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At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence.

Summary:

Oversees the Quality Program, including regulatory compliant operations and the effectiveness of the quality assessment and performance improvement for all hospitals in their region. Works closely with other regional Quality Directors to ensure organization-wide sharing, deployment and alignment of best practice processes to drive, achieve and sustain clinical excellence goals across the health system. Collaborates with physicians and all levels of leadership to develop and sustain a robust clinical documentation improvement program and medical record integrity across regional areas of responsibility. Provides leadership and guidance to managers, assisting with identification of any patterns or trends, or significant opportunities for improvement. Oversight of continued regulatory readiness activities and collaborates with system VP Clinical Excellence to coordinate and align medical staff peer review activities. Manages the regional operational, budgetary and financial responsibilities and activities. Evaluates performance and professional development of direct reports, and holds self and team accountable for the development and achievement of measurable performance goals.

Minimum Qualifications:

Other information:

Required experience includes 5 years of clinical experience in acute care setting AND 2 years quality or performance improvement related activity AND 4 years in management.

Education:

Essential:

* Bachelors Degree

Nonessential:

* Masters Degree

* Masters Degree

* Masters Degree

Education specialization:

Nonessential:

* Registered Nurse

* Business Admin

* Health Care Admin

Education equivalent experience:

Essential:

* Required - Bachelors - Related Field; Preferred - Masters - Registered Nurse; Preferred - Masters - Business Administration; Preferred - Masters - Healthcare Administration

Nonessential:

* Required - Bachelors - Related Field; Preferred - Masters - Registered Nurse; Preferred - Masters - Business Administration; Preferred - Masters - Healthcare Administration

* Required - Bachelors - Related Field; Preferred - Masters - Registered Nurse; Preferred - Masters - Business Administration; Preferred - Masters - Healthcare Administration

* Required - Bachelors - Related Field; Preferred - Masters - Registered Nurse; Preferred - Masters - Business Administration; Preferred - Masters - Healthcare Administration

Credentials:

Essential:

* Cert Prof HC Quality

Nonessential:

* Registered Nurse

Credential equivalent experience:

Essential:

* Preferred - RN (Registered Nurse) - License; Required - CPHQ (Healthcare Quality) - within 1 year

Nonessential:

* Preferred - RN (Registered Nurse) - License; Required - CPHQ (Healthcare Quality) - within 1 year

Facility:

BayCare Health System, Quality Improvement-SJH

Status:** **Full Time, Exempt: Yes

Shift Hours:** **8:00AM - 5:00PM

Shift:** **Shift 1

Shift 1 = Days, 2 = Evenings, 3 = Nights, 4 = Varies

Weekend Work:** **None

On Call:** **No

**How often will this team member be working remotely?** Never

Equal Opportunity Employer Veterans/Disabled

**Position** Director Quality

**Location** Tampa:St Josephs | Leadership | Full Time

**Req ID** 111531