"Alerted.org

POSITION SUMMARY

Responsible for the overall strategic direction and leadership of assigned departments including administrative, financial, compliance, quality improvement, technical, and personnel activities in accordance with established policies and standards.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

+ Provides oversight in the development and implementation of quality improvement and organizational excellence plans, related to quality functions.

+ Directs and coordinates the department's activities, and staff to ensure they are efficient, timely, and meet cost and quality objectives; and that all activities and services are carried out in compliance with local, state, federal, and governmental regulations, and laws.

+ Directs and leads process improvement projects and teams that achieve measurable, sustainable change, promoting service, process, and operational excellence.

+ Develops strong relationships with internal colleagues, external providers, and the medical community to provide high quality, responsive services.

+ Develops and trains personnel within the department and reviews and appraises their performance. Responsible for assuring competency of all staff.

+ Develops annual budget for areas of responsibility and works with department leaders and staff to implement the budget. Assures measures for staying within budgetary parameters.

+ Develops and implements business plans, evaluates existing programs using established productivity standards and metrics. Continuously improves operations to manage costs, improve efficiencies, quality, and service.

+ Acts as a resource and provides ongoing education for department staff and the organization regarding national and regional trends; adjusts quality improvement model to meet financial, regulatory, and clinical goals for the hospital in collaboration with the Executives.

+ Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.

+ Performs other related duties as required and directed.

#LI-KH1

QUALIFICATIONS REQUIRED

+ Bachelor’s degree in nursing, healthcare administration, business administration, engineering, or related field from an accredited educational institution.

+ Certification in Quality Improvement/ Patient Safety are of focus (i.e., CPHQ, ASQ, CQIA, Team STEPPS Master Trainer, Project Management) or must be obtained within two years of employment.

+ Five years of progressively responsible quality management in healthcare related experience that demonstrates a high level of understanding of the required knowledge, skills, and abilities and frequent involvement with senior management and physicians.

+ Two years of Regulatory and Accreditation experience such as CMS, Joint Commission, Healthcare Facilities Accreditation Programs, DNV.

QUALIFICATIONS PREFERRED

+ Master's degree in nursing, healthcare administration, business administration, engineering, or related field from an accredited educational institution.

+ LEAN/Six Sigma Certification.