Director of Quality, Performance, Risk, Shared Governance, Az. wide
Director of Quality Improvement needed for large hospital/healthcare organization in SW Az.
This position provides for effective operation of Quality Mgmt Services for the business entity(ies) as assigned.
This position manages significant clinical event investigations, peer review, decision support, coordination of regulatory and accreditation compliance and surveys (Joint Commission, DHS, CMS, patient safety, process improvement, and all other required quality related activities. All work processed by the incumbent is considered confidential and protected from discovery, pursuant to state statutes.
Essential Functions
*Analyzes incidents, sentinel events, and risk outcomes with administrators, physicians, clinical leaders, and staff to identify improvement opportunities utilizing quantitative techniques and knowledge of health care operations and systems thinking. Obtains and uses literature, best practice, and benchmark data whenever possible.
*Manages significant clinical event and root cause analysis, including peer review, process improvement, tracking and reporting of processes, policies and procedures.
Eliminates sources of error: identify causes of variation, develop and implement systems and processes to facilitate effective clinical practice and error reduction.
*Ensures and supports integration and standardization of process across the organization. Supports/Leads in development, implementation, and migration of best practices for safe clinical practice and outcomes at the system or business level.
Establishes and oversees the development and implementation of short- and long-range goals and objectives and determines the optimal progression to obtain these goals. Reviews, analyses, and reports of various activities to determine progress toward stated goals and objectives.
This position supports the development and achievement of department budgets in conjunction with these goals and in accordance with company standards.
*Serves as a content expert for designing and providing formal and informal training for physicians, clinical leaders, staff, and other constituencies related to healthcare quality and patient safety. Provides advice and counsel for leadership at all levels of the organization.
*Directs personnel actions including recruiting, new hire actions, interviewing and selection of new staff, salary determinations, training, and personnel evaluations.
*Ensures state of the art data systems and accurate and reliable data acquisition including analysis and inter-rater reliability of data to support clinical and administrative decision-making.
*Provides leadership to assure compliance with federal and state regulatory programs and accreditation requirements, as well as established organizational policies and procedures. Serves as a liaison with stakeholders in other functions to communicate and coordinate on issues of mutual interest.
Minimum Qualifications
Requires Master’s degree in healthcare related field or experience consistent with Master's degree.
Preferred Qualifications
Certified Professional in Healthcare Quality Additional related education and/or experience preferred. RN, Masters.
Client offers excellent compensation, benefits, relo. allowance, great growth opportunity within system.
email a CV/resume in confidence
Adela Nash
Southern Medical Recruiters
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Qualifications
RN, Masters, CP
HQ certification, 6+ years as Director of Quality for large hospital organization with strong accomplishments and results.