**Employment Type:** Full time **Shift:** Day Shift **Description:** The Regional Director of Accreditation & Infection Prevention for IL & IN provides leadership for quality, regulatory readiness and accreditation/certification programs for the Illinois/Indiana region of Trinity Health. The Director is responsible for leading regional efforts to deliver world-class health care that is safety, timely, effective, efficient, equitable, and patient centered. The Regional Director is responsible for developing and implementing the quality plan for the region and identifying ongoing opportunities for improvement based on quality outcomes, trends in safety/risk events, publicly reported data, regional and Trinity Health priority strategic aims. In collaboration with the Chief Clinical Officer and the Chief Nursing Officer, officer, senior management and clinical leadership the Director will lead the development of short and long-term strategic and tactical plans, setting of priorities, allocation of resources, and development of relevant policies and procedures. What you will do: QUALITY IMPROVEMENT: Leads the development, implementation, assessment & continuous improvement and quality improvement program. Develops & implements strategic plans to maximize & document improvements in the quality, safety, & value of patient care services. REGULATORY LEADERSHIP: Responsible for planning and implementing strategies for evaluation of regulatory compliance in a uniform and consistent manner across region. Collaborates with System Office resources as well as regional level and RHM level resources to provide an annual accreditation plan. QUALITY MEASUREMENT: Oversees the collection, analysis, and reporting of data that leads to an information rich environment. This will support continuous measurement and improvement of clinical quality and patient safety. Implements systems to ensure ready access, understanding, education and use of data required to support a continuous learning and improvement environment. ORGANIZING RESOURCES: Arranges systems, functions and resources within span of control to maximize quality of care, patient experience, and efficient operations.,. Recruits, interviews and selects staff in collaboration with Human Resources and ensures that staffing guidelines/standards are maintained. PLANNING: Guides the development of the quality plan and oversees the implementation of the plan. With the department chairs and executive leadership, identifies and develops strategic and tactical plans for specific areas of responsibility and the overall organization. FINANCIAL MANAGEMENT: Develops budgets to ensure appropriate allocation of resources to support operation of hospital programs and meet organizational goals. Responsible for budget management and oversight to achieve fiscal goals. Participates in decision-making for the departmental budget. TEAM BUILDING: Fosters positive team collaboration and staff development across Loyola Medicine to facilitate effective and efficient operations, employee engagement and achievement of quality, safety and customer service excellence goals. Oversees human resource functions including recruitment, training, mentoring and continuous performance management to maintain the highest quality workforce. COMMUNICATION: Provides communication to administration, faculty, management and staff to establish understanding of the organization mission and strategic goals necessary to achieve organizational goals. Meets regularly with medical directors, department chairs and direct reports to facilitate communication, goal setting and decision making. PROFESSIONAL DEVELOPMENT: Actively engages in professional development to maintain current skills and knowledge of environment trends, clinical developments and business opportunities. Minimum Education: + Required: Master's Degree + Specify Degree(s): MS in healthcare administration or clinical areas; MBS, MHA, MPH or related Minimum Experience: + Required: 10+ years of previous job-related experience + Preferred: N/A + • Details: Progressive managerial responsibility required. Managerial Experience: 5+ years. At Loyola University Medical Center, we know you’re more than your job. We see you and all of your potential. That’s why we invest in our people. Clinical advancement programs, flexible scheduling, tuition reimbursement and day one benefits… at Loyola, what’s important to you, is important to us. Join our family. + Benefits from Day One + _Daily Pay_ + Career Development + Tuition Reimbursement + On Site Fitness Center (Gottlieb Memorial Hospital & LUMC) + Educational Stipend + _Certification reimbursement (up to 1 certification)_ + Referral Rewards Pay Range: $128,003- $211,203 _Actual compensation will fall within the range but may vary based on factors such as experience, qualifications, education, location, licensure, certification requirements, and comparisons to colleagues in similar roles._ Annual Bonus: Eligible for incentive compensation annual target as outlined in Plan Document. _Per the Plan Document, Loyola Medicine reserves the right to amend, modify, suspend, or terminate the Plan in whole or in part at any time and for any reason._ Trinity Health Benefits Summary (https://www.trinity-health.org/sites/default/files/my-benefits/Health-and-Wellbeing/Compliance/Illinois-Transparency-Law/Trinity-Health-Summary-of-Benefits-Illinois-Job-Req-Discloser-Law.pdf) **Our Commitment to Diversity and Inclusion** Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law. Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity. EOE including disability/veteran