Director of Quality RN

Job Summary

Director of Quality leads and oversees a comprehensive, efficient, and integrated hospital-wide Continuous Quality and Performance Improvement (CQPI) program. Uses data collection, analysis, and trending to assess performance; focuses on process and systems improvement; directs risk management and patient safety activities; investigates adverse outcomes; coordinates regulatory/accreditation readiness; and educates staff on CQPI and related quality programs.

Essential Functions

• Provide leadership and oversight of the organization-wide CQPI program.
• Measure and assess performance by collecting, analyzing, and trending data to identify opportunities for improvement.
• Focus on improving processes and systems to drive clinical quality, safety, and operational performance.
• Direct, facilitate, and report on all aspects of risk management and patient safety.
• Investigate factors contributing to adverse outcomes and drive process/system changes.
• Direct the hospital-wide CQPI operations, including record reviews for quality indicators and reporting findings to leadership, Medical Executive Committee, and other committees.
• Annually review hospital-wide plans for Infection Control (IC) and CQPI; establish goals and objectives for the coming year.
• Serve as liaison to local health officials; coordinate inspections and accreditation reviews with state and other regulatory agencies.

Additional Information

• Develops and delivers hospital-wide CQPI education and training.
• Prepares quality/patient safety reports and dashboards for leaders and committees.
• Pairs with clinical and non-clinical departments to sustain improvements and ensure compliance with applicable standards.

Qualifications

• Education: BSN or BS/BA required.
• Licensure: Registered Nurse with current state licensure highly preferred; clinical license required.

Skills & Abilities

• Knowledge: Understanding of healthcare quality improvement principles and practices.
• Skills: Strong analytical, communication, and leadership skills.
• Abilities: Ability to manage multiple projects simultaneously, collaborate effectively with cross-functional teams, and maintain confidentiality.

Benefits

• Health (Medical, Dental, Vision) and 401K Benefits for full-time employees.
• Competitive Paid Time Off.
• Employee Assistance Program - mental, physical, and financial wellness assistance.
• Tuition Reimbursement/Assistance for qualified applicants.

Pay

Commensurate with experience.

Schedule

N/A

Benefits

• Tuition Reimbursement/Assistance for qualified applicants.