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Top 50 Director Of Quality Management Skills

Below we've compiled a list of the most important skills for a Director Of Quality Management. We ranked the top skills based on the percentage of Director Of Quality Management resumes they appeared on. For example, 10.6% of Director Of Quality Management resumes contained Patient Care as a skill. Let's find out what skills a Director Of Quality Management actually needs in order to be successful in the workplace.

These are the most important skills for a Director Of Quality Management:

1. Patient Care

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high Demand
Here's how Patient Care is used in Director Of Quality Management jobs:
  • Developed a Hospital-wide Performance Improvement Program that focuses on improving patient care, Patient satisfaction and promotes effectiveness of hospital services.
  • Developed a system of staff communication that ensured proper implementation of treatment plans and comprehensive patient care.
  • Developed, evaluated and implemented department and patient care policies and procedures including goals and objectives.
  • Assist and encourage patient care and ancillary department managers to continual quality and performance improvement.
  • Fostered development of quality improvement programming and initiatives to enhance patient care through evidence-based practice.
  • Lead teams to gather and analyze data on quality and regulatory compliance standards that demonstrated improvement in patient care and safety.
  • Administered diverse administrative processes to sustain culture of safety, compliance, and excellent patient care for 165-bed acute care hospital.
  • Redesign all facility policies to make sure they are appropriate from a patient care as well as legal standpoint.
  • Plan and execute patient care efforts with a clear focus on quality, safety and budget compliance.
  • Conduct studies and prepare reports and correspondence for patient care evaluation studies; monitor and maintain records.
  • Acted as facility Risk Manager in response to patient care, satisfaction and safety issues.
  • Coordinate psychiatric consults and other desired orders as requested by patient care team members.
  • Certified that equipment and supplies were properly maintained for quality patient care and safety.
  • Worked with staff in specific clinical situations related to the provision of patient care.
  • Attend weekly meetings for clinical and research activities to provide patient care coordination.
  • Provide direct patient care as needed by patient needs and clinical skills.
  • Interacted with physicians daily to improve patient care services.
  • Reported to the VP of Patient Care Services/CNE.
  • Resolved complaints related to patient care issues.
  • Monitor and evaluate patient care services.

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24 Patient Care Jobs

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2. Ensure Compliance

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high Demand
Here's how Ensure Compliance is used in Director Of Quality Management jobs:
  • Plan and execute meetings, work collaboratively with quality manager to improve and ensure compliance with performance improvement/regulatory standards.
  • Conduct inspections of facilities, including apartments, to ensure compliance with regulatory requirements.
  • Managed all changes to Global Quality Systems to ensure compliance with relevant requirements from emerging and revised regulations and standards.
  • Established and maintained Reliance SOP (standard operating procedure) to ensure compliance with applicable regulation and requirements.
  • Implemented strong Continuous Readiness Program- educate staff on OIG focus areas and perform tracers to ensure compliance.
  • Managed data entry into LTRAX for CMS reporting and conducted chart audits to ensure compliance.
  • Re-established all medical staff committees to ensure compliance including the revision of committee minutes.
  • Monitor internal processes to ensure compliance with health plan contractual requirements.

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3. Quality Management

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high Demand
Here's how Quality Management is used in Director Of Quality Management jobs:
  • Keep current with state laws, federal laws, and regulatory agency requirements for hospitals regarding utilization and quality management.
  • Developed and monitors the quality management operating budget and submits any variances or needed adjustments to the Regional Quality Director.
  • Achieved project management harmonization and standardization globally by creating North America s Six Sigma process and regional Quality Management system.
  • Maintained and regularly updated hospital performance improvement / quality management plans and strategies to the Board of Directors.
  • Reported to Executive Director with full operational responsibility for the creation of Utilization and Quality Management services.
  • Set the vision for the Quality Management Division and developed medical and hospital staff performance improvement activities.
  • Assisted with the development of corporate Quality Management interventions including Women's Health and Comprehensive Diabetes Care.
  • Presented results of Quality Management System to senior executives, promoting awareness of customer needs and requirements.
  • Assisted in enhancing quality management systems and compliance through implementation of recommended improvements and monitors.
  • Ensured company met requirements of Quality Management System according to defined international standards.
  • Served as Budget Officer and Billing Official for the Clinical Quality Management Division
  • Directed quality management functions and corporate compliance functions throughout the system.
  • Responded to physician requests for quality management reports.
  • Direct report to Director of Quality Management.
  • Recruited by the CEO from Florida Power and Light, I was charged with implementing a company-wide Total Quality Management process.
  • Directed Quality Management and Improvement program with staff of 50 and developed work plan in accordance with senior management requirements.
  • Facilitated training for Total Quality Management techniques for administrators, board members, and medical and hospital staff.
  • Provided extensive reporting on quality management issues through case summaries, medical record reviews, and regular reporting.
  • Created and implemented multi-plant Quality Management System from the ground up which included calibration and documentation storage (electronic).
  • Served as Director of Quality Management Division supporting healthcare operations, Joint Commission Compliance and Accreditation.

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73 Quality Management Jobs

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4. Risk Management

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high Demand
Here's how Risk Management is used in Director Of Quality Management jobs:
  • Perform clinical risk management functions including investigation, monitoring, documentation & reporting on care, service and customer satisfaction issues.
  • Identified, communicated and mitigated compliance and quality risks through implementation of risk management tools within the organization.
  • Recommended and developed policies and procedures and guidelines for the organization related to risk management.
  • Risk Management -Compiled statistical trend analysis reports as related to the incident reports/medication errors.
  • Performed necessary duties for Risk Management and Case Management.
  • Co-developed a gap assessment checklist to facilitate the transition of in-flight projects to the new Risk Management Procedures.
  • Enhanced the presence of Quality, Risk Management, and Corporate Compliance in all departments of patient-care.
  • Developed a risk management plan to provide a safe environment for patients, employees and staff.
  • Worked closely with the State Attorney General relative to risk management / liability issues.
  • Instituted and supported risk management and quality processes for all new sales contracts.
  • Led departments in the development and execution of Quality & Risk Management Plans.
  • Coordinated risk management issues with legal counsel and the Chief Medical Officer.
  • Directed all aspects of Regulatory Compliance, Risk Management and Loss Control.
  • Manage the Risk Management, Peer Review, and Infection Prevention programs.
  • Managed QI, Risk Management, and Credentialing activities.
  • Tracked and resolved risk management issues.
  • Monitor for risk management issues.
  • Directed the quality/risk management/regulatory processes Served as Director of Education and coordinated monthly new hire orientation
  • Established, monitored, and supported the implementation activities of the new Risk Management Process across the Siemens Healthcare Diagnostics Division.
  • Clarified and streamlined the Design Control and Risk Management SOPs and trained staff.

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30 Risk Management Jobs

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5. Quality Improvement Activities

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Here's how Quality Improvement Activities is used in Director Of Quality Management jobs:
  • Conducted Quality Improvement Activities and studies on specific utilization and quality issues identified as consistently requiring opportunities for improvement.
  • Directed and managed quality management and quality improvement activities within all community based programs.
  • Planned, directed and coordinated all Quality Improvement activities.
  • Serve as a resource for Medical Staff on quality improvement activities, education, and use of quality principles and tools.
  • Interfaced with medical staff, executive team, board of directors, and department heads to implement all quality improvement activities.
  • Collected and analyzed data for Paradigm Health's clinical, service, outcomes monitoring, and focused follow-up Quality Improvement Activities.
  • Act as a resource to physicians, management and staff on all Quality Improvement Activities.
  • Collected, analyzed and reported on data trends and outcomes from quality improvement activities.
  • Supported quality improvement activities, informed by various quality measures and evidence based practices, aimed at improving servicedelivery.

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15 Quality Improvement Activities Jobs

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6. Oversight

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Here's how Oversight is used in Director Of Quality Management jobs:
  • Managed Westminster Counseling Services, an outpatient office of ACMHC, including budgetary oversight and supervision of clinical and administrative staff.
  • Provide oversight in technical design reviews of software and application development projects to ensure compliance with department and agency technical strategies.
  • Provided oversight and coordination for quality assurance including Peer Review, Physician Profiling, Hospital-wide indicators and Department of Health Indicators.
  • Performed direct management and oversight of the Operations Department consisting of approximately 7 employees.
  • Assisted with the supervision and oversight of Riverside's quality management operations.
  • Provide oversight and supervision for quality management related functions.
  • Document control and post-market product surveillance oversight.
  • Provided oversight of delegated entities.
  • Provide quality, risk, compliance and accreditation oversight and leadership for a 403-bed General Acute Care Hospital.
  • Grant writing, subcontracting, Total Quality Management structure facilitation; licensing, leasing and CARF oversight.
  • Drive Quality management and compliance oversight for US clinical trials involving the outsourcing of internal functions.
  • Provided oversight for medical peer review, credentialing, quality and the patient safety program.
  • Provided oversight for Implementation System Capabilities Assessment (ISCA), CY 2013.
  • Provide oversight, monitoring, training, and compliance reports for records system.
  • Provided oversight for all HEDIS measures for compliance.
  • Conducted oversight of delegated UM vendors.
  • Chair, Regulatory Oversight Committee.
  • Provide extensive quality oversight for all Southern and Northern Arizona behavioral health contracts and continuous quality improvement.
  • Provided oversight for clinical improvement, quality reporting and regulatory readiness activities.
  • Reported to the Chief Nursing Officer with oversight of 10 FTEs.

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1 Oversight Jobs

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7. Infection Control

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high Demand
Here's how Infection Control is used in Director Of Quality Management jobs:
  • Direct responsibility for Infection Control and indirect responsibility for Risk Management personnel as well.
  • Served as an Infection Control Coordinator, maintaining tuberculosis and hepatitis standards.
  • Monitored infection control procedures to ensure facility-wide health and safety.
  • Assured hospital maintained an effective Infection Control Program.
  • Directed operations of the hospital's quality and risk management department, infection control, employee health and medical staff services.
  • Directed rehab facility functions for quality, risk, education, infection control, and employee health at both facilities.
  • Established and performs Monthly QA function PAR Committee functions, Infection Control, Abuse Investigations and Reporting and Staff Scheduling.
  • Provided leadership for a dedicated team of professional leaders in Quality, Risk, Infection Control and Employee Health.
  • Completed Infection Control Risk Assessments (ICRA) with Director of Facilities prior to construction or renovation projects.
  • Survey readiness, employee health and education, infection control director, risk and quality management.
  • Developed the plans, policies and procedures for performance improvement infection control, and risk management.
  • Monitored Infection Control and Critical Incidents, Risk Management and Quality Improvement plans.
  • Chaired Quality Management, Safety, Infection Control and other related committees.
  • Staff education, infection control, quality management and risk management.
  • Case Management, Infection Control, Quality Management, Risk Management.
  • Risk Manager, Employee Health Nurse, Infection Control Nurse.
  • Oriented new staff in QI, Infection Control and Compliance.
  • Directed one infection control nurse and one quality coordinator nurse.
  • Directed Hospital Quality, Infection Control and Safety Programs.
  • Facilitated the Infection Control Committee meetings.

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17 Infection Control Jobs

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8. Medical Staff

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high Demand
Here's how Medical Staff is used in Director Of Quality Management jobs:
  • Developed educational programs and delivered training to hospital/medical staff, reducing accreditation deficiencies by 50%.
  • Worked closely with medical staff leadership integrating quality data into physician-lead performance improvement activities.
  • Authored professional publications regarding medical staff processes, quality and accreditation.
  • Researched and generated reports for Administration and Medical Staff.
  • Coordinated medical staff quality activities.
  • Coordinate and attend all Medical Staff Committee meeting and all pertinent hospital committee meetings where monitoring functions and activities are performed.
  • Facilitated indicator monitoring for 22 hospital departments, chart review and risk management for medical staff, SIM criteria monitoring.
  • Coordinated with the medical staff and committees on performance improvement efforts, clinical outcomes, customer services and resource use.
  • Directed coordination of all Medical Staff Committees including Peer Review, Credentials, and Medical Executive Committee.
  • Provide Quality/Risk Management education and training to medical staff, hospital staff, and governing body.
  • Supervised the medical staff credentialing process as outlined in the medical staff bylaws.
  • Worked with Medical Staff Office to provide information for the credentialing process.
  • Improved medical staff quality reviews that increased the usefulness of data.
  • Helped refine Quality Accountability structure with medical staff and Sr.
  • Coordinate medical staff committees & assist department leaders with preparation.
  • Streamline the Medical Staff meeting organization with standing agenda items.
  • Served as liaison to medical staff.
  • Developed a high functioning medical staff department which included credentialing, 100% orientation onboarding for all newly credentialed physicians.
  • Coordinate and integrate QI plans and processes for individual services Coordinate and report Medical Staff Quality Assurance/Improvement activities.
  • Participated in preparation and opening of new Pediatric Emergency Room 4 FTEs-Medical Staff Office, Staff Development, Quality and Risk Management

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11 Medical Staff Jobs

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9. Process Improvement

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high Demand
Here's how Process Improvement is used in Director Of Quality Management jobs:
  • Increased revenue $10M by identification/implementation of process improvement involving transmitting orders despite records indicating customer was with AT&T.
  • Implemented enhanced customer listening strategies and realigned Quality Assurance function to focus on process improvement, call reduction and customer satisfaction.
  • Worked with behavioral health, programming, and other various community outreach initiatives to recommend process improvements and data management.
  • Led & facilitated interdisciplinary process improvement teams to redesign business processes, improve quality and reduce costs.
  • Implemented significant process improvements specific to Supplier Quality field operations and the efficiency of that group.
  • Process Improvement through development and implementation of cross-business related procedures and metric trending and analysis.
  • Developed recommendations for process improvements, proactive risk reduction and root cause analysis.
  • Acted as internal process auditor and made recommendation on overall process improvement.
  • Supervised Process Improvement Coordinator and Risk Manager activities.
  • Instituted ongoing consistent Process Improvement method and protocols.
  • Lead cross-functional process improvement project teams.
  • Evaluated and revised testing procedures, developed test plan standards, wrote training programs, and generated process improvement initiatives.
  • Worked with other Quorum hospitals in the state, coordinating education for process improvement team leadership and facilitation.
  • Established and executed plans for design change, supplier negotiation, resourcing, and process improvements.
  • Included strategic planning, process improvements, change management, and quality assessment.
  • Identified areas for efficiency gains and process improvement within PM EP.
  • Reduced product returns 70% by focusing on continuous process improvement.
  • Ensured quality and consistency across operations through on going process improvement initiatives.
  • Attended intensive improvement advisor training in 2011 consisting of hybrid model of lean/Six sigma/ and rapid process improvement.
  • Prepared 6 month process improvement plan to reduce overall call handle times to increase referral productivity.

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5 Process Improvement Jobs

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10. CMS

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high Demand
Here's how CMS is used in Director Of Quality Management jobs:
  • Designed four specific CMS Core Measure programs to improve overall scores by 33% to achieve scores of 89- 100%.
  • Developed the organization's quality improvement program in accordance with regulations by the Centers for Medicare and Medicaid (CMS).
  • Maintained, improved, and reported Surgical Care Improvement Project (SCIP) measure scores on a quarterly basis to CMS.
  • Root Cause Analysis for sentinel events, Trigger system mortality review, response to CMS physician review recommendations and requirements.
  • Charged with Implementing and managing all performance improvement activity as per Hospital Policy, CMS and Joint Commission standards.
  • Implemented Performance Improvement teams for indicators below CMS, JCAHO, and corporate benchmarks.
  • Prepared for and executed successful triennial Joint Commission survey, State and CMS surveys.
  • Managed, resolved and analyzed patient complaints to meet CMS and JC requirements.
  • Set up effective peer review process that is compliant with CMS and TJC.
  • Provide ongoing education to staff on the Joint Commission and CMS standards.
  • Abstracted and reported to CMS intermediary for Hospital Compare acute care metrics.
  • Joint Commission, CMS & Texas Department of Health compliance.
  • Ensured compliance with CMS 2567 Plan of Correction audits.
  • Served as the organization's liaison to: TJC, HFAP, CDC, OHA, CMS and the statewide HEN.
  • Coordinated and facilitated hospital-wide performance improvement programs to assure compliance with JCAHO, CMS and other healthcare accrediting agencies.
  • Assisted in the coordination of regulatory surveys including The Joint Commission, NYS Department of Health and CMS.
  • Filed and maintained applications for Texas/CMS licensure for hospital; DEA/DPS applications for pharmacy.
  • Educated providers and staff regarding quality metrics, ACO implementation, PCMH recognition, and CMS and payor incentive programs.
  • Total staff = 10 Successfully led team through state licensure survey, CMS surveys and JCAHO surveys.
  • Submitted quality data for CMS Mandatory Reporting vent weaning, Healthcare Acquired C.diff, MDROs, CLABSI, and CAUTI.

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4 CMS Jobs

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11. Staff Peer Review

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high Demand
Here's how Staff Peer Review is used in Director Of Quality Management jobs:
  • Facilitated medical staff peer review committees.
  • Led all aspects of quality assurance, including performance improvement, Medical Staff Peer Review Committees and Infection Control Committee.
  • Completed annual reports for Quality Improvement, Risk Management, Information Management, Credentialing and Medical Staff Peer Review.
  • Developed robust processes for Root Cause Analysis, FMEA, Medical Staff Peer Review and FPPE/OPPE.
  • Provided oversight and assisted with the medical staff peer review committee processes.
  • Coordinate medical staff peer review and physician profiles.
  • Monitor and facilitate medical staff peer review.
  • Ensured ongoing Medical Staff Peer Review.
  • Developed medical staff peer review processes for OPPE and FPPE, emphasis on neurospine case review.

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1 Staff Peer Review Jobs

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12. Management Program

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high Demand
Here's how Management Program is used in Director Of Quality Management jobs:
  • Directed Quality, Regulatory, Case Management and Risk Management Programs at 86-bed community hospital.
  • Maintained the quality management program for the Indiana and Kentucky Medicare Quality Improvement Organizations.
  • Collaborated with ICSI on quality projects and integration of depression management programs.
  • Reorganized and revitalized quality management programs for 18 call centers.
  • Recruited to develop a Utilization Management Program for outpatient services.
  • Maintained Quality Management Program according to Medicare and State Regulations.
  • Direct Quality Management program at non-profit behavioral health agency.
  • Implemented hospital's internal Risk Management Program.
  • Developed and implement records management program for filing, protection, and retrieval of records, and assure compliance with program.
  • Direct Quality and Risk Management Programs at a 400 Bed-5 Sites, specialty hospital network treating the medically complex patient.
  • Added almost $1 million to bottom-line operating budget through reduced insurance premiums by implementing proactive risk management program.
  • Coordinate the quality and risk management program for a small community hospital with 200+ licensed beds.
  • Carried out the implementation of a Case Management program at Eastern Idaho Regional Medical Center.
  • Implemented Case Management program and critical pathways, reduced ALOS by 3.5 days.
  • Improved efficiency of the risk management program, decreased support FTE's.
  • Develop, implement and manage the hospital Quality Management Program;
  • Gap analysis of the Equipment Management Program.
  • Key Responsibilities Developed, maintained and implemented internal quality management program, including auditing, training, and performance measurement.
  • Directed Case Management Program using the Karen Zander Model of care coordination.
  • Designed and implemented the health plans first disease management program.

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2 Management Program Jobs

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13. Jcaho

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high Demand
Here's how Jcaho is used in Director Of Quality Management jobs:
  • Directed programs to maintain JCAHO accreditation, Medicare certification and State licensing.
  • Participated with JCAHO survey acting as facility facilitator during survey process.
  • Implemented and provided leadership for successful JCAHO accreditation process.
  • Prepared and facilitated multiple successful JCAHO surveys.
  • Maintain all required medical staff functions and coordinate all JCAHO survey preparation activity with the assistance of five FTE's.
  • Directed and organized the team to prepare by obtaining JCAHO accreditation within the first 6 months of opening the hospital.
  • Supported the implementation of the plan for Improving Organizational Performance (IOP), a JCAHO standard.
  • Received letter of commendation from VP of Medical Staff for efforts in obtaining JCAHO accreditation.
  • Provided JCAHO with Credible Root Cause Analysis (RCA) after multiple interviews with staff.
  • Coordinate all accreditation and regulatory activities, including JCAHO and AOA, for hospital.
  • Managed JCAHO accreditation activities for a local community hospital with more than 200 beds.
  • Developed a pocket booklet for staff as education and preparation for JCAHO survey.
  • Participate as a member of the System's JCAHO disaster preparedness steering committee.
  • Ensured hospital-wide compliance with JCAHO, CAMH criteria, and State guidelines.
  • Prepared and facilitated all seven facilities successfully for their JCAHO surveys.
  • Ensured JCAHO accreditation at highest level.
  • Prepared reports to Medical Staff, Board of Trustees, DPR, HRS, and JCAHO.
  • Participated as field surveillor in mock JCAHO surveys for the company.
  • Key Accomplishments: Successfully lead hospital through JCAHO survey with Accreditation.
  • Major Accomplishments: Achieved "Accreditation with Commendation" status on 1998 & 2001 JCAHO site visits.

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1 Jcaho Jobs

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14. Performance Improvement Activities

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high Demand
Here's how Performance Improvement Activities is used in Director Of Quality Management jobs:
  • Implemented electronic tracking and data base systems for risk management and performance improvement activities to increase efficiency and effectiveness of programs.
  • Set the vision for the Professional Medical Services Department and developed medical and hospital staff performance improvement activities.
  • Managed the Performance Improvement activities in clinical and non-clinical areas across the organization.
  • Facilitated performance improvement activities, and CQI activities throughout the hospital.
  • Aggregated and analyzed quality data and lead Performance Improvement activities.
  • Lead organization wide performance improvement activities with appropriate Board reporting.
  • Provided education and training to staff and leadership regarding their role in Performance Improvement activities.
  • Provided direction and oversight of performance improvement activities throughout the AMC system.

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14 Performance Improvement Activities Jobs

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15. Health Care

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Here's how Health Care is used in Director Of Quality Management jobs:
  • Achieved 100% compliance on Department of Health Care Services (DHCS) customer deliverable submissions.
  • Ensured health care providers were in compliance at all levels with employee and patient services.
  • Ensured all health care services are culturally and linguistically appropriate and reduce health care disparities.
  • Planned and lead quality improvement initiatives across health care settings with multiple partners.
  • Facilitated successful NCQA Multicultural Health Care resurveys for two health Plans.
  • Supervised approximately 100 home health care employees.
  • Provided direct mental health care.

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4 Health Care Jobs

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16. Customer Service

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Here's how Customer Service is used in Director Of Quality Management jobs:
  • Conducted oversight audits to sub-delegated organizations for utilization management, credentialing, customer service activities and claims processing.
  • Redesigned PowerPoint slides/graphics and presented Customer Service In-service for new employee orientation including mission and vision.
  • Redesigned Patient Complaint Program focusing on improving customer service and service recovery.
  • Lead Customer Service initiatives resulting in Service Excellence program for the organization.
  • Assisted Customer Service with Press-Ganey survey results presentation.
  • Developed Corporate Customer Service and Complaint/Grievance programs
  • Acquired management and oversight of Customer Support, with the implementation of improvements in the area of customer services.
  • Provide to CEO's data driven solutions for program improvement and customer service recovery activity planning.
  • Trained employees and managers on both the internal and external customer service practices and skills.
  • Received the Woolworth Customer Service Award for hard-work and dedication to this testing effort.
  • Worked with program management to improve customer service and deliverables.

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17. ISO

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average Demand
Here's how ISO is used in Director Of Quality Management jobs:
  • Served as a liaison for attorneys and hospital administrators and negotiated release from liability in various malpractice cases.
  • Served in executive leadership and as a liaison with local management entities and community stakeholders.
  • Served as Quality Management Representative and maintained ISO / QS certifications annually.
  • Served as liaison between facility and legal counsel defending malpractice claims
  • Performed full range of technical and administrative supervisory duties.
  • Perform supervisory responsibilities for staff through two subordinate managers.
  • Stop the BLEEDING Accomplishments -Created overarching Global Quality Management system ISO 9001/ISO 17712 certified for all merged and acquired assets.
  • Created and established a QMS and successfully attained both ISO 9001/14001 with Zero findings since implementation.
  • Enhanced and/or reviewed all established ISO procedures and implemented a set of new ones.
  • Acquired customer approvals and external third party ISO9001/TS16949 registration in this greenfield location.
  • Act as supervisor to the Administrative Assistant, Human Resources Manager and Maintenance Specialist
  • Developed systems compliant with ISO9001/TS16949 standards and that met high customer expectations.
  • Functioned as a liaison between the Business, technical and support teams.
  • Participated in ISO and FDA audits and prepared responses to observations.
  • Act as supervisor for the Transcription and Maintenance personnel.
  • Served as advisor to Executive Leadership on integration of QA, risk management, patient safety and compliance activities.
  • Act as a liaison between Paul J Cooper & OPWDD Conduct internal audits annually and as needed.
  • Trusted advisor to members of Senior Management Committee.
  • Trained as ISO/TS 16949 Lead Auditor.
  • Perform supervisory role for CNAs and LVNs.

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2 ISO Jobs

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18. QA

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Here's how QA is used in Director Of Quality Management jobs:
  • Represented QA at project initiation and requirements review meetings.
  • Managed the conduct and coordinated the follow-up of all QA audits and regulatory inspections to ensure that findings were addressed.
  • Establish QA guidelines for department with a gated release process to manage multiple projects on the same core code base.
  • Created a QA department within the first quarter of hire for all base projects, aligning with project needs.
  • Reviewed defect reports, held review and defect resolution meetings with project and QA teams.
  • Integrated the Support Engineering team into QA to help reduce production issues by 50%.
  • Presented methodology and achievements to the International Quality in Services Association (ISQA).
  • Managed the workload of up to 7 QA employees' and multiple projects.
  • Procure and test all software and QA platform systems and environments for testing.
  • Report to the Business Group Quality Assurance Director on all QA matters.
  • Right sized QA team and structure to maximize efficiency and achieve economy.
  • Managed each QA testing effort using a formal MS Project schedule.
  • Provided supervision and oversight of QA and QC activities.
  • Increased the value of QA exponentially for the company.
  • Direct oversight of all QAPI activities for hospital.
  • Supervised 1 QA manager, 6 QA engineers.
  • Integrate Risk Management data into QAPI.
  • Supervised and controlled all QA activities.
  • Reported to the President had approximately 100 Office QA Officers reporting to me on a part-time basis.
  • Directed department qa reports to medical staff and governing board.

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2 QA Jobs

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19. Medicaid

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Here's how Medicaid is used in Director Of Quality Management jobs:
  • Developed performance indicators based on national standards, issued annual reports for the PA Medicaid managed care program and monitored for improvement
  • Managed enterprise-wide quality management program, accreditation requirements, and regulatory affairs for Medicaid and Medicare.
  • Collaborate with Public Consulting Groups and State agencies in calculating Medicaid reimbursement for Rehabilitative Services.
  • Developed protocol and policies to ensure Medicaid recipients receive appropriate wellness care.
  • Implement procedures for improvement and enhancement across state and Medicaid contracts.
  • Joint Commission and the Centers for Medicaid/Medicare certification.
  • Attended expert testimony in Medicaid hearings.
  • Launched two care transition demonstration projects (CCTP Medicare and BIP Medicaid), raised $1.5M for implementation.
  • Review and submit all Medicaid and Medicaid-eligible cases through the KEPRO Medicaid on-line program for reimbursement.
  • Drive accuracy and efficiency handling State Medicaid, STAR/CHIP audits and data reporting.
  • Managed budget, and compliance with regulatory requirements, including Medicaid rules.
  • Direct supervision of program supervisors, and fiscal billing through Medicaid.
  • Collect and audit NQF Measures for Medicare and Medicaid requirements.
  • Worked with IPRO regarding Medicare and Medicaid issues.
  • Cut overall Medicaid compliance risk by 20%.
  • Provide appeals for denied Medicaid days.
  • Directed and coordinated quality studies amongst interdisciplinary departments in correlation with Medicare & Medicaid criteria and Stars Program.
  • Achieved Joint Commission Accreditation and Medicare and Medicaid Licensure within first year of operation.
  • POSITION OVERVIEW Report to the Executive Director of a privately-owned, Medicaid-funded Mental Health service agency.

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20. Management System

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Here's how Management System is used in Director Of Quality Management jobs:
  • Researched, negotiated and implemented enterprise Learning Management System, delivering over 55,000 functional and regulatory modules annually.
  • Revitalized the quality improvement system for this citywide social services organization while establishing a comprehensive risk management system.
  • Encouraged staff to participate in quality improvement initiatives and educated all employees about quality management systems and applications
  • Completed implementation and certification of the quality management system six months ahead of schedule.
  • Completed agency accreditation process and systematized policy and procedure management system.
  • Executed inventory management system through optimization of client's supply chain.
  • Developed and implemented standard quality management system for software product development.
  • Developed and delivered related training programs for Quality Management Systems.
  • Defined the vision, policies, strategies and processes of the Quality Management System to develop a culture of continuous improvement.
  • Key contributor in the establishment and deployment of an ANSI 748-A compliant organizational Earned Value Management System (EVMS).
  • Led the improvement of the PAREXEL Early Phase Quality Management System in the North America - Baltimore Clinical Unit.
  • Led the corporation in the development of a world class quality management system including certification to ISO9001-2004.
  • Hired to implement a Quality Management System to support Research in Motion (Blackberry) business.
  • Promoted to the Northeast Regional Executive Team to establish and manage a Quality Management System.
  • Maintained a Quality Management System in compliance with ISO9001 (2000).
  • Saved agency over 1.5 million dollars per year by implementing lean management systems
  • Provided leadership and direction for the company's Quality Management systems.
  • Created and drove strategic planning process and related management systems.
  • Assisted in the implementation/super user of the new EMR-Healthcare Management System /HMS.
  • Achieved ISO [ ] registration with a newly developed Quality Management System.

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21. Medical Records

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Here's how Medical Records is used in Director Of Quality Management jobs:
  • Provided direction and reorganization of the medical records department through restructuring that included streamlining of processes and successful coding.
  • Provided integrated medical-behavioral structure for electronic medical records development and implementation project team.
  • Audit medical records for potential litigation and documents reports as needed.
  • Implemented agency centralized medical records.
  • Educated physicians, office staff and reviewed medical records to capture pertinent information and ensure compliance with State requirements.
  • Directed Medical Records, in tracking data for OPPE/FPPE, communicated findings to CEO and Medical Executive Committee.
  • Supervised/facilitated the functions of PI, Intake Services, Case/Utilization Management, Data metrics and medical records.
  • Process all legal requests for client medical records and work in collaboration with the affiliate general counsel.
  • Hired to develop and deploy quality, utilization, infection control, medical records and transcription systems.
  • Experience in documenting all conditions, procedures and test results in manual and electronic medical records.
  • Managed the Medical Records Department based on CARF, OBHL, VO and HIPAA regulations.
  • Restructured the Medical Records Department in one month and provided day to day operations.
  • Perform coding on inpatient medical records and records at discharge.
  • Abstracted appropriate medical records per ICD-9 codes for applicable patients.
  • manage overall operations of Quality Management, Risk Management, Medical Staff Office, Medical Records Departments.
  • Audited medical records and summarized care for payor appeals.

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22. Corrective Action

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Here's how Corrective Action is used in Director Of Quality Management jobs:
  • Provided senior management with updates on the status of all quality assurance and regulatory compliance issues and recommendations for corrective action.
  • Identify training opportunities to address performance gaps and make recommendations for corrective action in a positive and constructive manner.
  • Collected data on quality/risk indicators, analyzed such data, prepared and presented reports and developed corrective action plans.
  • Recommended corrective actions as part of Warning Letter Remediation, including global implementation of TrackWise.
  • Performed internal audits, maintained corrective action system and prepared monthly reports to senior management.
  • Assumed responsibility for electronic state reporting and successfully completed corrective action plan.
  • Facilitated corrective action activities to resolve issues identified in the organization.
  • Introduced metrics and corrective action plans for continuous improvement.
  • Design quality improvement and corrective action plans.
  • Finalized corrective action plans for customers which were approved 100% of the time and resulted in zero repeat findings.
  • Managed 12 FDA and EMA inspections ensuring efficient management of observations, corrective action commitment and completion.
  • Responded to all patient care events through investigation, root cause analysis and corrective action planning.
  • Reported and recommended corrective actions pertaining to data, clinical outcomes and audit findings.
  • Assisted team with Aggregation of data and corrective Action plans based on analysis.
  • Develop and implement Corrective Action Plans to maximize the quality of service delivery.
  • Report on summary of findings and make recommendations for corrective action.
  • Coordinate response to group audits and develop corrective action plans.
  • Facilitate root cause analysis meetings with multidisciplinary teams regarding treatment algorithm fallouts to determine the ideal corrective action.
  • Conducted abuse investigations and reportable staff misconducts, and created corrective actions.
  • Operationalized reporting systems to ensure timely communication between QM Committees and Service Chiefs and plans for corrective action.

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3 Corrective Action Jobs

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23. Core Measures

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Here's how Core Measures is used in Director Of Quality Management jobs:
  • Oversee abstractions for core measures and reports data to the CIHQ and CMS as required in compliance with NCQA guidelines.
  • Monitored the outcomes of hospital clinical care activities (including physician and staff compliance with Core Measures).
  • Directed Pay for Performance Initiatives resulting in a 60 percent increase in compliance to Core Measures.
  • Chair of Compliance, UR, Quality, Core Measures, and Admission Committees.
  • Coordinate and manage Core Measures reporting and other functions.

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24. Sigma

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Here's how Sigma is used in Director Of Quality Management jobs:
  • Facilitated cross-functional customer teams using Six Sigma tools to redesign processes that identified and eliminated non-value add steps.
  • Implemented 6-Sigma techniques in establishing critical to quality components for internal and contract manufactured products.
  • Lecture and educate clinical staff on quality improvement processes and six-sigma methodology.
  • Championed Quality Six Sigma program to address organizational growth.
  • LEAN Facilitator conducted rapid improvement process initiatives for the hospital and the system using IHI methodology and LEAN/Six Sigma principals.
  • Plan and Manage Internal Assessments, Continuous Improvement, Process Change Management, 6 Sigma Training and Implementation Planning.
  • Developed a new plant layout which utilized Lean Manufacturing Techniques, Six Sigma, and ISO certification processes.
  • Used Lean/Six Sigma tools for batch record conversions to simplify data and improve accuracy by 10%.
  • Managed department budget of $20M, and utilized Six Sigma to decrease OPEX by 10%.
  • Established Six-Sigma program, and mentored 10 engineers with 1st year estimated cost savings of $435,000.
  • Maintained operating costs while increasing productivity by 50% using Lean-six Sigma projects.
  • Facilitated multiple six sigma projects such as ED throughput and Inpatient throughput.
  • Design of a Quality Management System framework based on ISO and Six Sigma
  • Drive Lean and Six Sigma problem solving throughout the organization.
  • Created and facilitated Six Sigma Overview and Champion training.
  • Launched a Lean-Six Sigma program in 12 months.
  • Completed Six Sigma Black Belt training.
  • Reduced implementation time on performance improvement projects 60%, by converting Six Sigma quality system to Lean Sigma.
  • Rectified chronic defective parts problem with a critical customer using the DMAIC process (6 sigma).
  • Sample Achievements: Employed Six Sigma and Lean principles for cost/cycle time reduction and quality improvement projects.

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1 Sigma Jobs

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25. Medical Executive Committee

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Here's how Medical Executive Committee is used in Director Of Quality Management jobs:
  • Presented quality management and performance improvement reports to numerous hospital committees including the Board of Directors and Medical Executive Committee.
  • Prepare and present monthly Quality and Medical Executive Committee meetings/PowerPoints.
  • Organized all quality information to ensure timely reporting through the hospital Quality Committee, Medical Executive Committee, and Governing Board.
  • Provided ongoing reports of key quality indicators to appropriate committees, including Medical Executive Committee and Board of Trustees.
  • Prepare for and compile data to report at Quality Committee Meetings, Medical Executive Committee and Governing Board.
  • Present quality data to Medical Executive Committee and Governing Board (monthly, quarterly and annually).
  • Report monthly quality activity to the hospital's Quality Council and the Medical Executive Committee.
  • Served as a member of the Administrative Council, Medical Executive Committee and Governing Board.
  • Risk manager, OPPE/FPPE and direct reporting to medical executive committee & board quality.
  • Organize and oversee the Medical Executive Committee and Credentials committee on a monthly basis.
  • Served on Medical Executive Committee and other physician and quality committees.
  • Approved by Medical Executive Committee.

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26. Ncqa

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Here's how Ncqa is used in Director Of Quality Management jobs:
  • Championed organization through a total of seven NCQA accreditation reviews achieving the highest level of accreditation on multiple reviews.
  • Severed as corporate consultant for utilization management and credentialing departments on NCQA, state and federal regulatory requirements.
  • Served as organizational resource for NCQA and other policy/regulatory/contractual requirements.
  • Develop and maintain cooperative relationships with NCQA personnel.
  • Designed and implement and NCQA compliant quality management program for 3 services areas including New York, New Jersey and Connecticut.
  • Insure compliance with applicable NCQA QI and UM standards, as well as state UM licensing and certification requirements where applicable.
  • Attend UM team meetings and provide guidance with potential quality issues Data collection, analysis, and preparation for NCQA accreditation.
  • Apply the National Committee for Quality Assurance (NCQA) measures to project managed Primary Care Medical Home recognition.
  • Developed programs and policies as part of a successful NCQA accreditation process (3-year accreditation awarded).
  • Developed and implemented a quality improvement program to meet NCQA, state regulations and industry standards.
  • Achieved Excellent Accreditation status from NCQA for Commercial, Medicare and Medicaid lines of business.
  • Created QM Program to apply for NCQA accreditation as one organization in 6/2001.
  • Scored 95-100% on NCQA UM Delegation Oversight Audit by twelve health plans.
  • Guided preparation for NCQA accreditation and CO Division of Mental Health surveys.
  • Project manager for the Patient Centered Medical Home certification through NCQA.
  • Led GHC's preparation for an NCQA accreditation survey.
  • Aligned policies and procedures with NCQA standards.
  • Direct lead for NCQA and EQRO audits.
  • Replicated process for NCQA accreditation to submit applications and achieve two URAC accreditations.
  • Led staff through NCQA and URAC surveys, accomplishing full three year accreditations.

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27. Data Collection

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Here's how Data Collection is used in Director Of Quality Management jobs:
  • Streamline reporting mechanisms for data collection and reporting by development and implementation of databases to simplify data aggregation and reporting.
  • Served as project manager for centralized data collection with sponsor pharmaceutical companies and investigators during clinical trials.
  • Developed mechanisms for data collection, analysis, and reporting of quality indicators.
  • Developed quality improvement activities including data collection and analysis, and report generation.
  • Evaluated and recommended vendors for patient satisfaction and core measures data collection.
  • Created database for agency-wide programs' data collection mechanism.
  • Utilized technology to streamline data collection process * Served as Compliance Officer, Privacy Officer and member of Senior Leadership.
  • Ensured compliance with mandatory and voluntary data collection and reporting requirements at federal, state and local levels.
  • Coordinate data collection and analysis for FOCUS PDCA improvement process; decreased Foley catheter days by 35%.
  • Identify and close data collection gaps and opportunities to increase HEDIS and Medicare Stars rates.
  • Assisted C-suite with data collection and analysis for annual business plans for submission to corporate.
  • Perform a range of quality and risk responsibilities that include data collection and trending.
  • Involved in IUPM Preventive Health Program, surrounding data collection.
  • Established benchmarks and audit processes for data collection and measurement.
  • Educated nurse workforce in data collection elements for QARR/HEDIS audits.
  • Assisted with risk assessment, data collection and presentations.
  • Managed data collection and reporting for Maryland Quality Indicator Program, and Interqual as external databases.
  • Identify and consolidate redundancies in raw data and provide recommendations for more efficient data collection.
  • Developed policies, procedures, workflows and data collection formats for QARR/HEDIS reporting requirements.
  • Initiated on-going mechanisms for data collection, analysis, staff and physician education.

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28. Utilization Review

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Here's how Utilization Review is used in Director Of Quality Management jobs:
  • Integrated quality assessment, utilization review, and case management programs into a collaborative practice model.
  • Developed Utilization Review/Administrative Utilization Review meetings format for clinical service delivery to client(s).
  • Provided oversight for quality assurance, utilization review and Article 49 mandatory compliance education process Plan-wide.
  • Administered quality assessment, utilization review, and case management functions.
  • Directed quality improvement, utilization review and risk management programs.
  • Chaired monthly utilization review and incidents committee meetings.
  • Oversee the operations of Health Information Management, Utilization Review, Social Services, and the implementation of Continuous Quality Improvement.
  • Created policies and procedures for physician quality review, member utilization reviews, member and provider complaints and grievances.
  • Managed eight employees in four departments: QM, Case Management, Utilization Review, and Social Work Services.
  • Improved case management and utilization review strategies resulting in decreased length of stay and improved discharge planning.
  • Directed all case management, utilization review, and intake and marketing activities for 3 campuses.
  • Managed all quality assessment and utilization review activities for a 268 bed acute care hospital.
  • Chair the Quarterly Incident Review and Utilization Review Committee, and Compliance Committee.
  • Conducted telephonic utilization reviews with third party Utilization Review Organizations (URO) to obtain authorization for all pre-admission review activities.
  • Implemented a quality management coordinator program Lead the process change from paper to electronic Utilization Review.
  • Created systems to streamline the review process and accelerate response to the utilization review standards established by third party payors.
  • Developed and maintained both utilization review plans, Qi plans, and Risk, Management plans for entire hospital.
  • Managed the operations of utilization review, risk management, quality review and discharge planning.
  • Coordinated Civil Defense/Emergency Preparedness; on the Hillsborough County Disaster Planning Council; * Performed internal Utilization Review utilizing Interqual Criteria.

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29. TJC

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Here's how TJC is used in Director Of Quality Management jobs:
  • Focused on an assessment and action plan related to The Joint Commission (TJC) standards and other regulatory agencies in.
  • Devised and implemented comprehensive, long term plan to prepare for TJC (Joint Commission) and state surveys.
  • Implemented applicable National Patient Safety Goals and recommendations of TJC's Sentinel Event Alerts.
  • Chaired TJC Chapter Leader Council, assigned chapters, and coordinated compliance updates.
  • Presented Hospital Compare and TJC Core Measures data trends to medical staff committees.
  • Chaired TJC Tracer Committee and performed mock tracers in ancillary departments.
  • Submitted Measure of Success statistical analysis for post TJC survey response.
  • Facilitated successful TJC and HFAP triennial surveys.
  • Accepted by TJC without comment or correction.
  • Involved in a TJC validation study.
  • Monitor policies and procedures for appropriate compliance with CARF, TJC, State and Federal healthcare regulations and standards.
  • Collaborate with the Director of Accreditation to achieve the goal of successful surveys by TJC, CMS, ODH.
  • Presented core measure data to Medical Staff Committees Responsible for hospital preparation for two separate successful TJC surveys.
  • Abstracted data from MediTech/records for TJC-Oryx Core Measures (via ACS-MIDAS).
  • Involved In TJC Stroke Recertification.
  • Facilitated successful TJC triennial recertification survey, heart failure recertification survey, and stroke recertification survey.

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9 TJC Jobs

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30. Hedis

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Here's how Hedis is used in Director Of Quality Management jobs:
  • Provide subject matter expertise on accreditation, quality improvement and HEDIS improvement process and topics and opinion research.
  • Monitored hospital owned Provider practice HEDIS measures.
  • Monitored provider-specific HEDIS report cards.
  • Assisted in developing a program to improve internal scores for HEDIS and STARS, successfully moved organizational score from 2-3 from 2012-2013
  • Facilitated retrieval of medical record documentation and work with provider group(s) to retrieve electronic data that supports HEDIS/QARR.
  • Ensured completion of the Quality Scorecard and Hospital Acquired Infection Scorecard by the 12th of the month (HEDIS based).
  • Conducted membership satisfaction surveys, designed and implemented QI studies, and managed the production of the HEDIS report.
  • Worked with provider offices to facilitate request and review of charts in support of HEDIS & QARR annual.
  • Oversee Quality Management staff inclusive of Appeals, Credentialing and HEDIS units.
  • Conducted and oversaw internal audits on all HEDIS and QARR measures.
  • Oversee medical record collection process for QARR and HEDIS reporting requirements.
  • Purchased and installed new HEDIS Survey software and data warehouse.
  • Oversee HEDIS studies as directed by health plans and management.
  • Direct lead for HEDIS project and audit for the Plan.
  • Participated in corporate Black Belt Programs to improve HEDIS ratings.
  • Provided leadership for HEDIS project and HCFA review.
  • Review and analyze HEDIS and CAHP reports.
  • Educate the organization of APM4 Value Based Payment metrics (HEDIS) and develop policies and practices to accommodate the change.
  • Lead development of yearly and long term STARs, HEDIS and Risk strategy.

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2 Hedis Jobs

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31. Accreditation Standards

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Here's how Accreditation Standards is used in Director Of Quality Management jobs:
  • Coordinated and supported management team/physicians with clinical/operation modifications necessary in order to meet hospital regulatory and accreditation standards/requirements e.g.
  • Managed 7 staff members to complete surveillance activities and readiness interventions to ensure compliance with regulatory and accreditation standards.
  • Train program leaders and direct service staff regarding accreditation standards and performance expectations.
  • Monitor organizational compliance with accreditation standards.
  • Experience with NCQA, URAC and external accreditation standards & processes.
  • Developed structure for implementation and maintenance of state licensure and JCAHO accreditation standards.

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32. Management Activities

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Here's how Management Activities is used in Director Of Quality Management jobs:
  • Conducted internal process and documentation audits; successfully facilitated external audits of data management activities.
  • Supervised Quality and Risk Management activities for all providers within the Behavioral Health Network.
  • Directed all quality assurance, utilization management, and risk management activities.
  • Developed, implemented and managed Enterprise Quality & Risk Management activities.
  • Leverage company global footprint for supplier management activities.
  • Evaluated effectiveness of quality/risk management activities.
  • Directed all quality and risk management activities at this 167-bed HCA hospital including oversight of JCAHO Quality Improvement activities.
  • Directed the activities involved with quality reviews of data management activities across PPD s domestic sites.
  • Attend medical staff committee and Hospital committee meetings and assist with Risk management activities.
  • Job Summary: Direct Risk Management activities for corporation.
  • Implement companywide Risk Management activities in an effort to minimize risk and improve overall clinical and administrative processes.

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33. Management Department

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Here's how Management Department is used in Director Of Quality Management jobs:
  • Coordinated daily operations of Quality Management department at managed care organization with network of 150 physicians serving 110,000 patients annually.
  • Established Software Configuration Management department to manage the changes introduced to our all application code base.
  • Managed and oversaw Health Information Management Department including supervision of three staff.
  • Established Quality Management / Risk Management departments in numerous start-up hospitals.
  • Direct supervision of all Quality Management Department Administrative staff members.
  • Provided clinical leadership and guidance for the Quality Management Department.
  • Direct the Quality Management department to meet the requirements of consumers, regulatory, licensing, and accrediting agencies.
  • Established the Release Management department and improved iterative development processes by implementing a mixture of Agile and RAD.
  • Act as support to the Utilization Management Department on authorization issues, benefits and reports.
  • Administer, direct and coordinate activities of the Quality Management Department.
  • Provided long-term direction, daily management, and development of both salaried and union personnel within the Quality Management department.
  • Managed the Quality Management Department including overall coordination and responsibility for two Joint Commission reaccreditation surveys.

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34. Hipaa

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Here's how Hipaa is used in Director Of Quality Management jobs:
  • Implemented HIPAA Privacy/Security policies and training programs organization-wide.
  • Conducted internal audits to ensure that the organization was in compliance with CARF, OBHL, VO and HIPAA regulations.
  • Provided training in HIPAA compliance and Treatment Planning to behavior and medical health professionals employed at CARP and other agencies.
  • Oversee and resolve all compliance issues and other duties of Compliance Officer in accordance with HIPAA and management guidelines.
  • Maintained strict confidentiality of patient, employee, and organizational information in accordance with HIPAA and State privacy regulations.
  • Led the HIPAA Steering Committee that conducted the compliance analysis for the Security and the Privacy Regulations.
  • Served as Privacy and HIPAA Compliance Officer, Infection Control Officer, and Safety Officer.
  • Oversee the implementation of the transition to electronic health records and compliance with HIPAA/HITECH.
  • Served as the Patient Safety Officer and HIPAA Compliance Officer for the facility.
  • Implemented HIPAA Privacy Regulations process and educated the staff within three months.
  • Served as the facility subject matter expert regarding HIPAA and EMTALA.
  • Serve as HIPAA Security Officer.
  • Selected Contributions: Served as Privacy Officer responsible for successfully managing HIPAA compliance.

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35. Improvement Committee

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Here's how Improvement Committee is used in Director Of Quality Management jobs:
  • Direct oversight of Quality Management Committee and Quality Improvement Committee; contribute quality oversight for Peer Review and Credentialing Committees.
  • Coordinated the Hospital-wide Performance Improvement Committee in conjunction with the Medical Director and Director of Quality Management.
  • Facilitated Medical Staff/Medical Advisory Committee, Performance Improvement Committee, and implemented the Patient Safety Program.
  • Conducted quarterly Organizational Improvement Committee and Medical Executive Committee and Governing Board with Select Corporate.
  • Report quarterly to Organization Improvement Committee, Medical Executive Committee and Governing Board.
  • Chair, Organizational Performance Improvement Committee; Revised the Operational Performance Improvement Plan.
  • Co-Chaired the Continuous Quality Improvement Committee.
  • Chaired QMC, Patient Safety, Fall, MEC, Infection Prevention, Fall PI, and Process/Performance Improvement committees.
  • Chaired the Quality Improvement Committee and prepared meeting minutes and agendas.
  • Led the performance improvement committee and other performance improvement teams.
  • Provide staff support for the quality improvement committee.
  • Served as a member of: Quality Improvement Committee.
  • Served as Chair of: Clinical Quality Improvement Committee.
  • Initiated physician led, multi-disciplinary, multi-agency Stroke Improvement Committee improving clinical process of care throughout continuum.

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36. Clinical Quality

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Here's how Clinical Quality is used in Director Of Quality Management jobs:
  • Collected, tracked and analyzed hospital data related to hospital goals for clinical quality and patient-safety improvement.
  • Coordinated and facilitated the Patient Safety and Clinical Quality Committee and coordinated the Performance Improvement Oversight Committee.
  • Expanded departmental capabilities to include document management, validation, clinical quality support, and bioethics.
  • Perform data compilation and analysis for key clinical quality measures.
  • Established the Department of Clinical Quality Management.
  • Directed all aspects of clinical quality management and health services research for the Eurasia-Africa regional headquarters of the TRICARE Management Activity.
  • Responded to various client and account inquiries related to the provider and clinical quality areas.
  • Staff the primary quality oversight committee, Clinical Quality, and the Credentialing Committee.
  • Participated in Clinical Quality Committee responsible for EMR template development for use by multiple affiliates nation wide.

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37. Carf

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Here's how Carf is used in Director Of Quality Management jobs:
  • Prepared company for CARF accreditation and COA re-accreditation.
  • Coordinated and participated in CARF and CABHA re-certifications.
  • Consult with Executive Staff around all activities related to maintaining JCAHO and CARF accreditation.
  • Company Closed * Instrumental in obtaining and maintaining CARF and CABHA accreditation.
  • Assisted with accreditation (CARF) process and ensured compliance with standards.
  • Major Accomplishments: Successfully coordinated numerous JCAHO and CARF accreditation surveys, Medicare certification surveys and state hospital licensing surveys.
  • assure continual readiness for regulatory surveys, JCAHO, CARF, Florida RM Program.
  • Ensured successful hospital compliance with JCAHO, CLIA, CARF, and Medicare requirements.
  • Assisted the organization in maintaining CARF and QUEST standards for Quality of Life accreditations.
  • Achieved 3-year accreditations through CARF (Commission on Accreditation of Rehabilitation Facilities).

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38. Continuous Quality

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Here's how Continuous Quality is used in Director Of Quality Management jobs:
  • Define and implement goals and objectives for organization wide continuous quality improvement programs.
  • Developed and maintained divisional strategies to address continuous quality and safety goals.
  • Worked with Directors on departmental Continuous Quality Improvement projects.
  • Charged with implementing and monitoring organizational continuous quality improvement.
  • Oversee activities of the Continuous Quality Improvement (CQI) strategy of the Bon Secours Baltimore Health Corporation.

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39. FDA

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Here's how FDA is used in Director Of Quality Management jobs:
  • Implemented quality document control, including compliance to FDA Electronic Records and Electronic Signature regulations.
  • Coached Development Specialist (a PhD) on how to respond to FDA letters requesting additional information for a clinical trial.
  • Ensured quality system was compliant with ISO 9001, ISO 13485, FDA and other country-specific medical device regulations.
  • Created and populated electronic tool for re-submission project, which ensured all FDA comments and requests were addressed.
  • Assure employees are aligned and operating in line with corporate, FDA and ISO quality standards.
  • Audited processes and systems for compliance to Good Clinical Practices and FDA regulations.
  • Hosted numerous sponsor audits and FDA QSR inspections (no FD-483s issued)
  • Write responses to FDA's questions for justifications of market actions decision.
  • Train and guide employees on FDA quality system regulations.
  • Respond to FDA warning letters and report investigation outcomes.
  • Restructured document control system into FDA compliant program.
  • Led the backroom operations for successful FDA inspections.
  • Assured compliance of food contact packaging with FDA 21 CFR $170-189.
  • Complied with FDA CFR 820 guidelines.
  • Managed Regulatory Strategy and Submissions to FDA Provided Regulatory guidance for new Engineering Projects including identification of relevant standards and regulations.
  • Implemented quality system improvements to mitigate FDA audit concerns, latest FDA & ISO audits resulted in zero findings.
  • Created and maintained quality assurance system in accordance to current Good Manufacturing Practices (FDA cGMPs).
  • Directed the pre-approval compliance effort leading to the FDA approval of 10 commercial products.
  • Developed and created a new SOP format with process maps which enabled FDA Compliance.
  • Developed and maintained Quality Systems in accordance with FDA and cGMP standards.

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40. Data Analysis

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Here's how Data Analysis is used in Director Of Quality Management jobs:
  • Acted as change agent utilizing performance improvement data analysis and external drivers to steer continuous improvement initiatives.
  • Created PowerPoint presentations and data analysis charts to support programming recommendations and process improvements.
  • Experience researching complex health care issues and data analysis for executive management review.
  • Monitor performance through data analysis and outcomes measurement and produce statistical reports.
  • Identified process improvement opportunities through judicious surveillance and data analysis.
  • Developed Microsoft Access reports and performed data analysis.
  • Utilized QI Macros for excel to generate charts to aide with data analysis.
  • Monitored performance through data analysis of yields, audits, and field returns.
  • Instructed project managers on proper EVM data analysis and variance reporting.

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2 Data Analysis Jobs

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41. Management Committee

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Here's how Management Committee is used in Director Of Quality Management jobs:
  • Coordinated quality committee meetings and facilitated the quality management committee.
  • Organized and led Quality Management Committee.
  • Supervised and staff the quality management committee and subcommittees to establish and review agency data and performance indicators;.
  • Serve as a member of the Medical Risk Management Committee, and prepare the Incident Trend Report.
  • Facilitated Legislative and Compliance, Safety, and Risk Management Committees.
  • Serve at chairperson for the Bi-Monthly Quality Management Committee.
  • Key Achievements Developed and chair Divisional Policy & Procedure Committee and Admission Committee, Risk Management Committee and Quality Management Committee.

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42. Safety Program

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Here's how Safety Program is used in Director Of Quality Management jobs:
  • Created a Performance Improvement and Safety Program, integrating Joint Commission requirements ensuring continuous Joint Commission Readiness.
  • Developed the medication and patient safety programs to achieve overall reduction in serious and sentinel events.
  • Launched a comprehensive member safety program.
  • Institute the facility's Patient Safety Program utilizing patient adverse event and near miss data via the electronic event report system.
  • Redesigned Patient Safety Program to encompass Error Prevention, Incident Reporting, Intensive Reviews, Failure Mode Analysis and Risk Management.
  • Ranked #1 out of 10 hospitals; as a direct result of the implementation of a new patient safety program.
  • Oversee risk management, compliance, quality improvement, and clinical safety programs for the organization.
  • Implemented risk management program, patient safety program, and policy and procedure oversight.
  • Established and managed Patient Safety Program with a focus on Error Prevention.
  • Develop and lead Patient Safety Program for IRF hospital.
  • Led the hospital wide Quality and Patient Safety Program.
  • Company Hyperbaric Program set-up and implementation including policy and safety program development.
  • Performed training and education for employees as well as developed and enforced internal safety program / IIPP.

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43. Quality Metrics

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Here's how Quality Metrics is used in Director Of Quality Management jobs:
  • Developed and instituted quality metrics into physician contracts.
  • Created quality metrics to monitor, track and trend all vendors and contract services.
  • Implemented full quality metrics program for reporting on monthly and quarterly basis.
  • Improved quality metrics by 57% in 2 years.
  • Job duties: Monitor quality metrics.
  • Instituted and monitored quality improvement programs in physician Practices demonstrating significant improvements in 98% of key clinical quality metrics.
  • Developed the annual quality improvement program description, evaluation workplan and oversees the development of the annual goals for quality metrics.

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44. Direct Reports

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Here's how Direct Reports is used in Director Of Quality Management jobs:
  • Reported to the VP and President with 6 Direct, and 11 Indirect Reports across 2 plants and 100 employees.
  • Provided leadership and operational direction to 5 QC/QA direct reports in the US and 42 QC/QA indirect reports in Asia.
  • Work in conjunction with Direct Reports to continuously seek opportunities to improve quality of services and patient outcomes.
  • Led 5 direct reports as well as a team of 15 indirect reports.
  • Direct reports were the Quality Manager and two Quality Engineers.
  • Direct Reports include Staff Educator/Employee Health Nurse and the Infection Control Preventionist.
  • Lead 11 Direct reports including 2 - Program Mgrs., 1-Quality ISO Mgt.

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45. Quality Program

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low Demand
Here's how Quality Program is used in Director Of Quality Management jobs:
  • Instituted company-wide quality program to leverage abundance of intellectual capital and product development skills already existing in the organization.
  • Created and maintained documented quality program description and led annual quality assessments and plans.
  • Develop and implement quality and lean process improvements, including Supplier Quality program.
  • Assessed client situations and provided recommendations to improve client quality program outcomes.
  • Awarded Meritorious Service Medal for works associated with Quality Programs.
  • Identified opportunities through quality programs to drive customer satisfaction.
  • Established Quality Programs for all Island Oasis Manufacturers.
  • Established single organization -wide quality program.
  • Facilitated online quality program audits.
  • Created a quality program in primary care responsible for performance in value based contracts as well as the CPC programs.
  • Set a new strategy for marketing the development of quality programs, methodology, and reporting.
  • Performed annual evaluation of utilization and quality programs for input to annual work plan.
  • Create and represent Quality programs and oversight for vendor outsourcing for Novartis Oncology.
  • Created quality program and model for the hospital wide quality activities.
  • Introduced new strategy for the development of quality programs and reporting.
  • Managed the Quality Program as it related to CARF/HIPAA compliance.
  • Conducted annual review of health plans quality program.
  • Identifed opportunities through quality program outcomes to drive process improvement.
  • Build risk and quality programs as facility shifts from private pay 2005 to 2005 to a Medicare/Medicaid facility.
  • Led the Quality program to receipt of 5 national Quality awards in 2014 awarded by Studor and AVATAR.

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46. Quality Initiatives

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low Demand
Here's how Quality Initiatives is used in Director Of Quality Management jobs:
  • Worked to establish standard requirements across the Launch and Satellite Systems group related to Supplier Quality initiatives and industry based requirements.
  • Report monthly to corporate and division leadership status of Quality initiatives, metrics analysis and recommendations.
  • Ensured appropriate and timely measurement and reporting of quality initiatives.
  • Directed all quality initiatives and preparation for Joint Commission accreditation visit
  • Instituted the TMF quality initiatives and awards participation program.
  • Develop and implement quality initiatives for members and providers.
  • Lead for strategic quality initiatives.
  • Managed ongoing quality initiatives to ensure compliance and set goal of achieving zero data defects.
  • Accepted ownership at the unit level for worldwide quality initiatives.
  • Operationalized changes in Quality structure to enhance support of Quality initiatives resulting in improved patient care and initiative score improvements.
  • Gathered outcomes data for utilization in the development of action plans for quality initiatives.
  • Achieved multi-million dollar funding for ongoing data quality initiatives.
  • provide consultative assistance in E H R design to support Quality Initiatives.

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47. Osha

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low Demand
Here's how Osha is used in Director Of Quality Management jobs:
  • Trained staff on Occupational Safety and Health Administration (OSHA) blood borne and fluid exposure (BBFE) requirements.
  • Directed and communicated all corporate change activities, and concerns related to FDA, OSHA, and Customer Service issues.
  • Coordinated and ensured compliance with Joint Commission, OSHA, CDC, Federal and other applicable regulatory requirements.
  • Maintained Corporate Compliance with regulatory agencies to include Joint Commission, DC Department of Health and OSHA.
  • Ensured the facility met regulatory requirements as stipulated by the state, OSHA, EPA, etc.
  • Managed National Field Safety program, interacting with OSHA, NFPA, and customer safety program directors.
  • Conduct staff annual reeducation related to OSHA, HIPAA and Minor Abuse Reporting requirements.
  • Conducted New Employee Orientation including OSHA BBFE, Infection Prevention and Quality/Risk topics.
  • Managed Health and Safety Program, including OSHA compliance and Worker's Compensation.
  • Review and revise the referral, OSHA, and Operations manuals annually.
  • Conduct Safety Rounds to assure EOC, HIPPA and OSHA Compliance.
  • Developed and maintained all OSHA/CLIA activities for new and current staff.
  • Worked daily to ensure Regulatory Agency's compliance, i.e.. CMS, The Joint Commission, OSHA, etc.

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48. Hospital Staff

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low Demand
Here's how Hospital Staff is used in Director Of Quality Management jobs:
  • Designed and published manuals on quality and accreditation and delivered presentations to medical and hospital staff.
  • Participated with attorneys, medical and hospital staff in gathering information required in malpractice discovery.
  • Provided quality training for all hospital staff Clinical Coordinator - Joint Replacement Program.
  • Provided education to hospital staff.
  • Managed Hospital staff of forty employees in the departments of Medical Staff Services, Quality Assurance and Case Management.
  • Educate physicians, nurses, and all other hospital staff on Performance Improvement.

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49. Fmea

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low Demand
Here's how Fmea is used in Director Of Quality Management jobs:
  • Developed and implemented the Utilization and Risk Management initiatives by using the FMEA model which saved the hospital over $200,000.
  • Provide education to staff if a Root Cause Analysis, FMEA or risk assessment need to be completed.
  • Process mapping, Root Cause Analysis, FMEA, Risk Analysis, risk management & change management planning.
  • Conducted Failure Modes and Effects Analysis (FMEA).
  • Lead in yearly FMEA completion as determined by Corporate.
  • Utilize a proactive method to conduct risk assessments including the FY15 facility HFMEA to decrease hospital readmissions.

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50. Configuration Management

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low Demand
Here's how Configuration Management is used in Director Of Quality Management jobs:
  • Developed and implemented a Configuration Management plan (continuous integration) to reduce the errors encountered during the development process.
  • Introduced configuration management procedures and automated testing tools to reduce cycle times and defect rates, while increasing tester productivity.
  • Promoted a Document and Data Control Department, which focused on sound configuration management principals.
  • Implemented best practice configuration management plans.
  • Developed and implemented a new product configuration management system utilizing the guidelines set forth in ISO 10007.

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Director Of Quality Management Jobs

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20 Most Common Skills For A Director Of Quality Management

Patient Care

14.1%

Ensure Compliance

11.6%

Quality Management

11.1%

Risk Management

8.4%

Quality Improvement Activities

7.2%

Oversight

6.4%

Infection Control

5.7%

Medical Staff

4.8%

Process Improvement

4.1%

CMS

3.6%

Staff Peer Review

2.9%

Management Program

2.8%

Jcaho

2.6%

Performance Improvement Activities

2.5%

Health Care

2.5%

Customer Service

2.3%

ISO

2.2%

QA

1.9%

Medicaid

1.7%

Management System

1.7%
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Typical Skill-Sets Required For A Director Of Quality Management

Rank Skill
1 Patient Care 10.6%
2 Ensure Compliance 8.8%
3 Quality Management 8.4%
4 Risk Management 6.3%
5 Quality Improvement Activities 5.4%
6 Oversight 4.9%
7 Infection Control 4.3%
8 Medical Staff 3.6%
9 Process Improvement 3.1%
10 CMS 2.7%
11 Staff Peer Review 2.2%
12 Management Program 2.1%
13 Jcaho 1.9%
14 Performance Improvement Activities 1.9%
15 Health Care 1.9%
16 Customer Service 1.8%
17 ISO 1.6%
18 QA 1.4%
19 Medicaid 1.3%
20 Management System 1.3%
21 Medical Records 1.3%
22 Corrective Action 1.2%
23 Core Measures 1.2%
24 Sigma 1.1%
25 Medical Executive Committee 1.1%
26 Ncqa 1.1%
27 Data Collection 1.1%
28 Utilization Review 1.1%
29 TJC 1.0%
30 Hedis 1.0%
31 Accreditation Standards 0.9%
32 Management Activities 0.9%
33 Management Department 0.8%
34 Hipaa 0.8%
35 Improvement Committee 0.8%
36 Clinical Quality 0.8%
37 Carf 0.7%
38 Continuous Quality 0.7%
39 FDA 0.7%
40 Data Analysis 0.7%
41 Management Committee 0.6%
42 Safety Program 0.6%
43 Quality Metrics 0.6%
44 Direct Reports 0.6%
45 Quality Program 0.6%
46 Quality Initiatives 0.6%
47 Osha 0.6%
48 Hospital Staff 0.5%
49 Fmea 0.5%
50 Configuration Management 0.5%
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