Corporate Director of Quality and Patient Safety- Full Time Days

FacilityCape Fear Valley Medical CenterLocationFayetteville, North CarolinaDepartmentQuality & Patient SafetyJob FamilyManagementWork ShiftDays (United States of America)SummaryAssist with design and developing the scope of Cape Fear Health System's Quality and Patient Safety Program. Facilitate and ensure the systematic evaluation of medical services in accordance with predetermined standards. Serve as a resource person for all Medical Center Departments and as a liaison between the Medical Center and the Medical Staff. Responsible for Safety Programs throughout the health system, including obtaining and maintaining disease/Specialty specific accreditations. Perform duties and responsibilities in a manner consistent with the mission and vision of Cape Fear Valley Health System.Major Job FunctionsThe following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time:Design, develop and implement an effective Quality and Patient Safety Program within the guidelines of the approved Quality and Patient Safety Improvement Plan and the Joint Commission StandardsReview Quality and Patient Safety Improvement Plan and programs with the Quality Management BoardCoordinate all performance improvement activities within Cape Fear Valley Health System to maintain proper communication, focus on existing or potential opportunities for improvement and prevent duplication of events among all phases of performance improvement activitiesCollect and review quarterly quality improvement reports and prepare summary for the Board of TrusteesCommunicate and facilitate the integration of Performance Improvement activities of the Medical Center, Medical Staff, and other departmentsEnsure the Medical Center complies with outside regulatory agency standards as they relate to Performance Improvement activities and keep abreast of all changes and recommendations relating to The Joint CommissionMaintain all information in a manner which ensures confidentiality and establish organized systems for data retention and retrievalCoordinate and/or provide staff development programs relating to Performance ImprovementActively participate in professional groups, such as the NCAHQP and NAHQPServe on Medical Center committees as appropriateProvide leadership within the senior nursing team to support patient/family centered care delivery and transformation of the nursing culture to consistently accountable, staff nurse lead, evidence based proactive environmentProvide leadership in the implementation of robust nursing quality programEvaluate all aspects of the current quality and safety program and implement improvements to support a state of the art, comprehensive programServe as an expert resource and provide ongoing education related to quality principles, systems, methods, tools, standards, adult processes data management reporting and improvement systemsProvide leadership to health system disease specific certification initiatives, including Stroke, Hip and Knee, CHF, Acute MI, and others as determinedOther duties as assignedMinimum QualificationsThe following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:Education and Formal Training:Bachelor’s degree requiredBSN preferredCertification in Six Sigma/Lean, CPHQ, CQM, CQA preferredWork Experience:3 years’ experience in leading Quality programs/departments required10 years of professional experience in quality preferred1 year experience in hospital quality and safety preferredKnowledge, Skills, and Abilities Required:Proficiency in reading, writing, and speaking the English languageKnowledge of The Joint Commission Standards and Continuous Quality Improvement methodologiesAbility to analyze, interpret, and present meaningful data reports for departmental and clinical reviewStrong leadership, creativity, solid knowledge base in hospital operations and organizational development, financial analysis, patient safety and process improvementResults-oriented, excellent presentation and writing skills, keen analytical and project management skillsMust maintain a high level of confidentialityPossess tact and diplomacy when interacting with physicians and staffExceptional listening, verbal, and written communication skillsProficiency in Microsoft Office (Word, Excel, PowerPoint)Physical Requirements:Ability to move throughout the Medical CenterVisual acuity for reviewing data and reports, observing process flowsAudiological acuity for monitoring group discussions and interactionsVerbal ability is required to effectively express ideas and views to staffNo anticipated occupational exposures to bloodborne pathogens or body fluids#CFVH-2026Required Licenses and CertificationsCape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity #J-18808-Ljbffr