Director Quality

About the role

The Director of Quality at Mercy San Juan Medical Center leads ongoing quality improvement initiatives, ensuring high-quality care and positive outcomes for patients. This role involves making data-driven decisions, analyzing data, and implementing strategies for performance improvements, quality outcomes, risk reduction, patient safety, and infection control.

Responsibilities

• Lead quality improvement initiatives across various healthcare professionals.
• Make data-driven decisions to ensure high-quality care for patients.
• Analyze data and implement strategies for performance improvements, quality outcomes, risk reduction, patient safety, and infection control.
• Apply experience in clinical practice, operations, data analysis, and technology to build on the culture of continuous improvement.
• Ensure teams move forward with current initiatives through project management skills.

Requirements

• Bachelor's degree in a healthcare-related field required, or five (5) years of related job or industry experience in lieu of degree.
• Minimum of five (5) years of progressive management responsibility in a healthcare setting, two (2) of which is related to managing an acute care organization’s Quality Improvement Program, required.
• Minimum of two (2) years of clinical, patient care experience or equivalent required.
• A current State License in a clinical field required. Five (5) years' experience in Quality Management can be used in lieu of state license.
• A Certified Professional in Healthcare Quality (CPHQ), Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment is required.

Skills

• Knowledge of quality management methods, tools, and techniques.
• Knowledge of federal, state, and local healthcare related laws and regulations.
• Experience developing and implementing clinical, service, and operational process improvement initiatives.
• Knowledge and expertise in specific performance improvement/CQI methodologies (e.g., Six Sigma, LEAN).
• Current knowledge of accreditation and regulatory requirements for acute and ambulatory care services.
• Experience with the event reporting process, root cause analyses, and event investigation/review.
• Experience with patient compliant/grievance investigations and prompt resolution.
• Knowledge of risks faced by patients in a healthcare environment and steps to reduce these risks.
• Familiarity with legal documents related to hospital liability.
• Knowledge of risk assessment and control processes.
• Ability to manage collaboratively and coach others to achieve optimal performance.

Benefits and Offerings

• Sign-on bonus.
• Relocation assistance.
• Annual performance-based bonus program.
• Annual employer contribution to retirement program (no employee contribution needed).
• Medical benefits for the employee at no payroll deduction.
• Flexible Time Away program.

Pay

The posted compensation range is $66.26 - $98.56 /hour, which is a reasonable estimate based on the circumstances at the time of posting. CommonSpirit Health may ultimately pay more or less than the posted range as permitted by law.

Schedule

Monday - Friday (8:00 AM - 5:00 PM)