Director of Quality

About the role

Your Experience Matters Conemaugh Memorial Medical Center is part of LifePoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Director of Quality joining our team, you're embracing a vital mission dedicated to making communities healthier ®. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.

Essential Functions

• Provide leadership and oversight of the organization-wide CQPI program.
• Measure and assess performance by collecting, analyzing, and trending data to identify opportunities for improvement.
• Focus on improving processes and systems to drive clinical quality, safety, and operational performance.
• Direct, facilitate, and report on all aspects of risk management and patient safety.
• Investigate factors contributing to adverse outcomes and drive process/system changes.
• Direct the hospital-wide CQPI operations, including record reviews for quality indicators and reporting findings to leadership, Medical Executive Committee, Board of Managers, and other committees.
• Annually review hospital-wide plans for Infection Control (IC) and CQPI; establish goals and objectives for the coming year.
• Serve as liaison to local health officials; coordinate inspections and accreditation reviews with state and other regulatory agencies.

Additional Information

• Develops and delivers hospital-wide CQPI education and training.
• Prepares quality/patient safety reports and dashboards for leaders and committees.
• Pairs with clinical and non-clinical departments to sustain improvements and ensure compliance with applicable standards.

Qualifications and Requirements

• Licensure: Registered Nurse with current state licensure highly preferred; clinical license required.
• Education: BSN or BS/BA required.
• Experience: Minimum two (2) years in an acute hospital or rehabilitation setting required; prior supervisory experience preferred.
• Certifications: Basic Life Support (BLS/CPR) required; certification preferred by APIC (American Practitioners of Infection Control) and NAHCQ (National Association of Health Care Quality).
• Skills: Data analysis and reporting; CQPI methodologies (e.g., RCA, FMEA, PDSA); risk management and patient safety facilitation; regulatory/accreditation readiness; effective teaching, communication, and collaboration.

What We Offer

• Comprehensive medical, dental, and vision plans, plus flexible-spending and health- savings accounts.
• Competitive paid time off and extended illness bank package for full-time employees.
• Income-protection programs, such as life, accident, critical-injury insurance, short- and long-term disability, and identity theft coverage.
• Tuition reimbursement, loan assistance, and 401(k) matching.
• Employee assistance program including mental, physical, and financial wellness.
• Professional development and growth opportunities.

More About Conemaugh Memorial Medical Center

Conemaugh Memorial Medical Center is a 537 inpatient, behavioral health, rehabilitation, and transitional care beds hospital. Conemaugh Memorial Medical Center, a Duke LifePoint hospital, is the flagship hospital of Conemaugh Health System. A regional referral hospital known for clinical excellence, Conemaugh Memorial is home to the highest level of care designations for Neonatal Care (Level 3) and Trauma Care (Level 1). Conemaugh Memorial has received recognition by the American Heart Association with the Stroke Gold Plus Quality Achievement Award. Conemaugh Memorial is proudly committed to being a teaching hospital including seven medical residency programs, School of Nursing, and Allied Health education programs.

Equal Opportunity and Affirmative Action Employer

We are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran.

LifePoint Health

LifePoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.