Required:

• Bachelor’s degree is required.
• Progressive leadership experience.
• Demonstrable improvements in healthcare quality and safety on current/previous healthcare quality roles.
• Certifications in CPHQ and CPPS or willing to achieve these within one year of employment.

Job Description

• Directs the operational, financial management and personnel resources for Quality Performance, Accreditation / Licensing, Patient Relations, Infection Prevention, Policy and Procedure Process Management, Patient Safety utilizing an Enterprise/Systems approach. Facilitates and coordinates hospital-wide quality management programs to ensure compliance with Joint
• Commission and other regulatory requirements. Facilitates compliance with core measures. Facilitates
• Hospital Patient Safety/Quality Council meetings. Disseminates information for the enterprise-wide quality program. Prepares and presents quality reports for Medical Executive
• Committee and Hospital Governing Board. Facilitates hospital risk management activities to include root cause analysis and learning from defects as required. Coordinates Medical Staff Peer Review process.
• Coordinates various certification, patient safety and regulatory programs, via delegation and oversight. The Director of Quality Management reports directly to the CEO and to The Board of Directors.