Director of Quality

What You'll Do

• Lead the hospital's Quality Assurance and Performance Improvement (QAPI) program.
• Foster a culture of patient safety, accountability, transparency, and continuous improvement.
• Oversee quality improvement initiatives that enhance clinical outcomes, patient experience, and operational excellence.
• Monitor quality metrics, patient safety indicators, and performance dashboards to identify trends and improvement opportunities.
• Lead Root Cause Analyses (RCA), Failure Mode & Effects Analyses (FMEA), and other risk reduction initiatives.
• Direct accreditation and regulatory readiness efforts, including CMS, DNV, Joint Commission, and state survey preparation.
• Oversee adverse event reporting, regulatory compliance, and corrective action planning.
• Partner with Nursing, Medical Staff, Behavioral Health, Therapy, Operations, Compliance, and Corporate Leadership to implement enterprise quality initiatives.
• Provide executive oversight of patient advocacy, grievance management, and patient rights processes.
• Develop quality education programs that strengthen staff competency in documentation, patient safety, and regulatory compliance.
• Present quality performance, regulatory updates, and organizational risk assessments to executive leadership.

Required Qualifications

• Active, unrestricted Registered Nurse (RN) license
• Bachelor's Degree in Nursing (BSN)
• Master's Degree in Nursing, Healthcare Administration, Public Health, or related healthcare field
• 7–10 years of progressive clinical and quality leadership experience
• 3–5 years leading Quality, Patient Safety, Risk Management, or Performance Improvement programs
• Experience leading regulatory surveys and accreditation readiness
• Strong knowledge of QAPI, performance improvement, healthcare regulations, and quality analytics

Preferred Qualifications

• Experience in pediatric, behavioral health, rehabilitation, neurodevelopmental, or specialty hospital settings
• Multi-site or health system quality leadership experience
• Certification such as CPHQ, CPPS, Lean Six Sigma Green Belt (or higher)

Why Nexus Children's Hospital?

• A mission-driven team dedicated to providing life-changing care for children with complex medical and behavioral needs
• An interdisciplinary approach bringing together physicians, nurses, therapists, behavioral health professionals, and support staff to create individualized treatment plans
• The opportunity to influence clinical excellence, improve patient outcomes, mentor future leaders, and help shape the future of pediatric specialty healthcare
• A comprehensive benefits package including competitive compensation, medical, dental & vision insurance, 401(k) with company match, paid time off, paid holidays, continuing education opportunities, professional development and leadership growth, employee assistance program, life and disability insurance