Sr Quality Officer
Sr Quality Officer
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Salary Not Disclosed
1 Vacancy
Job Description
The Director of Quality Management is responsible for overseeing the operational financial and personnel resources related to quality performance accreditation/licensing patient relations infection prevention policy and procedure process management and patient safety within the healthcare enterprise. Utilizing a systemsbased approach the Director ensures compliance with regulatory and accreditation requirements fosters a culture of continuous quality improvement and supports hospitalwide risk management activities.
Key Responsibilities:
- Direct and oversee hospitalwide quality management programs to ensure compliance with Joint Commission and other regulatory requirements.
- Facilitate compliance with core measures and patient safety initiatives.
- Lead Hospital Patient Safety/Quality Council meetings and disseminate relevant quality and performance information enterprisewide.
- Prepare and present quality reports to the Medical Executive Committee and Hospital Governing Board.
- Oversee hospital risk management activities including root cause analysis and the implementation of lessons learned from defects.
- Coordinate the Medical Staff Peer Review process to support continuous performance improvement.
- Manage various certification patient safety and regulatory programs through delegation and oversight.
- Ensure adherence to policy and procedure process management ensuring all documents align with regulatory and best practice standards.
- Collaborate with hospital leadership medical staff and frontline employees to drive a culture of quality and patientcentered care.
- Serve as a liaison between the hospital and external regulatory agencies regarding quality accreditation and patient safety initiatives.
Reporting Structure:
- Reports directly to the Chief Executive Officer (CEO) and the Board of Directors.
Qualifications:
- Bachelors degree in healthcare administration nursing public health or a related field (Masters degree preferred).
- Minimum of 57 years of experience in healthcare quality management accreditation or patient safety.
- Strong knowledge of regulatory and accreditation standards (e.g. Joint Commission CMS state licensing bodies).
- Experience in risk management peer review processes and root cause analysis.
- Demonstrated leadership skills with the ability to influence and drive quality initiatives at an enterprise level.
- Excellent communication analytical and problemsolving skills.
- Certification in healthcare quality (e.g. CPHQ) or patient safety (e.g. CPPS) preferred.
This is a key leadership role within the organization offering an opportunity to shape and drive quality safety and regulatory excellence across the hospital enterprise.
RF
Employment Type
Full Time
