Director of Quality Management

About the Role

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.

Responsibilities

• Directs the overall day-to-day operations of the Quality Management Department’s activities following evidence-based guidelines and regulatory requirements, ensuring operational excellence and quality delivery of service across the health care setting.
• Designs, develops, and implements effective strategies and programs focused on improving quality, patient experience, and population health outcomes, while 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, facilitating successful evaluation of health care quality standards in line with external regulatory agencies.
• Coordinates the collection and analysis of data related to quality indicators, utilizing findings to drive improvements, mitigate risks, and increase the level of care within the System.
• Recommends organizational objectives, establishes service goals, and identifies problems affecting the quality of service.
• Implements service and process improvement initiatives using cost-effective solutions and service delivery enhancements.
• Serves as principal advisor and key resource to senior leadership and clinical staff on quality management techniques, presenting findings to various agencies and executives.
• Advises on regulatory changes and required actions to meet industry standards and achieve improved outcomes.
• Deploys department resources strategically to achieve excellence in service delivery.
• Provides quality management training, guidance, and developmental opportunities to staff, assessing learning needs and implementing competency assessment programs.
• Oversees processes to meet regulatory standards, maintains readiness for agency visits, and serves as regulatory liaison.
• Investigates incidents involving patient care and safety, reports to regulatory agencies, and incorporates findings into procedural tools or programs.
• Prepares and participates in the development of the quality management fiscal year budget, ensuring operations run within budgetary guidelines.

Qualifications

• Master’s degree in Quality Management, Hospital Administration, Health Care Administration, or related field, with 5 years of experience in organizational strategies, regulatory compliance, and performance improvement, including 3 years in an administrative/managerial role.
• OR Bachelor’s degree in the above disciplines with 7 years of related experience, including 5 years in an administrative/managerial role.
• OR Bachelor’s degree with 2 years of clinical experience and 3 years of related experience, including 1 year in an administrative/managerial role.
• Certified Professional in Healthcare Quality (CPHQ) may substitute for 1 year of experience, with a minimum of a Bachelor’s degree and 1 year of administrative/managerial experience.

Department Preferences

Not specified.

NYC Health + Hospitals/Jacobi is a 457-bed teaching hospital affiliated with the Albert Einstein College of Medicine. The facility has earned numerous Center of Excellence designations, accreditation, and recognition for its renowned Level 1 Trauma Center, Burn Center, Surgical Intensive Care Unit, regional Stroke Center, Snakebite Treatment Center, Breast Health Center, Bariatric Surgery Center, and Cancer Service.