Director of Quality

Benefits

• Competitive compensation – salary and benefits package designed to reward expertise, leadership, and contributions.
• Comprehensive health coverage – medical, dental, vision, and life insurance options to support you and your family.
• Future security – 401(k) retirement plan with employer matching.
• Generous paid time off – PTO and Extended Illness Bank (EIB) to support work‑life balance and personal well‑being.
• Career growth opportunities – professional development, leadership training, and advancement opportunities across the organization.
• Recognition & reward programs – celebration of employee achievements and contributions.
• Exclusive employee discounts & perks – access to special savings and benefits designed for team members.

About the role

The Director of Quality is responsible for developing, implementing, and overseeing quality improvement and patient safety programs within the facility. This role ensures compliance with regulatory standards and works closely with hospital leadership and department heads to promote a culture of continuous improvement. The Director monitors quality metrics, coordinates performance improvement initiatives, and provides guidance to ensure high‑quality, patient‑centered care across the facility.

Responsibilities

• Develop and oversee quality and performance improvement initiatives to meet regulatory standards and improve patient care outcomes.
• Monitor quality metrics and performance data, analyze trends, and identify areas for improvement across clinical and operational areas.
• Lead and support teams in conducting root cause analyses, Failure Modes and Effects Analysis (FMEA), and other quality methodologies.
• Collaborate with department leaders to develop action plans, track progress, and achieve performance targets related to quality and patient safety.
• Facilitate training and education programs for staff on quality improvement practices, patient safety standards, and regulatory requirements.
• Ensure compliance with The Joint Commission, Centers for Medicare & Medicaid Services (CMS), and other accrediting and regulatory agencies.
• Prepare and present quality and performance reports to hospital administration, committees, and the Governing Board to support informed decision‑making.
• Perform other duties as assigned, maintain regular and reliable attendance, and comply with all policies and standards.

Leadership Responsibilities

• Provide leadership, mentorship, and professional development opportunities for departmental staff.
• Schedule employees to ensure effective use of resources and consult with leadership on potential staffing issues.
• Conduct performance evaluations, set goals, and provide feedback to staff on performance and development.
• Collaborate with hospital leadership to set strategic direction for the department, including budgeting, resource allocation, and long‑term planning.
• Monitor expenditures to ensure cost‑effective delivery of services.
• Evaluate and implement new technologies to enhance operational efficiency.
• Develop and implement departmental policies, procedures, and protocols to optimize quality and overall efficiencies.
• Ensure compliance with all relevant regulatory bodies, oversee accreditation processes, and participate in audits, inspections, and accreditation activities.
• Follow established quality control practices to ensure accuracy, consistency, and safety.
• Work closely with leadership teams to coordinate and improve service delivery and stay up‑to‑date with industry advancements, new technologies, and regulatory changes.
• May work in a staff role when required, ensuring duties and responsibilities are fulfilled while meeting all competencies established for the job.

Qualifications

• Bachelor’s degree in a relevant field required, or seven (7) plus years of direct experience in lieu of a bachelor’s degree.
• Master’s degree preferred.
• Three to five years of experience in a closely related field preferred.
• Three to five years of previous leadership experience preferred.

Skills

• Strong leadership, organizational, and communication skills.
• Ability to collaborate with interdisciplinary teams and manage cross‑functional relationships.
• Foster a positive work environment that promotes teamwork, professionalism, and continuous improvement.
• Effective communication with leadership, team members, and stakeholders.
• Ability to delegate responsibilities, manage tasks independently, and meet established deadlines.
• Problem‑solving and critical‑thinking skills.
• In‑depth knowledge of industry best practices and regulatory compliance.
• Strong organizational and time‑management skills.
• Proficiency with Google and Microsoft platforms, healthcare software systems, and data analysis