Director Quality Management Hospital / Flagship Facility Coastal Texas
Competitive Compensation Annual Bonus Superb Benefits Program Relocation Assistance
LOCATION : Coastal Texas
Coastal Texas
ABOUT THIS OUTSTANDING CAREER OPPORTUNITY
- Reports to Regional Quality Management Director with dotted lines to the facility CNO, CMO, and CEO
- 500-bed Level II Trauma Center
- Directs the daily activities of the Quality Management Department with direct reporting from the Quality Manager and Quality Coordinator (2 FTEs)
- Develops quality outcome reporting and analytic insights using knowledge and expertise about public reporting, metrics, analytics, and application tools
- Oversees continual compliance readiness with leadership in providing Joint Commission and other accrediting or licensing body reviews and education
- Researches and recommends quality management objectives
- Develops reports to effectively convey regulatory updates from appropriate data sources and systems, including national benchmarks and public ranking data
- Supports production of reports in collaboration with subject matter experts
- Educates the hospital and medical staff on matters related to quality
- Oversees and coordinates the process of regulatory accreditation, including preparing and monitoring the hospital staff for a constant state of readiness, compliance with standards, and promoting a culture of safety
- Collaborates with the hospital leaders to achieve quality goals and eliminate preventable harm
- Provides expertise in quality management for inpatient and hospital outpatient department delivery settings
- Brings high-reliability processes and information governance strategies to the performance of job responsibilities to the organization
EXPERIENCE EDUCATION LICENSURE CERTIFICATIONS
- Bachelor's degree required; Master’s degree preferred
- Current RN License preferred but not required
- CPHQ - Certified Professional in Healthcare Quality required within one year of employment
- 5-7+ years of experience managing quality outcomes, sizeable disparate data sets, systems improvement, and accreditation standards
- Knowledge of Federal, State, and Local regulations related to health care and accrediting / certifying agencies such as The Joint Commission and CMS
- Ability to establish and maintain effective working relationships with all levels of hospital staff
- Strong written and verbal communication and proficient computer skills required
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Director Quality Management | Hospital / Flagship Facility | Coastal Texas
KW: accreditation, adverse, AHRQ, AMA, ambulatory, ASQ, assessment, benchmark, CAUTI, certification, Certified Professional Healthcare Quality, chart review, clinical, CMS, compliance, core measures, CPHQ, CPHRM, CPPS, data, DNV, evidence-based practice, federal regulations, healthcare quality...
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