Director, Quality Assurance

POSITION SUMMARY/RESPONSIBILITIES

Provides assistance to the Vice President/Chief Quality Officer with the oversight, tracking and reporting of ongoing activities related to compliance with regulatory (CMS) quality assurance and process improvement requirements (QAPI), registries, and performance improvement. Supports senior leadership and Board of Managers (BOM) remaining informed and current on QAPI, process improvement and registry activities. Serves as a facilitator regarding requests for new registries, registry data and coordinates activities with the Vice President/Chief Data Officer.

EDUCATION/EXPERIENCE

A Bachelor's degree in a related field is required. An advanced degree (Master's level or beyond) in a relevant field of study is preferred. Three years’ experience in health care risk management is required, as well as extensive experience and knowledge related to regulatory and statutory entities impacting general acute care facilities. A minimum of three years of clinical experience, or its equivalent, in a general acute facility is highly recommended. Must have the ability to research, read, and interpret federal regulations. Must have the ability to develop and write policies and procedures, write reports, and prepare business correspondence. Must have the ability to define problems, collect data, establish facts, and draw valid conclusions.

LICENSURE/CERTIFICATION

Licensure as a registered nurse is preferred. Certification by the American Society of Healthcare Risk Managers, or the equivalent, is highly recommended. #J-18808-Ljbffr University Health - San Antonio