Sign In
 [New User? Sign Up]
Mobile Version


Universal Health Services

Job Code:
Universal Health Services
Apply on the Company Site
  • Save Ad
  • Email Friend
  • Print
  • Research Salary

Job Details

Deltek Talent Management - DIR - PERFORMANCE IMPROVEMENT - (14977)

Job Details


Facility Name
FREMONT, CA 94538 US (Primary)
Career Area
Compliance, Customer Service, Executive, Executive Training Opportunities
Job Description

One of the nation’s largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the World’s Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies.

Our operating philosophy is as effective today as it was 40 years ago: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve.

Headquartered in King of Prussia, PA, UHS has more than 81,000 employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.

Fremont Hospital is seeking a dynamic and talented Director of Performance Improvement to join our team of compassionate, dedicated professionals to provide administrative and management functions to ensure the highest quality of patient care. 

The Director of Performance Improvement is responsible for overseeing and monitoring the facility-wide Quality Management/Performance Improvement program to ensure compliance with all accreditation and regulatory agencies including The Joint Commission (TJC), Center for Medicare and Medicaid Services (CMS), California Department of Public Health (CDPH) as well as any other applicable state and federal laws and regulations governing mental health care facilities. 


Key Responsibilities include:

  • Initiates and supports departmental, facility, and companywide quality management/performance improvement goals and objectives.

  • Prepares facility to be in a constant state of readiness for on-site surveyors, planned or unannounced, not limited to TJC, CMS and CDPH.

  • Ensures plans of correction are submitted timely.Ensure interdisciplinary departments adhere to and follow-up with plans, while providing information when necessary to show evidence of compliance or data to show improvements over time.

  • Supports the chair of the Peer/Quality Review committee for Medical Staff.Collects data for Ongoing Professional Practice Evaluation (OPPE) to support Credentialing.

  • Co-chairs meetings Quality Council, Peer/Quality Review committees. Attends Medical Staff, Medical Executive, Board of Trustees and ad hoc meetings as needed.Preserves binders for minutes and supporting documentation.


This position reports to the Chief Executive Officer and is an integral part of the hospital leadership team.

Job Requirements

Position Requirements:

Education:  Bachelor’s Degree or diploma from an accredited program or university in a healthcare related field.

Experience:  Prefer two (2) years’ experience in quality management, improving organizational performance within an acute psychiatric setting.

Licensure/Certification:  Certified Professional in Healthcare Quality (CPHQ) preferred.

Additional Requirements:  CPR with AED (CPR/AED) certification must be current and presented to Human Resources upon hire.  You may successfully complete the Fremont Hospital’s non-violent Crisis Prevention Intervention (CPI) training course within 90 days of employment and prior to assisting with preventative intervention measures.  Must have thorough knowledge of TJC/CMS, OSHA, state, and federal regulatory requirements. 


This opportunity provides the following:

  • Challenging and rewarding work environment
  • Growth and development opportunities within UHS and its subsidiaries
  • Competitive Compensation
  • Excellent Medical, Dental, Vision and Prescription Drug Plan (if applicable)
  • 401k plan with company match
  • Generous Paid Time Off


UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc.


UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

Apply on the Company Site
Back to search results
Powered ByLogo

Browse Jobs by Category

Featured Jobs[ View All ]

Featured Employers [ View All ]