Director Quality

About This Role

Leading ongoing quality improvement initiatives is the core of this leadership role at Mercy San Juan Medical Center, where you will collaborate with many healthcare professionals. You will make data-driven decisions to ensure patients continuously receive high-quality care, resulting in positive outcomes. This role involves analyzing data and implementing strategies for performance improvements, quality outcomes, risk reduction/mitigation, patient safety, and infection control.

Responsibilities

• Lead ongoing quality improvement initiatives
• Collaborate with healthcare professionals
• Make data-driven decisions to ensure high-quality patient care and positive outcomes
• Analyze data and implement strategies for performance improvements, quality outcomes, risk reduction/mitigation, patient safety, and infection control
• Apply experience in clinical practice, operations, data analysis, and technology to build a culture of continuous improvement
• Ensure teams move forward with current initiatives using project management skills

Requirements

• Bachelor's degree in a healthcare-related field, or five (5) years of related job or industry experience in lieu of degree
• Minimum of five (5) years of progressive management responsibility in a health care setting, two (2) of which are related to managing an acute care organization’s Quality Improvement Program
• Minimum of two (2) years of clinical, patient care experience or equivalent
• Current State License in a clinical field. Five (5) years’ experience in Quality Management can be used in lieu of state license
• Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment
• Knowledge of quality management methods, tools, and techniques and ability to create and support an environment that meets the quality goals of the organization
• Knowledge of federal, state and local healthcare related laws and regulations; ability to comply with these in healthcare practices and activities
• Experience developing and implementing clinical, service and operational process improvement initiatives, both small and large scale
• Knowledge and expertise in specific performance improvement/CQI methodologies (e.g., Six Sigma, LEAN)
• Current knowledge of accreditation and regulatory requirements for acute and ambulatory care services (e.g. state, federal, local regulations; Joint Commission, etc.)
• Experience with the event reporting process, root cause analyses, and event investigation/review
• Experience with patient compliant/grievance investigations and prompt resolution
• Knowledge of the risks faced by patients in a healthcare environment, and the ability to take steps to reduce these risks