Director of Quality Management, FT, Days

Job Summary

Responsibilities

Qualifications

Key Responsibilities / Essential Functions

• Directs the strategic planning and organizational goal setting process for the Quality Management Department.
• Prepares and oversees the annual budget for the Quality Management department.
• Covers the annual evaluation process for all Quality Management staff.
• Develops and coordinates various contracts with agencies regarding regulatory requirements.
• Serves as the liaison for the Medical Staff and Administration regarding the Quality Management program.
• Directs activities associated with accreditation and regulatory.
• Serves as the liaison for the Medical Staff and Administration regarding the Quality Management program.
• Works closely with Infection Control team in identification of opportunities for reduction of Hospital Associated Infections.
• Directs Patient Safety and Safety functions of the hospital.
• Serves as a resource for hospital leaders regarding accreditation, quality and safety issues.
• Interviews, hires, counsels, disciplines if necessary and evaluate performance of Quality Management employees.
• Attends and presents quality information to appropriate committees, teams and departments.
• Covers the hospital’s sentinel event program.
• Covers organization’s performance improvement initiatives.
• Leads performance improvement projects.

Minimum Knowledge, Skills, Experience Required

• Education: Degree from an accredited college or university in Nursing, Health Services or related fields such as Project Management, Masters Degree preferred.
• Experience: Minimum (5) years experience in Quality Management, Performance Improvement or related area. Working knowledge of hospital accreditation and regulatory requirements.
• Excellent communication skills necessary with ability to make presentations and conduct training sessions as necessary.
• Data analysis and knowledge of word processing, excel spreadsheets and graphics applications.