Director of quality management job description

If you are an Executive Nurse Director of Quality Management who is looking for an exciting and challenging career with a reputable Medical Center in warm and sunny Northern California, look no further! The hospital provides quality and affordable health care services to the surrounding community while named as a "Top Employer to Work for."

When you join this hospital, you are aligning yourself with an organization whose values drive their philosophy of care. Their focus on delivering quality, service, and cutting edge care, enables this reputable Medical Center to be an organization committed to patient outcomes-not the bottom line. More importantly, it empowers you to enact change and deliver the results that continuously improve our ability to provide our community with care.

The Executive Nurse Director of Quality Management will drive clinical quality and safety programs. The Executive Nurse Director of Quality Management will be responsible for the strategic development, planning and control of health plan and hospital's quality programs and for leading the implementation of compliant programs at the facility, including associated alliance hospitals and other non-KFH facilities. The Executive Nurse Director of Quality Management will facilitate the development of programs and processes that meet regulatory requirements.

The Executive Nurse Director of Quality Management will focus on organization-wide systems and process for improvement, including clinical quality management, risk management, AR&L and patient safety activities in collaboration with clinical and administrative personnel. The Executive Nurse Director of Quality Management will also serve as Patient Safety Officer for assigned hospitals ensuring practitioner review and oversight meets internal standards.

The Executive Nurse Director of Quality Management will be responsible for quality program oversight, associated medical staff issues, member concerns and grievances to ensure submission to accreditation and regulatory bodies are timely and accurate; and ensure that processes supporting submissions are reliable. The Executive Nurse Director of Quality Management will facilitate health plan assessment of quality programs at the medical center including MDQR.

The Executive Nurse Director of Quality Management will develop strong collaborative leadership relationships with TPMG, external regulatory agencies, accreditation bodies, employer groups with joint accountability to develop systems and corrective action plans for the facility to meet regulatory compliance. The Executive Nurse Director of Quality Management will direct accreditation, licensing and regulatory activities and ensures compliance in all applicable settings, including but not limited to MDQR, NCQA, The Joint Commission, DMHC, DHS, Medi-Cal, Cal-OSHA, and CMS.
The Executive Nurse Director of Quality Management will work in a hospital that thrives to provide the best patient care to the surrounding community. The family atmosphere, compassionate patient care, dedication to its employees and 100 plus years of service to the community makes this hospital the place to embark upon the next step in your career. Join now!

Dignity Health East Valley Rehabilitation Hospital- Gilbert is the second joint venture operation, free-standing Post-Acute Inpatient Rehabilitation Hospital between Dignity Health and Kindred Healthcare. This new 50,000 square foot two-story 40-bed hospital will be located at
1850 South Santan Village Gilbert, Arizona.

The facility will have all private rooms and focus on acute rehabilitation for patients who suffer from stroke, traumatic brain injury, spinal cord injury, complex neurological disorders, orthopedic conditions, multiple trauma, amputation and other injuries or disorders. The large multidisciplinary therapy gymnasiums will be outfitted with the latest therapeutic technologies, including augmented reality balance training, therapy bionics and a full body exoskeleton. The hospital will also include a therapeutic courtyard with exterior amenities, such as a golf chipping range, pickle ball and cornhole.



JOB SUMMARY:


The DQM assumes responsibility and accountability for the hospital-wide Continuous Quality and Performance Improvement program. The DQM will assist the CEO/leadership and Medical Staff to establish priorities for Performance Improvement. He/she ensures that disciplines in the hospital work collaboratively to plan and implement Performance Improvement activities. The DQM will focus on measuring, analyzing and trending information in order to improve outcomes. He/she will assure ongoing monitoring of performance to ensure that improvements are sustained. The DQM will direct and assist in compliance with federal and state regulations and accreditation standards.


Qualifications




Registered Nurse with current state licensure highly preferred.
Clinical license required.
Certification preferred by APIC (American Practitioners of Infection Control), and NAHCQ (National Association of Health Care Quality).
BSN or BS/BA required. Two years of experience in an acute hospital or rehabilitation setting required. Previous supervisory experience preferred.
Current Basic Life Support/CPR Card.
Demonstrated ability to plan, coordinate, and evaluate PI activities, effective oral and written communication skills and proficiency in basic computer skills required.
Working knowledge of staff development and the educational process, quality improvement, infection control/employee healthy, and safety/risk management standards.
Effective oral and written communication skills, in English with additional languages preferred; proficiency in basic computer skills required.

The DQM assumes responsibility and accountability for the hospital-wide Continuous Quality and Performance Improvement program. The DQM will assist the CEO/leadership and Medical Staff to establish priorities for Performance Improvement. He/she ensures that disciplines in the hospital work collaboratively to plan and implement Performance Improvement activities. The DQM will focus on measuring, analyzing and trending information in order to improve outcomes. He/she will assure ongoing monitoring of performance to ensure that improvements are sustained. The DQM will direct and assist in compliance with federal and state regulations and accreditation standards.
ESSENTIAL FUNCTIONS:

Provides leadership and oversight of a comprehensive, efficient and integrated organization wide Continuous Quality Performance Improvement program.
Measures and assesses performance through collection, analyses, and trending of data.
Focuses on processes and systems to improve performance.
Directs, facilitates, and reports on all aspects of services relating to risk management and patient safety.
Investigates factors contributing to adverse outcomes in order to improve processes and systems.
Encourages reporting on risk reduction strategies in an atmosphere which minimizes blame or retaliation. Fosters environment to reduce unanticipated adverse events and/or outcomes.
Responsible for education of Continuous Quality and Performance Improvement and additional hospital-wide education and training.
Directs the functions and operation of the hospital-wide continuous quality improvement program including review of records for indicators of quality; reports findings to leadership, Medical Executive Committee, the Board of Managers and other committees as appropriate.
Responsible for education of Continuous Quality and Performance Improvement to hospital and medical staff.
Annually reviews hospital wide plans for the functions of IC and CQPI and establishes goals and objectives for the next year.
Acts as a liaison to local health officials, coordinates inspections and accreditation reviews with state and other regulatory agencies.
Demonstrates knowledge of growth, development, and the aging process for the planning and delivery of age-appropriate care.
Other duties as assigned.

Qualifications

Registered Nurse with current state licensure highly preferred.
Clinical license required.
Certification preferred by APIC (American Practitioners of Infection Control), and NAHCQ (National Association of Health Care Quality).
BSN or BS/BA required. Two years of experience in an acute hospital or rehabilitation setting required. Previous supervisory experience preferred.
Current Basic Life Support/CPR Card.
Demonstrated ability to plan, coordinate, and evaluate PI activities, effective oral and written communication skills and proficiency in basic computer skills required.
Working knowledge of staff development and the educational process, quality improvement, infection control/employee healthy, and safety/risk management standards.
Effective oral and written communication skills, in English with additional languages preferred; proficiency in basic computer skills required.

Job: Compliance/Quality/RiskPrimary Location: AZ-Chandler-CHC PR & MSA-DIGNITY-KINDRED REHAB HOSP EAST VALLEY LLCOrganization: 3199 - CHC PR & MSA-DIGNITY-KINDRED REHAB HOSP EAST VALLEY LLCShift: Day