Director of Quality

Director Of QualityThe primary responsibility of this position is to provide leadership for the Quality program for the facility. Direct all functions, programs, activities and staff of the Quality Resources, Patient Safety, Performance Improvement, Accreditation and Certification, and Utilization Management process.Minimum QualificationsBachelor's degree in health/public health administration, business administration, nursing or a closely related area. Master's degree preferred.Five years' experience in the management of quality improvement functions, nursing quality management, or utilization management. Surgical background required.Working knowledge of the principles and theories of health care delivery. Considerable knowledge of accrediting (DNV) regulatory (CMS and other) and licensing agency standards process.Demonstrated skill in organizational theories, management techniques, methods, theories and principles.Excellent communication skills including a high degree of professionalism and high customer service skills in dealing with patients, family, physicians, and clinical team.Proficient in MS Office applications which include Outlook, Word, Excel, Power Point and EMR use.Essential FunctionsDevelops, implements, monitors, and assures an integrated and coordinated corporate Quality Program based on the corporate Strategic Plan and Quality Plan.Plans, directs, organizes and coordinates Quality Resources for the corporation.Coordinate activities of the Continuous Quality Improvement Committee and associated activities.Provides oversight of the OPPE/FPPE Program.Oversee Performance Improvement program, Infection Control Program, as well as Qnet and NHSN data entry.Directs the Patient Safety function and program. Integrates those functions with Quality Improvement functions. Assures consistency and continuity among all activities. Ensures appropriate reporting of adverse events to external agencies as required. Acts as the Patient Safety Officer, responsible for the facilities Patient Safety plan.Directs all activities associated with accreditation and hospital licensure. Assures consistency and continuity among all activities.Develops and maintains professional, organizational, and community relationships.Provides service in a manner that is appropriate for the patient's age; demonstrates knowledge and skills necessary to meet the patient's physical, psychosocial, educational and safety needs.Presents a courteous and helpful demeanor, appropriate for age, to all patients, visitors, other facility employees / medical staff members, or any other person and employee encounters while representing the facility.Maintains current knowledge related to applicable statutes, regulations, guidelines and standards necessary to perform job duties in accordance with the requirements of the Corporate Compliance Plan. Complies with the requirements of the Code of Conduct, Corporate Compliance Plan and Compliance Policies and Procedures, including training requirements. Participates in compliance activities under the direction of the Corporate Compliance Officer.Oversight and Coordination of Nueterra yearly audit for accreditation preparation.Maintain Quality Dashboard metrics.Fiscal responsibility for essential contracts related to Quality and Accreditation.Administration of Policies.Functions as rotating on call Director for afterhours hospital needs.Physical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools, or controls; and to reach with hands and arms. Specific vision abilities required by this job include close vision and the ability to adjust focus.The employee must be able to lift and/or carry over 20 pounds on a regular basis and be able to push/pull over 25 pounds on a regular basis.The employee must be able to stand and/or walk at least five hours per day.Work EnvironmentThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws.