Director of Behavioral Health Accreditation

“Join our team and help launch the first state psychiatric hospital in Dallas-Fort Worth, where innovative caregivers will make a lasting impact on behavioral health in Texas.

The Texas Behavioral Health Center is a newly completed state-funded psychiatric hospital opening in Dallas’ Southwestern Medical District through a partnership between UT Southwestern Medical Center and the Texas Health and Human Services Commission (HHSC). When fully operational, the 505,000-square-foot facility will house 292 beds – 200 for adult patients and 92 for children and adolescents. As DFW’s first state-funded behavioral health hospital, it is designed to deliver state-of-the-art, patient-centered care in a modern and healing environment.

The center provides comprehensive behavioral health treatment and features private patient rooms, abundant access to natural light and nature, and thoughtfully designed spaces that promote recovery. The hospital will also provide training to all behavioral health disciplines. As employees of UT Southwestern, team members will join a world-class academic medical center committed to patient-centered care, innovation, interdisciplinary collaboration, and preparing patients for successful reintegration into their families and communities. With competitive benefits and a mission-driven culture, Texas Behavioral Health Center offers an unparalleled opportunity to make a lasting impact on mental health care in North Texas.”

JOB SUMMARY
The Director of Behavioral Health Accreditation is a key member of the hospital's leadership team, responsible for ensuring continuous compliance with all applicable behavioral health accreditation standards, licensing requirements, and regulatory frameworks. This role leads strategic initiatives to maintain survey readiness, drive quality improvement, and foster a culture of safety, accountability, and excellence in patient care. 

BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer
• Learn more about these and other UTSW employee benefits!

EXPERIENCE AND EDUCATION

Required

• Education
  Bachelor's Degree in healthcare administration, nursing, public health, or a related field 
   

• Experience
  5 years of experience in healthcare accreditation, regulatory affairs, or quality management, preferably in behavioral health 
  Deep knowledge of TJC Behavioral Health Care & Human Services standards, CMS Conditions of Participation, and state licensing regulations 
   

Preferred

• Education
  Master's Degree in healthcare administration, nursing, public health, or a related field 
   

• Licenses and Certifications
  Certification in Healthcare Compliance (CHC), accreditation (HACP), or quality (CPHQ) is preferred 

JOB DUTIES

• Leads hospital-wide accreditation initiatives in partnership with senior leadership to ensure alignment with organizational goals and regulatory standards.
• Manages all aspects of accreditation and regulatory readiness, serving as the primary liaison to accrediting bodies and overseeing survey preparation, execution, and follow-up.
• Continuously monitors changes in federal,