Director Quality Management

Description Responsible for the overall development and implementation of the organizations quality improvement plan in accordance with the mission and strategic goals of the organization, federal and state laws and regulations and accreditation standards. Chairs the Performance Improvement Committee. Assists in guiding and directing Performance Improvement teams. Serves as liaison with Press Ganey for Customer Service Steering Committee. Plans, organizes coordinates and directs the activities of the Quality Management Department. The QM department includes Medical Staff Quality, Medical Staff Office, Patient Safety, and Organization - wide Quality. Responsible for education and communication to leadership and staff on knowledge/information necessary to ensure that Quality, Patient Safety, Accreditation, Performance Improvement and are actively managed throughout the organization. Coordinates communication to the Quality Committee of the Board. Controls elements within areas of responsibility by developing policy/procedure, monitoring performance indicators, developing and reviewing metrics, conducting mock inspections and reporting results. Responsible for Medical staff office appointment, reappointment and committees. Oversees medical staff quality peer review process. Serves as administrative staff for Med Council. Responsible for establishing, and managing departmental budget. Provides oversight and expert knowledge for patient safety initiatives including development and improvement of processes to reduce errors. Supervises staff, students and volunteers in areas of responsibilities. Reports to the Chief Operating Officer and Vice President of Patient Care Services.
Requirements Must have Master’s Degree in related field, prefer MBA. Must have active Florida RN license. Prefer CPHQ certification. Must have 5 years Quality experience and 5 years Leadership experience in a healthcare setting. Prefer 10+ years Quality Director experience in a healthcare setting. Must have expert knowledge of Joint Commission standards and survey process. Knowledge of OSHA, Medicare and necessary state requirements. Must have Creative Thinking Skills. Hands on Problem Solving skills and ability to analyze and respond to data. Must be able to prepare and present to large and small groups in formal training settings, and effectively facilitate meetings. Must be able to direct teams for goal development and action plans. Must be able to facilitate interdisciplinary teams in collaborative efforts. Must have strong Leadership skills. Must have effective communication skills at all levels within organization and excellent Customer Service skills.