Director of Quality Management

About the Role

Our hospital is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives—and our team plays a central role in providing compassionate, excellent care every step of the way.

Responsibilities

• Coordinate all survey activities to assure the facility maintains accreditation, certification, and licensure.
• Organize monthly interdisciplinary QAPI Team meetings with activities, per QAPI Calendar.
• Receive and review quarterly quality improvement reports.
• Assist the Medical Director and Quality Program Director with development and implementation of medical staff quality improvement activities.
• Lead the hospital team in the performance of RCA, at least annually, and for every level 3-4 incident, unless otherwise indicated.
• Complete monthly quality-related data entry, analysis, and reporting.
• Focus on the importance of employee training and education in the workplace.
• Work with the leadership team to ensure reporting requirements are met.

Requirements

• Registered Nurse with a valid state license. 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.
• Demonstrates familiarity with accrediting standards, including TJC and CARF (preferred).

Preferred Qualifications

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

Benefits

• Bonus incentives.
• Extensive onboarding and training program.
• Customizable health insurance packages.