Director, Quality Resource Services

Job Overview

Directs the hospital-wide Quality, Safety and HRO initiatives. Serves as the lead and coordination efforts for our quality programs, high reliability journey, safety behaviors, and patient experience. Monitors hospital goals and public reporting measures. Assists hospital leadership in the planning and implementation of tactics, methods and work plans. Identifies areas of opportunity for improvement, champions the development of policies and procedures. Assists leaders in the management and follow-up of safety events and ensures timely responses while identifying trends; will serve as an electronic incident reporting administrator. Serves as an internal consultant in education and training for HRO behaviors and encourages employee recognition and engagement. In collaboration with leaders, mentors and grows the safety coach program. Represents RWJUH Rahway as the liaison for quality and experience system meetings and strategies.

Qualifications

• Bachelor's Degree
• Experience with quality improvement, quality management, NJDOH patient safety reporting and HRO behavior
• Certification as Professional in Healthcare Quality (CPHQ) or Certified Professional in Patient Safety (CPPS) or achieved within two years of hire
• Preferred Master's degree
• 5 years experience in a nursing within the hospital setting

Essential Functions

• Utilizes HRO principles and continuous quality improvement in all work situations
• Sets seeks feedback and recommendations from others to improve the quality, processes and services
• Contributes to improving quality services and productivity (takes the initiative to continually evaluate one’s work, report problems, suggest solutions and try new ideas)
• Effectively allocates and schedules resources
• Able to project and appropriately staff the unit/department to effectively function to demand
• Utilizes resources, both labor and non-labor to maximize efficiency and quality
• Adheres to budgetary guidelines and targets-proactively manages budget variances and causes
• Determines priorities and organizes work and time to meet them
• Projects and maintains a positive and focused attitude despite obstacles and setbacks
• Remains organized and manages multiple assignments and/or projects simultaneously to accomplish goals
• Facilitates cause analyses, ACAs/RCAs and proactive risk assessments in collaboration with key stakeholders
• Plans and conducts meetings with department leaders to review trends and strategies to improve quality, safety, and the patient and employee experience
• Serves as a lead for the safety coach program and coaches
• Mentors and develops new coaches as they are recruited
• Meets monthly with safety coaches to strategize and implement programs
• Serves as a lead for the safety coach program and coaches
• Mentors and develops new coaches as they are recruited
• Supports the CMO and CNO in organizing data and activities
• Serves as a lead for the safety coach program and coaches
• Mentors and develops new coaches as they are recruited
• Supports quality leadership in organizing data and activities related to Leapfrog and USNWR submissions
• Proactively assesses quality and safety performance as it relates to publicly reported metrics and CMS stars (e.g., PSIs, HACs)
• Analyzes all data available such as HCAHPS, Verge Data, Comment reports, etc. to make the necessary changes in the evolving healthcare industry and adjust to the trends

Benefits And Perks

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retail Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!