Director, Quality - IRF

About the Role

Director of Quality leads and oversees a comprehensive, efficient, and integrated hospital-wide Continuous Quality and Performance Improvement (CQPI) program. Using data collection, analysis, and trends 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.

Responsibilities

• 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, Board of Managers, 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.
• Develops and delivers hospital-wide CQPI education and training.
• Prepares quality/patient safety reports and dashboards for leaders and committees.
• Partners with clinical and non-clinical departments to sustain improvements and ensure compliance with applicable standards.
• Perform other duties as assigned.

Qualifications

• Licensure: Registered Nurse with current state licensure highly preferred; clinical license required.
• Education: BSN or BS/BA required.
• Experience: Minimum two (2) years in an acute hospital or rehabilitation setting required; prior supervisory experience preferred.
• Certifications: Basic Life Support (BLS/CPR) required; certification preferred by APIC (American Practitioners of Infection Control) and NAHCQ (National Association of Health Care Quality).

Skills

• Data analysis and reporting
• CQPI methodologies (e.g., RCA, FMEA, PDSA)
• Risk management and patient safety facilitation
• Regulatory/accreditation readiness
• Effective teaching, communication, and collaboration

Benefits

• Comprehensive medical, dental, and vision plans, plus flexible-spending and health-savings accounts
• Competitive paid time off and extended illness bank package for full-time employees
• Income-protection programs, such as life, accident, critical-injury insurance, short- and long-term disability, and identity theft coverage
• Tuition reimbursement, loan assistance, and 401(k) matching
• Employee assistance program including mental, physical, and financial wellness
• Professional development and growth opportunities

Schedule

Full-Time: Monday-Friday 8:00-4:30P

This response is AI-generated, for reference only.