Director of Quality Management

About the role

The Critical Illness Recovery Hospital (LTACH) is a specialized facility dedicated to providing world-class inpatient post-ICU services to chronically ill patients requiring extended healing and recovery. The Director of Quality Management will play a crucial role in ensuring the facility's accreditation, maintaining compliance with regulatory standards, and promoting a culture of continuous improvement.

Responsibilities

• Coordinating all survey activities to maintain accreditation, certification, and licensure.
• Organizing monthly interdisciplinary QAPI Team meetings with activities, adhering to the QAPI Calendar.
• Receiving and reviewing quarterly quality improvement reports.
• Aiding the Medical Director and Quality Program Director in developing and implementing medical staff quality improvement activities.
• Leading the hospital team in performing Root Cause Analysis (RCA) at least annually and for every Level 3-4 incident, unless otherwise directed.
• Completing monthly quality-related data entry, analysis, and reporting.
• Focusing on employee training and education within the workplace.
• Collaborating with the leadership team to ensure compliance with reporting requirements.

Requirements

• Registered Nurse with a valid state license.
• Experience in at least one of the following core areas: Quality, Survey Readiness, Risk Management, Infection Control, Employee Health and Education.
• Preferred qualifications include a bachelor’s or master’s degree in nursing, and certification as a Certified Professional in Healthcare Quality (CPHQ).

Qualifications

• Passion for delivering a superior patient and employee experience.
• Ability to thrive in a dynamic, fast-paced environment.
• Strong leadership skills to collaborate with the CEO, CNO, and Human Resources leader to address challenges and enhance experiences.

Skills

• Comprehensive understanding of accrediting standards, particularly TJC and CARF.
• Proven ability to lead quality improvement initiatives and implement corrective actions.
• Effective communication and collaboration skills.
• Strong analytical and problem-solving abilities.

Benefits

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

Pay

Competitive compensation package.

Schedule

Full-time position.