Director of Quality Management

Marketing Statement Since 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby‑Friendly Hospital, a U.S. News & World Report high‑performing hospital. The hospital's staff is as diverse as the patients they serve. Interpreter services can be provided at any time of the day or night in over 130 languages. Duties & Responsibilities The Director of Quality Management serves as an integral part of the multidisciplinary team overseeing the department’s activities across the health care setting directing and managing the daily operations of the department. The director formulates and institutes effective strategies and policies that focus on the delivery of quality, cost‑effective health care services. Ensures optimal utilization of resources and compliance with the operating standards of various health care governing and accrediting bodies, resulting in an improved patient experience. Purpose of Position Directs the overall day‑to‑day operations of the Quality Management Department’s activities following evidence‑based guidelines and regulatory requirements and is accountable for the operational excellence and quality delivery of service across the health care setting. Designs, develops, and implements effective strategies and programs throughout the health care setting focused on improving quality, patient experience, and population health outcomes and reducing the cost of patient care. Partners with key stakeholders to define the strategic direction for the Quality Management Department’s initiatives, ensuring alignment with the System’s mission, values, and business goals. Monitors the effectiveness of the department’s activities and all quality management programs across the health care setting and facilitates successful evaluation of health care quality standards in line with governance provided by external regulatory agencies, as well as by other entities. Coordinates the collection and analysis of all data related to quality indicators and utilizes findings to drive improvements, mitigate risks, and to increase the level of care within the System. Recommends organizational objectives related to strategic plans and establishes service goals and identifies problems affecting the quality of service. Implements service and process improvement initiatives and other programs utilizing cost‑effective solutions and service delivery enhancements. Serves as both principal advisor and key resource to senior leadership, clinical staff, and other appropriate parties on matters pertaining to quality management techniques and systems, and presents findings of assessments, analyses, and safety incidents to various agencies, executives and/or senior managers. Advises on upcoming regulatory changes and required actions needed to meet or exceed new industry standards and to achieve improved outcomes. Deploys department resources in a strategic manner with the goal of achieving excellence in service delivery. Provides ongoing quality management training, guidance, and developmental opportunities to staff who impact the delivery of care. Routinely assesses staff learning needs and implements a competency assessment program to identify gaps and evaluates the quality and effectiveness of the programs. Implements necessary changes in trainings to maximize productivity, effectiveness, and efficiency of staff. Responsible for oversight of all processes necessary to meet regulatory standards from various governing bodies and accrediting agencies. Maintains readiness for unannounced agency visits and participates in various regulatory agency surveys. Serves as regulatory liaison, specifically as it relates to departmental performance and the creation of action plans to assist leadership in communicating newly adopted approaches in reaching medical excellence. Investigates incidents involving patient care and safety, and makes reports to the appropriate public health and regulatory agencies. Presents findings to related parties and incorporates new findings into affected procedural tools or programs. Makes recommendations relating to the prevention of such incidents and to determine quality control measures to foster a culture of safety for patients, staff, and visitors. Prepares and/or actively participates in the development of the quality management fiscal year budget and allocation of funds. Ensures operations run within budgetary guidelines, reviews budget requests for quality management initiatives, identifies and meets staffing needs to support the continuity of care. Performs other related duties, as directed. Minimum Qualifications Master’s degree from an accredited college or university in Quality Management, Hospital Administration, Health Care Administration, or in a related health care specialization; and five (5) years of experience in the development of organizational strategies and implementation of staffing plans, regulatory survey preparation and compliance, and in performance improvement and/or continuous quality improvement (CQI) initiatives in a hospital or health care setting, three (3) years of which must have been in a responsible administrative, managerial or supervisory capacity; Bachelor’s degree in the disciplines as described above; and seven (7) years of related experience, as listed above, five (5) years of which must have been in a responsible administrative, managerial or supervisory capacity; Bachelor’s degree in the disciplines as described above; and two (2) years of clinical, patient care or equivalent experience in a hospital or health care setting, plus three (3) years of related experience, as listed above, one (1) year of which must have been in a responsible administrative, managerial or supervisory capacity; A satisfactory equivalent of education, training, and/or experience. Certified Professional in Healthcare Quality (CPHQ) may be substituted for one (1) year of experience, however, all incumbents must have at least a bachelor’s degree and one (1) year of responsible administrative, managerial or supervisory experience, as described above. Department Preferences Clinical education or experience strongly preferred. Strong knowledge of accreditation standards, healthcare regulations, and quality/performance improvement methodologies. Excellent analytical, critical thinking, and problem‑solving skills with strong attention to detail. Effective communication and collaboration skills across interdisciplinary teams and all levels of staff. Ability to lead, mentor, and develop staff while fostering a culture of accountability, learning, and psychological safety. Strong leadership skills including delegation, facilitation, decision‑making, and team coordination. Skilled in statistical analysis, data interpretation, and quality reporting for performance improvement initiatives. Ability to prioritize and manage multiple complex projects in a fast‑paced, high‑pressure environment. Flexible, adaptable, and action‑oriented with the ability to work independently and collaboratively. Integrity and professionalism in all interactions with staff, leadership, and external stakeholders. Strong conflict resolution skills with the ability to facilitate consensus and manage difficult situations effectively. Proficient in computer systems and software applications, including data analytics and reporting tools. #J-18808-Ljbffr NYC Health + Hospitals