Program Manager of Regulatory Operations - Full Time, Days

Work location: Texas Health Fort Worth, 1301 Pennsylvania Ave, Fort Worth, TX 76104

Work Schedule: Full-Time, Day; Monday - Friday 8:00 AM - 5:00 PM

This position provides direct oversight of clinical regulatory and accreditation activities at Texas Health Harris Methodist Hospital Fort Worth (THFW) to ensure ongoing compliance, accreditation readiness, and harm reduction. The role focuses on supporting THFW through evidence-based, high-reliability, and sustainable strategies, including routine hospital site visits, tracer validation, and mock survey activities. This is a clinically licensed position responsible for observing patient care, reviewing medical records, and assessing clinical documentation and practices to identify regulatory gaps, mitigate risk, and support continuous readiness at the entity level.

Here's What You Need

Education
• Bachelor's degree in healthcare with 3 Years of Experience Required
• Master's degree in healthcare/business with 3 Years of Experience Preferred

Experience
• 5 Years of Experience in a Hospital Setting/healthcare environment Required
• 3 Years of Regulatory compliance and accreditation or quality improvement Preferred

Licenses and Certifications
• RN - Registered Nurse Upon Hire Required Or
• Other Clinical Licensure Upon Hire Required And
• CPHQ - Certified Professional in Healthcare Quality within 3 Years of Hire Required Or
• CPPS - Certified Professional in Patient Safety within 3 Years of Hire Required

Skills
• Knowledge of performance improvement techniques, i.e. Lean, Six Sigma, PDSA and Reliability theory. Excellentverbal and written communication, negotiation, and collaboration skills; ability to collect, analyze, and organize data; team facilitation skills; knowledge of regulatory and accreditation requirements, ability to educate and motivate others, ability to use Microsoft office applications.

What You Will Do
• Regulatory and Accreditation
• Performance and Process Improvement
• Data and Analytics
• Patient Safety

Additional perks of being a Texas Health Employee
• Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits.
• Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice.
• Strong Unit Based Council (UBC).
• A supportive, team environment with outstanding opportunities for growth.

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