Health Care

applicants

POSITION SUMMARYThe Director has the responsibility for supervising the departments of Quality Management, Risk Management, Compliance, Workers’ Compensation, Employee Health, and Infection Control. The Director ensures competent staff meets patient care and department needs. The Director ensures compliance with all regulatory requirements, efficient operation of the department and adherence to hospital policies and procedures. The Director works collaboratively with the Medical Staff leadership in support of Quality Services Department goals. The Director provides leadership to the organization for compliance with The Joint Commission and Title 22 standards. The Director supports outcomes management, risk management and other related initiatives as developed and implemented.ESSENTIAL DUTIES AND RESPONSIBILITIESContinuously assesses and improves the quality of care and services provided at facility.Provides leadership to the organization for maintaining compliance with The Joint Commission standards and Title 22 requirements.Utilizes the hospital’s quality methodology in improving processes and involves staff in quality action teams and communicates results to the department.Supports the Hospitals’ Quality of Care Committee (“QCC”) and the Medical Staff process improvement activities, identifying trends, analyzing data and recommending actions to achieve improvement.Complies with and submits required monthly reports to appropriate committees including QCC, Patient Safety Committee of the Board and Safety Committee by specific deadlines.Supports Quality Initiative and Core Measure outcomes and IHI initiatives with which the hospital participates.Serves as Patient Safety Officer and oversees the completion of all RCA’s as risks are identified.Ensures compliance with all risk management activities.Participates in meetings and other activities that focus on strategic planning, revenue and capital expense and budget as appropriate.REQUIREMENTSMust have minimum of 5 years of management experience in Quality in an acute care hospital setting. Must have current California State Registered Nurse License. Bachelors Degree Nursing or Health Care Administration, management or related field, required. Master’s degree in healthcare related field preferred. Demonstrated effective verbal, written, communication, and presentation skills. Current CPHQ credentialing.Salary/Wage: $NegotiableStatus: Full-timeShift: Days