Director of Quality Management

About the role

Our hospital is a critical illness recovery hospital dedicated to providing world-class inpatient post-ICU services to chronic, critically ill patients. The Director of Quality Management will play a central role in ensuring the facility maintains accreditation, certification, and licensure.

Responsibilities

• Coordinating all survey activities to assure that the facility maintains accreditation, certification, and licensure.
• Organizing monthly interdisciplinary QAPI Team meetings with activities, per QAPI Calendar.
• Receiving and reviewing quarterly quality improvement reports.
• Aiding the Medical Director and Quality Program Director with development and implementation of medical staff quality improvement activities.
• Leading the hospital team in the performance of RCA, at least annually, and for every level 3-4 incident, unless otherwise indicated.
• Completing monthly quality related data entry, analysis and reporting.
• Focusing on the importance of employee training and education in the workplace.
• Working with leadership team to ensure reporting requirements are met.

Requirements

• Registered Nurse with valid state license.
• Licensed Legacy employees may exist with other clinical licensure.
• Experience in at least one of the core areas of responsibility: Quality, Survey Readiness, Risk Management, Infection Control, Employee Health and Education.
• Demonstrated familiarity with accrediting standards, including TJC and CARF preferred.

Qualifications

• Bachelor's or master's degree in nursing preferred.
• Certified Professional in Healthcare Quality (CPHQ) preferred.

Skills

• Patient-centered care
• Quality improvement
• Survey readiness
• Risk management
• Infection control
• Employee health and education

Benefits

Extensive onboarding and training program
Customizable health insurance packages

Pay

$90,000 - $134,000 with bonus incentives

Schedule

Negotiable based on experience