Director Quality

About the role

The primary leader is responsible for overseeing the day-to-day activities and coordinating services for WVU Medicine Hospitals. Responsibilities include:

• Directing the overall operation of departments and clinical areas such as Quality, Infection Control, Regulatory, Patient and Employee Safety, Risk Management, and Compliance and Privacy.
• Guiding changes needed to reach departmental goals for each hospital.
• Leading performance improvement efforts and fostering collaboration between departments and other affiliated services.
• Developing and implementing new business/operational strategies to improve overall performance.
• Ensuring compliance with regulatory bodies and maintaining organizational compliance.
• Overseeing the preparation, control, and monitoring of budgets for assigned areas.
• Recruiting and developing staff necessary for effective leadership and management of departments.
• Establishing and maintaining standards for employee relations, motivation, and morale.
• Participating in decision-making structures and processes with governing body, management, medical staff, and clinical leaders.
• Collaborating with department managers and administrative team in the annual operating and capital budget.
• Leading Risk Management administrative activities, ensuring policy renewals, and reporting issues to the carrier.
• Maintaining knowledge and expertise in regulatory change and assisting in the development of evidence-based medicine practice guidelines.
• Ensuring compliance with relevant licensing, regulatory, and accreditation requirements.
• Representing the hospital at external meetings and venues at the local, regional, and state level.
• Developing and maintaining a routine reporting process to the Board of Directors and administration.
• Coordinating and providing assistance with WVU Medicine.

Responsibilities

Key responsibilities include:

• Administratively responsible for direction of all aspects of Quality, Patient and Employee Safety, Infection Control, Regulatory, Policy Management, Risk Management and Compliance and Privacy.
• Leading by influence for effective Emergency Management and Life safety to assure a Hospital environment that is consistent with the objectives of both Hospitals.
• Directing quality, regulatory through hospital administration and directors.
• Participating in operational planning and being responsible for development of goals and objectives for areas of accountability.
• Influencing the establishment of standards of nursing practice and other clinical procedures within the Hospital.
• Directing regular review of safety and quality outcomes and performance for both Hospital's strategic plans.
• Directing and maintaining application of the continuous improvement process in management of patient care delivery to achieve high quality, cost effective services.
• Directing the preparation, control and monitoring of budgets for assigned areas.
• Assuring compliance with targeted fiscal objectives; discussing budget variances and modification as necessary with executive leadership.
• Recruiting and developing staff necessary for effective leadership and management of departments to achieve hospital quality and safety goals and regulatory requirements.
• Establishing and maintaining standards for employee relations, motivation and morale throughout the organization.
• Participating with governing body, management, medical staff, and clinical leaders in the organization’s decision-making structures and processes.
• Collaborating with department managers and administrative team in order to provide recommendations for the annual operating and capital budget.
• Leading Risk Management administrative activities by ensuring policy renewals and reporting issues to the carrier and maintaining all related records and documents.
• Maintaining knowledge and expertise in regulatory change and assisting in the development of evidence-based medicine practice guidelines.
• Ensuring compliance with relevant licensing, regulatory, and accreditation requirements.
• Representing the hospital at external meetings and venues at the local, regional, and state level.
• Developing and maintaining a routine reporting process to the Board of Directors and administration.
• Coordinating and providing assistance with WVU Medicine.

Requirements

Minimum qualifications include:

• Bachelor’s degree in nursing, business administration, finance, accounting, or other related field.
• Five (5) years’ experience working with hospital operations with a focus in quality improvement.
• Three (3) years’ experience in leadership.

Prior experience in:

• Master’s degree in business administration, finance, accounting, or other related field.
• Current licensure or temporary licensure as a Registered Professional Nurse.
• Ten (10) years’ experience working with hospital operations including at least Three (5) years’ experience in Administrative Management.
• Experience in applying Lean Management approaches to process improvement.

Qualifications

Preferred qualifications include:

• Master’s degree in business administration, finance, accounting, or other related field.
• Experience in applying Lean Management approaches to process improvement.

Skills and Abilities

• Knowledge of financial mechanisms of expense and revenue.
• Knowledge of current theoretical approaches to the delivery of nursing care and strategies for their implementation.
• Knowledge of current leadership, management, and performance improvement concepts.
• Knowledge of the scope and complexity of nursing care needs of the hospital’s major patient population.
• Ability to investigate complaints, incidents, and accidents involving all patients and staff in accordance with hospital policy.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Requires full body ranges of motion, manual and finger dexterity and hand-eye coordination.
• Sitting for long periods of time.
• Exposure to all patients' elements including communicable diseases and body fluids.
• Requires corrective vision and hearing within normal range.
• Requires full body ranges of motion, manual and finger dexterity and hand-eye coordination.
• Sitting for long periods of time.

Physical Requirements

• Full body ranges of motion, manual and finger dexterity and hand-eye coordination.
• Sitting for long periods of time.
• Exposure to all patients' elements including communicable diseases and body fluids.
• Corrective vision and hearing within normal range.

Working Environment

• Exposure to toxic substances, ionizing radiation, medicinal preparations, and other conditions common to a clinical environment.

Skills and Abilities

• Computer literacy and word processing required for the position.
• Excellent written and verbal communication skills.