About this role
Summary
Job Description:
Job Title: Director of Quality
FULL TIME
The Director of Quality has operational and budgetary oversight for all areas of responsibility. Primary responsibilities include the development and maintenance of quality improvement program; coordination of performance improvement efforts to include patient experience, wound and ostomy care, infection prevention/control, pastoral care, peer review, and process excellence.
- Responsible for overseeing the operations of the department to ensure the provision of quality services and excellence in patient care.
- Serves as a leader, educator and mentor to physicians, directors and staff in promoting excellence in management of data, support quality of care, evaluation, outcomes management and in evidence-based outcomes across the organization.
- Responsible for overseeing the hospital quality improvement program. Ensures key processes and outcomes are tracked and reported in a timely and effective manner to physicians, staff, the hospital board and required external groups.
- Ensures compliance with all requirements of regulatory agencies associated with the quality department and keeps abreast of new and updated quality standards.
- Collaborates with other directors, physicians and staff to analyze interdepartmental data and support the development of action plans related to performance improvement initiatives.
- Participates in teams within the organization and system to achieve the goals of Baptist Healthcare System.
- Ensures that the staffing levels are maintained at an adequate level to meet the departmental needs. Monitors productivity levels and adjusts staff accordingly within budget
- Responsible for financial management of the quality department including budgetary analysis of clinical outcomes data, developing and monitoring the departmental operating budgets and management of human resources and capital.
- Maintains a system of communication with administration, staff, and serves on various committees as requested or delegated. Serves as a liaison between outcomes and administration/other departments/vendors, etc.
- Analyzes benchmarked data and develops reports for internal and external customers identifying practice patterns, and other areas of concern with recommendations for improvement as appropriate.
- Develop systems and processes for timely and accurate data collection.
- Analyzes and interprets data that facilitates clinical practice patterns, communicates findings, and actively participates in areas for process improvement, solutions and implementation of solutions that positively impact patient outcomes.
- Attends all required safety training programs and can describe his/her responsibilities related to general safety, department/service safety, specific job related hazards, and national patient safety goals.
Requirements:
- Master’s degree in nursing required (or will be enrolled in an accredited Master of Nursing program within one year of hire with degree completion within 3 years).
- 3-5 years of healthcare management experience
- 3-5 years of clinical healthcare experience
- Data management and data reporting experience required
- Holds a certification as Certified Professional Healthcare Quality (CPHQ) or obtains within two years of hire
- Proficient with computers, databases, and software programs.
Benefits: Full-Time 32 weekly hours (0.8 FTE) - 40 weekly hours (1.0 FTE)
- Health, Vision, Dental and Pet Insurance
- Life Insurance
- Short Term and Long-Term Disability and Life Insurance
- Identity Theft Protection
- Tuition Reimbursement up to $6,000 annually
- Company paid Maternity and Paternity Leave
- 5 days of Paid Time Off available upon hire
- Bereavement Leave (includes pets)
- PTO Sell Back Program
- Compassionate Leave Sharing Program (PTO Donation)
- Employee Support Fund, for employees in need of emergency financial support
- Retirement with Company Match