HealthCare system. 

Key Accountabilities:

  • Provides leadership and subject matter expertise to HHC constituents to ensure compliance with regulatory requirements 
  • Identifies and addresses gaps during mock and real surveys with leadership, especially those related to regulatory standards and hospital policy compliance. Provides educational and training programs relating to compliance issues, safety and quality issues, and continuous regulatory readiness
  • In collaboration with HHC constituents, develops and recommends best practices; oversees implementation of practices and programs. Identifies and recommends opportunities for improvement of services provided.
  • Engages staff in process improvement and change activities. Encourages positive response to new opportunities, new technology and changes in healthcare
  • Responsible for independent action in project oversight, systems design and implementation, regulatory readiness improvement as identified through gap analysis and mock surveys. Uses performance improvement methodologies to achieve these goals
  • Collaborates with colleagues to support and coordinate clinical safety and quality activities throughout the institution and ensure that all safety and quality compliance issues are addressed and resolved in a timely manner
  • Collaborates with Clinicians, Clinical Leaders, and members of key committees to set goals/assess hospital(s) performance, prioritize resources, implement change through facilitation and other activities, and assess project success
  • Provides guidance and facilitation to clinical and non-clinical departments. Serves on multiple hospital committees to continually assess aspects of hospital(s) TJC/DPH/CMS readiness and compliance
  • Ensures compliance with regulatory standards (TJC, CMS, DPH, etc.) for quality and safety reporting as relevant
  • Provides key regulatory safety and quality data highlighting business and operational issues requiring management attention and resources
  • Participates in department task forces and committees to provide operational input
  • Assists in conducting Root Cause Analysis (RCA) and Apparent Cause Analysis (ACA) as needed


  • Bachelor’s degree is required. Master’s Degree in Nursing, Business Administration, Healthcare Administration or related field is preferred
  • Current license in good standing to practice as a Registered Nurse in the State of Connecticut. Other licensed healthcare professionals may be considered
  • Five plus years of clinical experience
  • Strong knowledge of The Joint Commission (TJC) and Department of Public Health (DPH) regulatory standards
  • Quality Improvement experience
  • Experience with electronic health records and eCQMs
  • Strong leadership and educator skills 
  • Strong written and oral communication skills; strong interpersonal skills; ability to work with others collaboratively to achieve common objectives
  • Highly effective analytical, organizational, and problem-solving skills
  • Strong facilitation skills. Ability to lead interdisciplinary teams
  • Able to interact fluidly with staff at all levels within the organization, from front-line to senior leadership
  • Ability to manage multiple priorities and projects from initiation to completion within prescribed schedules and utilization of resources
  • Maintain currency in knowledge, skills, and credentials through participation in seminars, conferences and other educational opportunities

We take great care of careers.

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth.  Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children.  We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance.  Every moment matters.  And this is your moment.

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