Sr. Quality Officer

Sr. Quality Officer

Wilson, North Carolina, United States

About the Job Sr. Quality Officer

The Director of Quality Management is responsible for overseeing the operational, financial, and personnel resources related to quality performance, accreditation/licensing, patient relations, infection prevention, policy and procedure process management, and patient safety within the healthcare enterprise. Utilizing a systems-based approach, the Director ensures compliance with regulatory and accreditation requirements, fosters a culture of continuous quality improvement, and supports hospital-wide risk management activities.

Key Responsibilities:

• Direct and oversee hospital-wide quality management programs to ensure compliance with Joint Commission and other regulatory requirements.
• Facilitate compliance with core measures and patient safety initiatives.
• Lead Hospital Patient Safety/Quality Council meetings and disseminate relevant quality and performance information enterprise-wide.
• Prepare and present quality reports to the Medical Executive Committee and Hospital Governing Board.
• Oversee hospital risk management activities, including root cause analysis and the implementation of lessons learned from defects.
• Coordinate the Medical Staff Peer Review process to support continuous performance improvement.
• Manage various certification, patient safety, and regulatory programs through delegation and oversight.
• Ensure adherence to policy and procedure process management, ensuring all documents align with regulatory and best practice standards.
• Collaborate with hospital leadership, medical staff, and frontline employees to drive a culture of quality and patient-centered care.
• Serve as a liaison between the hospital and external regulatory agencies regarding quality, accreditation, and patient safety initiatives.

Reporting Structure:

• Reports directly to the Chief Executive Officer (CEO) and the Board of Directors.

Qualifications:

• Bachelor's degree in healthcare administration, nursing, public health, or a related field (Masters degree preferred).
• Minimum of 5-7 years of experience in healthcare quality management, accreditation, or patient safety.
• Strong knowledge of regulatory and accreditation standards (e.g., Joint Commission, CMS, state licensing bodies).
• Experience in risk management, peer review processes, and root cause analysis.
• Demonstrated leadership skills with the ability to influence and drive quality initiatives at an enterprise level.
• Excellent communication, analytical, and problem-solving skills.
• Certification in healthcare quality (e.g., CPHQ) or patient safety (e.g., CPPS) preferred.

This is a key leadership role within the organization, offering an opportunity to shape and drive quality, safety, and regulatory excellence across the hospital enterprise.