"Alerted.org

The Director of Quality leads and advances the hospital’s quality improvement, patient safety, and regulatory compliance programs. This role champions a culture of continuous improvement and collaboration, working closely with nursing and operational leaders to enhance clinical outcomes, elevate performance, and ensure delivery of exceptional, safe, and effective patient care.

What We Offer

+ Competitive Pay

+ Medical, Dental, Vision & Life Insurance

+ Generous Paid Time Off (PTO) & Extended Illness Bank (EIB)

+ Matching 401(k)

+ Career Growth and Leadership Development Opportunities

+ Rewards and Recognition Programs

+ Additional Discounts and Perks*

Key Responsibilities

+ Lead the development and execution of quality and performance improvement strategies aligned with regulatory standards and organizational goals.

+ Analyze quality metrics and clinical performance data to identify trends, prioritize opportunities, and drive improvements across departments.

+ Guide and facilitate root cause analyses (RCA), Failure Modes and Effects Analysis (FMEA), and other quality methodologies.

+ Partner with department leaders to implement corrective action plans, monitor progress, and meet performance benchmarks.

+ Develop and deliver education on quality practices, patient safety, and regulatory updates to clinical and non-clinical staff.

+ Ensure ongoing compliance with The Joint Commission, CMS, and other applicable regulatory and accrediting agencies.

+ Present quality performance reports and improvement outcomes to executive leadership, hospital committees, and the Governing Board.

+ Serve as a key resource for survey readiness and regulatory reporting.

+ Perform additional duties as assigned and maintain adherence to organizational policies and standards.

Qualifications

**Education** :

+ Bachelor’s degree in Nursing, Healthcare Administration, or a related field required

+ Master’s degree preferred

**Experience** :

+ 5–7 years of experience in healthcare quality, patient safety, or regulatory compliance in clinical operations with demonstrated involvement in performance and quality improvement activities

+ Minimum of 1–3 years in a leadership role with proven ability to lead teams and manage change

+ RN clinical experience strongly preferred

+ Experience in an acute care hospital setting (LTAC experience considered if includes exposure to performance improvement or quality initiatives)

Skills and Competencies

+ Strong knowledge of quality improvement methodologies, patient safety standards, and healthcare regulations

+ Proven ability to analyze data and implement effective improvement strategies

+ Excellent leadership, communication, and collaboration skills

+ Proficiency in quality management systems and Google Workspace

+ Ability to build cross-functional partnerships and lead change in a dynamic healthcare environment

Licensure & Certifications

**Preferred** :

+ CPHQ – Certified Professional in Healthcare Quality

+ CPHRM – Certified Professional in Healthcare Risk Management

INDLEAD

Equal Employment Opportunity

This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.